Swipe om te navigeren naar een ander artikel
The online version of this article (doi:10.1186/1757-1146-4-5) contains supplementary material, which is available to authorized users.
KBL is a Deputy Editor and SEM is an Associate Editor of the Journal of Foot and Ankle Research. It is journal policy that editors are removed from the peer review and editorial decision-making processes for manuscripts they have co-authored.
MC, KBL, SEM and AMR conceived the idea and designed the trial protocol. MC obtained funding for the study. All authors designed the trial protocol and drafted the manuscript. All authors read and approved the final manuscript.
Plantar heel pain (plantar fasciitis) is a common and disabling condition, which has a detrimental impact on health-related quality of life. Despite the high prevalence of plantar heel pain, the optimal treatment for this disorder remains unclear. Consequently, an alternative therapy such as dry needling is increasingly being used as an adjunctive treatment by health practitioners. Only two trials have investigated the effectiveness of dry needling for plantar heel pain, however both trials were of a low methodological quality. This manuscript describes the design of a randomised controlled trial to evaluate the effectiveness of dry needling for plantar heel pain.
Eighty community-dwelling men and woman aged over 18 years with plantar heel pain (who satisfy the inclusion and exclusion criteria) will be recruited. Eligible participants with plantar heel pain will be randomised to receive either one of two interventions, (i) real dry needling or (ii) sham dry needling. The protocol (including needling details and treatment regimen) was formulated by general consensus (using the Delphi research method) using 30 experts worldwide that commonly use dry needling for plantar heel pain. Primary outcome measures will be the pain subscale of the Foot Health Status Questionnaire and "first step" pain as measured on a visual analogue scale. The secondary outcome measures will be health related quality of life (assessed using the Short Form-36 questionnaire - Version Two) and depression, anxiety and stress (assessed using the Depression, Anxiety and Stress Scale - short version). Primary outcome measures will be performed at baseline, 2, 4, 6 and 12 weeks and secondary outcome measures will be performed at baseline, 6 and 12 weeks. Data will be analysed using the intention to treat principle.
This study is the first randomised controlled trial to evaluate the effectiveness of dry needling for plantar heel pain. The trial will be reported in accordance with the Consolidated Standards of Reporting Trials and the Standards for Reporting Interventions in Clinical Trials of Acupuncture guidelines. The findings from this trial will provide evidence for the effectiveness of trigger point dry needling for plantar heel pain.
Australian New Zealand 'Clinical Trials Registry'. ACTRN12610000611022.
Additional File 3: Explanation of the treatment procedure to participants. Additional File 3 contains an explanation of the treatment procedure given to the participant prior to its commencement. (DOC 26 KB)
Authors’ original file for figure 113047_2010_194_MOESM4_ESM.jpeg
Crawford F: Plantar heel pain and fasciitis. Clin Evid. 2005, 13: 1533-1545. PubMed
Riddle DL, Schappert SM: Volume of ambulatory care visits and patterns of care for patients diagnosed with plantar fasciitis: a national study of medical doctors. Foot Ankle Int. 2004, 25 (5): 303-310. PubMed
Tong KB, Furia J: Economic burden of plantar fasciitis treatment in the United States. Am J Orthop. 2010, 39 (5): 227-231. PubMed
Clement DB, Taunton JE, Smart GW, McNicol KL: A survey of overuse running injuries. Phys Sportsmed. 1981, 9: 47-58.
McPoil TG, Martin RL, Cornwall MW, Wukich DK, Irrgang JJ, Godges JJ: Heel pain-plantar fasciitis: clinical practice guidelines linked to the international classification of function, disability, and health from the orthopaedic section of the American Physical Therapy Association. J Orthop Sports Phys Ther. 2008, 38 (4): A1-A18. CrossRefPubMed
Landorf KB, Menz HB: Plantar heel pain and fasciitis. Clin Evid. 2008, 02 (1111): 1-16.
Dommerholt J, Mayoral del Moral O, Grobli C: Trigger point dry needling. Myofascial Trigger Points: pathophysiology and evidence-informed diagnosis and management. Edited by: Dommerholt J, Huijbregts P. 2010, Sudbury, MA: Jones and Bartlett Publishers, 159-190.
DiLorenzo L, Traballesi M, Morelli D, Pompa A, Brunelli S, Buzzi MG, Formisano R: Hemiparetic shoulder pain syndrome treated with deep dry needling during early rehabilitation: a prospective, open-label, randomized investigation. J Musculoskel Pain. 2004, 12 (2): 25-34. 10.1300/J094v12n02_04. CrossRef
Tillu A, Gupta S: Effect of acupuncture treatment on heel pain due to plantar fasciitis. Acupunct Med. 1998, 16 (2): 66-68. 10.1136/aim.16.2.66. CrossRef
Perez-Millan R, Foster L: Low frequency electroacupuncture in the management of refractory plantar fasciitis. Med Acupunct. 2001, 13 (1): 1-6.
