A Randomised-Controlled Clinical Study Examining the Effect of High-Intensity Laser Therapy (HILT) on the Management of Painful Calcaneal Spur with Plantar Fasciitis

Calcaneal spur and plantar fasciitis are the most common causes of plantar heel pain. There are many effective physical modalities for treating this musculoskeletal disorder. So far, the are no clear recommendations confirming the clinical utility of high-intensity laser therapy (HILT) in the manage...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Piotr Tkocz, Tomasz Matusz, Łukasz Kosowski, Karolina Walewicz, Łukasz Argier, Michał Kuszewski, Magdalena Hagner-Derengowska, Kuba Ptaszkowski, Robert Dymarek, Jakub Taradaj
Formato: article
Lenguaje:EN
Publicado: MDPI AG 2021
Materias:
R
Acceso en línea:https://doaj.org/article/f7b7f5b05ae24eb0b902d80330156c12
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:f7b7f5b05ae24eb0b902d80330156c12
record_format dspace
spelling oai:doaj.org-article:f7b7f5b05ae24eb0b902d80330156c122021-11-11T17:32:38ZA Randomised-Controlled Clinical Study Examining the Effect of High-Intensity Laser Therapy (HILT) on the Management of Painful Calcaneal Spur with Plantar Fasciitis10.3390/jcm102148912077-0383https://doaj.org/article/f7b7f5b05ae24eb0b902d80330156c122021-10-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/21/4891https://doaj.org/toc/2077-0383Calcaneal spur and plantar fasciitis are the most common causes of plantar heel pain. There are many effective physical modalities for treating this musculoskeletal disorder. So far, the are no clear recommendations confirming the clinical utility of high-intensity laser therapy (HILT) in the management of painful calcaneal spur with plantar fasciitis. This study aimed to evaluate the effectiveness of HILT in pain management in patients with calcaneal spur and plantar fasciitis. A group of 65 patients was assessed for eligibility based on the CONSORT guidelines. This study was prospectively registered in the Australian New Zealand Clinical Trial Registry platform (registration number ACTRN12618000744257, 3 May 2018). The main eligibility criteria were: cancer, pregnancy, electronic and metal implants, acute infections, impaired blood coagulation, cardiac arrhythmias, taking analgesic or anti-inflammatory medications, non-experience of heel pain, or presence of other painful foot conditions. Finally, 60 patients were randomly assigned into two groups: study group (<i>n</i> = 30, mean age 59.9 ± 10.1), treated with HILT (7 W, 149.9 J/cm<sup>2</sup>, 1064 nm, 4496 J, 12 min), and placebo-controlled group (<i>n</i> = 30, mean age 60.4 ± 11.9), treated with sham HILT therapy. Both groups received ultrasound treatments (0.8 W/cm<sup>2</sup>, 1 MHz frequency, 100% load factor, 5 min). Treatment procedures were performed once a day, five times per week for three weeks (total of 15 treatment sessions). Study outcomes focused on pain intensity and were assessed before (M1) and after (M2) the treatment as well as after 4 (M3) and 12 (M4) weeks using the Visual Analogue Scale (VAS) and the Laitinen Pain Scale (LPS). According to VAS, a statistically significant decrease in the study group was observed between M1 and M2 by 3.5 pts, M1 and M3 by 3.7 pts, and M1 and M4 by 3.2 pts (<i>p</i> < 0.001). On the other hand, the control group showed a statistically significant decrease (<i>p</i> < 0.001) between M1 and M2 by 3.0 pts, M1 and M3 by 3.4 pts, and M1 and M4 by 3.2 pts. According to LPS, a statistically significant decrease in the study group was observed between M1 and M2 by 3.9 pts, M1 and M3 by 4.2 pts, and M1 and M4 by 4.0 pts (<i>p</i> < 0.001). On the other hand, the control group showed a statistically significant decrease between M1 and M2 by 3.2 pts (<i>p</i> = 0.002), M1 and M3 by 4.0 pts (<i>p</i> < 0.001), and M1 and M4 by 3.9 pts (<i>p</i> < 0.001). However, there were no statistically significant differences between the groups in VAS and LPS (<i>p</i> > 0.05). In conclusion, the HILT does not appear to be more effective in pain management of patients with calcaneal spurs and plantar fasciitis than the conservative standard physiotherapeutic procedures.Piotr TkoczTomasz MatuszŁukasz KosowskiKarolina WalewiczŁukasz ArgierMichał KuszewskiMagdalena Hagner-DerengowskaKuba PtaszkowskiRobert DymarekJakub TaradajMDPI AGarticlehigh-intensity laser therapycalcaneal spurplantar fasciitispain managementVisual Analogue ScaleLaitinen Pain ScaleMedicineRENJournal of Clinical Medicine, Vol 10, Iss 4891, p 4891 (2021)
institution DOAJ
collection DOAJ
language EN
topic high-intensity laser therapy
calcaneal spur
plantar fasciitis
pain management
Visual Analogue Scale
Laitinen Pain Scale
Medicine
R
spellingShingle high-intensity laser therapy
calcaneal spur
plantar fasciitis
pain management
Visual Analogue Scale
Laitinen Pain Scale
Medicine
R
Piotr Tkocz
Tomasz Matusz
Łukasz Kosowski
Karolina Walewicz
Łukasz Argier
Michał Kuszewski
Magdalena Hagner-Derengowska
Kuba Ptaszkowski
Robert Dymarek
Jakub Taradaj
A Randomised-Controlled Clinical Study Examining the Effect of High-Intensity Laser Therapy (HILT) on the Management of Painful Calcaneal Spur with Plantar Fasciitis
