Publikationer pr. år
Publikationer pr. år
Henrik Riel, Bill Vicenzino, Jens Lykkegaard Olesen, Martin Bach Jensen, Lars Holger Ehlers, Michael Skovdal Rathleff
Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › peer review
Background: Plantar fasciopathy has a lifetime prevalence of 10%. Patients experience sharp pain under the heel, often for several months or years. Multiple treatments are available, but no single treatment appears superior to the others. A corticosteroid injection offers short-term pain relief but is no better than placebo in the longer term (> 8 weeks). Heavy-slow resistance training has shown potentially positive effects on long-term outcomes (> 3 months), and combining exercises with an injection may prove to be superior to exercises alone. However, the effect of heavy-slow resistance training compared with a simpler approach of patient advice (e.g., load management) and insoles is currently unknown. This trial compares the efficacy of patient advice with patient advice plus heavy-slow resistance training and with patient advice plus heavy-slow resistance training plus a corticosteroid injection in improving the Foot Health Status Questionnaire pain score after 12 weeks in patients with plantar fasciopathy. Methods: In this randomised superiority trial, we will recruit 180 patients with ultrasound-confirmed plantar fasciopathy and randomly allocate them to one of three groups: (1) patient advice and an insole (n = 60); (2) patient advice, an insole, and self-dosed heavy-slow resistance training consisting of heel raises (n = 60); or (3) patient advice, an insole, heavy-slow resistance training, and an ultrasound-guided corticosteroid injection (n = 60). All participants will be followed for 1 year, with the 12-week follow-up considered the primary endpoint. The primary outcome is the Foot Health Status questionnaire pain domain score. Secondary outcomes include the remaining three domains of the Foot Health Status Questionnaire, a 7-point Global Rating of Change, the Pain Self-Efficacy Questionnaire, physical activity level, health-related quality of life measured by the EQ-5D-5L, and Patient Acceptable Symptom State, which is the point at which participants feel no further need for treatment. Additionally, a health economic evaluation of the treatments will be carried out. Discussion: This trial will test if adding heavy-slow resistance training to fundamental patient advice and an insole improves outcomes and if a corticosteroid injection adds even further to that effect in patients with plantar fasciopathy. Trial registration: ClinicalTrials.gov, NCT03804008. Prospectively registered on January 15, 2019.
Originalsprog | Engelsk |
---|---|
Artikelnummer | 5 |
Tidsskrift | Trials |
Vol/bind | 21 |
Udgave nummer | 1 |
Antal sider | 13 |
ISSN | 1745-6215 |
DOI | |
Status | Udgivet - 2 jan. 2020 |
Publikation: Ph.d.-afhandling
Jensen, M. B. (Ophavsperson), Olesen, J. L. (Ophavsperson), Ehlers, L. H. (Ophavsperson), Vicenzino, B. (Ophavsperson), Rathleff, M. S. (Ophavsperson) & Riel, H. (Ophavsperson), Figshare, 2 jan. 2020
DOI: 10.6084/m9.figshare.11497353.v1, https://doi.org/10.6084%2Fm9.figshare.11497353.v1
Datasæt: Supplerende materiale
Riel, H. (Ophavsperson), Vicenzino, B. (Ophavsperson), Olesen, J. L. (Ophavsperson), Jensen, M. B. (Ophavsperson), Ehlers, L. H. (Ophavsperson) & Rathleff, M. S. (Ophavsperson), Figshare, 2020
DOI: 10.6084/m9.figshare.c.4803993.v1, https://springernature.figshare.com/collections/Corticosteroid_injection_plus_exercise_versus_exercise_beyond_advice_and_a_heel_cup_for_patients_with_plantar_fasciopathy_protocol_for_a_randomised_clinical_superiority_trial_the_FIX-Heel_trial_/4803993/1
Datasæt
Riel, H. (Ophavsperson), Vicenzino, B. (Ophavsperson), Olesen, J. L. (Ophavsperson), Jensen, M. B. (Ophavsperson), Ehlers, L. H. (Ophavsperson) & Rathleff, M. S. (Ophavsperson), Figshare, 2020
DOI: 10.6084/m9.figshare.c.4803993, https://springernature.figshare.com/collections/Corticosteroid_injection_plus_exercise_versus_exercise_beyond_advice_and_a_heel_cup_for_patients_with_plantar_fasciopathy_protocol_for_a_randomised_clinical_superiority_trial_the_FIX-Heel_trial_/4803993
Datasæt