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01-12-2011 | Study protocol | Uitgave 1/2011 Open Access

Journal of Foot and Ankle Research 1/2011

Effectiveness of trigger point dry needling for plantar heel pain: study protocol for a randomised controlled trial

Tijdschrift:
Journal of Foot and Ankle Research > Uitgave 1/2011
Auteurs:
Matthew P Cotchett, Karl B Landorf, Shannon E Munteanu, Anita Raspovic
Belangrijke opmerkingen

Electronic supplementary material

The online version of this article (doi:10.​1186/​1757-1146-4-5) contains supplementary material, which is available to authorized users.

Competing interests

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.

Authors' contributions

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.

Abstract

Background

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.

Methods

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.

Conclusion

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.

Trial registration

Australian New Zealand 'Clinical Trials Registry'. ACTRN12610000611​022.

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Extra materiaal
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 1
13047_2010_194_MOESM4_ESM.jpeg
Literatuur
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