Godlee F: Publishing study protocols: making them visible will improve registration, reporting and recruitment. BMC News and Views. 2001, 2:
Munteanu SE, Menz HB, Zammit GZ, Landorf KB, Handley CJ, ElZarka A, DeLuca J: Efficacy of intra-articular hyaluronan (Synvisc™) for the treatment of osteoarthritis affecting the first metatarsophalangeal joint of the foot (hallux limitus): study protocol for a randomised placebo controlled trial. J Foot Ankle Res. 2009, 2: 2-10.1186/1757-1146-2-2. CrossRefPubMedPubMedCentral
McLeod Roberts J: Vascular assessment. Assessment of the lower limb. Edited by: Merriman LM, Turner W. 2002, Edinburgh: Elsevier: Churchill Livingstone, 79-112. full_text. Second CrossRef
Simons DG, Travell JG, Simons LS: Myofascial pain and dysfunction: the trigger point manual. Lower half of the body. 1999, Baltimore: Williams and Wilkins, 1: 2
Dommerholt J, Mayoral del Moral O, Grobli C: Myofascial trigger points: an evidence-informed review. Myofascial Trigger Points: pathophysiology and evidence-informed diagnosis and management. Edited by: Dommerholt J, Huijbregts P. 2010, Sudbury, MA: Jones and Bartlett Publishers, 17-50.
Thomee R: A comprehensive treatment approach for patellofemoral pain syndrome in young women. Phys Ther. 1997, 77 (12): 1690-1703. PubMed
Sallis JF, Haskell WL, Wood PD, Fortmann SP, Rogers T, Blair SN, Paffenbarger RSJ: Physical activity assessment methodology in the Five-City Project. Am J Epidemiol. 1985, 121 (1): 91-106. PubMed
Redmond AC, Crosbie J, Ouvrier RA: Development and validation of a novel rating system for scoring standing foot posture: the Foot Posture Index. Clin Biomech. 2006, 21 (1): 89-98. 10.1016/j.clinbiomech.2005.08.002. CrossRef
Reville SI, Robinson JO, Rosen M, Hogg MI: The reliability of a linear analogue for evaluating pain. Anaesthesia. 1976, 31: 1191-1198. 10.1111/j.1365-2044.1976.tb11971.x. CrossRef
McHorney CA, Ware JE, Raczek AE, Lu JF: The validity and relative precision of MOS short - and long-form Health Status Scales and Dartmouth COOP Charts: results from the Medical Outcomes Study. Med Care. 1992, 30 (5 suppl): MS253-265. 10.1097/00005650-199205001-00025. PubMed
Henry JD, Crawford JR: The short-form version of the Depression, Anxiety Stress Scales (DASS-21): Construct validity and normative data in a large non-clinical sample. Br J Clin Psychol. 2005, 4: 227-239. 10.1348/014466505X29657. CrossRef
Note for Guidance on Good Clinical Practice (CPMP/ICH/135/95). [ http://www.tga.gov.au/docs/pdf/euguide/ich/ich13595.pdf]
Collins N, Crossley K, Beller E, Darnell R, McPoil T, Vicenzino B: Foot orthoses and physiotherapy in the treatment of patellofemoral pain syndrome: a randomised clinical trial. Br J Sports Med. 2008, 43 (3): 169-171.
Smeets RJ, Beelen S, Goossens ME, Schouten EG, Knottnerus JA, Vlaeyen JW: Treatment expectancy and credibility are associated with the outcome of both physical and cognitive-behavioral treatment in chronic low back pain. Clin J Pain. 2008, 24 (4): 305-315. 10.1097/AJP.0b013e318164aa75. CrossRefPubMed
Landorf KB, Radford JA, Hudson S: Minimal Important Difference (MID) of two commonly used outcome measures for foot problems. J Foot Ankle Res. 2010, 14 (3): 7-10.1186/1757-1146-3-7. CrossRef
Tabachnick B, Fidell L: Using multivariate statistics. 2007, Boston: Pearson/Allyn & Bacon, 5
Vickers AJ, Altman DG: Statistics Notes: Analysing controlled trials with baseline and follow up measurements. Br Med J. 2001, 323: 1123-1124. 10.1136/bmj.323.7321.1123. CrossRef
Hopwood V, Lewith G: Acupuncture trials and methodological considerations. Clin Acupunct Orient Med. 2003, 3: 192-199. 10.1016/S1461-1449(02)00042-7. CrossRef
Torgerson DJ, Klaber-Moffett J, Russell IT: Patient preferences in randomised trials: threat or opportunity?. J Health Serv Res Policy. 1996, 1: 194-197. PubMed
- Effectiveness of trigger point dry needling for plantar heel pain: study protocol for a randomised controlled trial
Matthew P Cotchett
Karl B Landorf
Shannon E Munteanu
- BioMed Central