description Calcaneal spur and plantar fasciitis are the most common causes of plantar heel pain. There are many effective physical modalities for treating this musculoskeletal disorder. So far, the are no clear recommendations confirming the clinical utility of high-intensity laser therapy (HILT) in the management of painful calcaneal spur with plantar fasciitis. This study aimed to evaluate the effectiveness of HILT in pain management in patients with calcaneal spur and plantar fasciitis. A group of 65 patients was assessed for eligibility based on the CONSORT guidelines. This study was prospectively registered in the Australian New Zealand Clinical Trial Registry platform (registration number ACTRN12618000744257, 3 May 2018). The main eligibility criteria were: cancer, pregnancy, electronic and metal implants, acute infections, impaired blood coagulation, cardiac arrhythmias, taking analgesic or anti-inflammatory medications, non-experience of heel pain, or presence of other painful foot conditions. Finally, 60 patients were randomly assigned into two groups: study group (<i>n</i> = 30, mean age 59.9 ± 10.1), treated with HILT (7 W, 149.9 J/cm<sup>2</sup>, 1064 nm, 4496 J, 12 min), and placebo-controlled group (<i>n</i> = 30, mean age 60.4 ± 11.9), treated with sham HILT therapy. Both groups received ultrasound treatments (0.8 W/cm<sup>2</sup>, 1 MHz frequency, 100% load factor, 5 min). Treatment procedures were performed once a day, five times per week for three weeks (total of 15 treatment sessions). Study outcomes focused on pain intensity and were assessed before (M1) and after (M2) the treatment as well as after 4 (M3) and 12 (M4) weeks using the Visual Analogue Scale (VAS) and the Laitinen Pain Scale (LPS). According to VAS, a statistically significant decrease in the study group was observed between M1 and M2 by 3.5 pts, M1 and M3 by 3.7 pts, and M1 and M4 by 3.2 pts (<i>p</i> < 0.001). On the other hand, the control group showed a statistically significant decrease (<i>p</i> < 0.001) between M1 and M2 by 3.0 pts, M1 and M3 by 3.4 pts, and M1 and M4 by 3.2 pts. According to LPS, a statistically significant decrease in the study group was observed between M1 and M2 by 3.9 pts, M1 and M3 by 4.2 pts, and M1 and M4 by 4.0 pts (<i>p</i> < 0.001). On the other hand, the control group showed a statistically significant decrease between M1 and M2 by 3.2 pts (<i>p</i> = 0.002), M1 and M3 by 4.0 pts (<i>p</i> < 0.001), and M1 and M4 by 3.9 pts (<i>p</i> < 0.001). However, there were no statistically significant differences between the groups in VAS and LPS (<i>p</i> > 0.05). In conclusion, the HILT does not appear to be more effective in pain management of patients with calcaneal spurs and plantar fasciitis than the conservative standard physiotherapeutic procedures.
format article
author Piotr Tkocz
Tomasz Matusz
Łukasz Kosowski
Karolina Walewicz
Łukasz Argier
Michał Kuszewski
Magdalena Hagner-Derengowska
Kuba Ptaszkowski
Robert Dymarek
Jakub Taradaj
author_facet Piotr Tkocz
Tomasz Matusz
Łukasz Kosowski
Karolina Walewicz
Łukasz Argier
Michał Kuszewski
Magdalena Hagner-Derengowska
Kuba Ptaszkowski
Robert Dymarek
Jakub Taradaj
author_sort Piotr Tkocz
title A Randomised-Controlled Clinical Study Examining the Effect of High-Intensity Laser Therapy (HILT) on the Management of Painful Calcaneal Spur with Plantar Fasciitis
title_short A Randomised-Controlled Clinical Study Examining the Effect of High-Intensity Laser Therapy (HILT) on the Management of Painful Calcaneal Spur with Plantar Fasciitis
title_full A Randomised-Controlled Clinical Study Examining the Effect of High-Intensity Laser Therapy (HILT) on the Management of Painful Calcaneal Spur with Plantar Fasciitis
title_fullStr A Randomised-Controlled Clinical Study Examining the Effect of High-Intensity Laser Therapy (HILT) on the Management of Painful Calcaneal Spur with Plantar Fasciitis
title_full_unstemmed A Randomised-Controlled Clinical Study Examining the Effect of High-Intensity Laser Therapy (HILT) on the Management of Painful Calcaneal Spur with Plantar Fasciitis
title_sort randomised-controlled clinical study examining the effect of high-intensity laser therapy (hilt) on the management of painful calcaneal spur with plantar fasciitis
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/f7b7f5b05ae24eb0b902d80330156c12
work_keys_str_mv AT piotrtkocz arandomisedcontrolledclinicalstudyexaminingtheeffectofhighintensitylasertherapyhiltonthemanagementofpainfulcalcanealspurwithplantarfasciitis
AT tomaszmatusz arandomisedcontrolledclinicalstudyexaminingtheeffectofhighintensitylasertherapyhiltonthemanagementofpainfulcalcanealspurwithplantarfasciitis
AT łukaszkosowski arandomisedcontrolledclinicalstudyexaminingtheeffectofhighintensitylasertherapyhiltonthemanagementofpainfulcalcanealspurwithplantarfasciitis
AT karolinawalewicz arandomisedcontrolledclinicalstudyexaminingtheeffectofhighintensitylasertherapyhiltonthemanagementofpainfulcalcanealspurwithplantarfasciitis
AT łukaszargier arandomisedcontrolledclinicalstudyexaminingtheeffectofhighintensitylasertherapyhiltonthemanagementofpainfulcalcanealspurwithplantarfasciitis
AT michałkuszewski arandomisedcontrolledclinicalstudyexaminingtheeffectofhighintensitylasertherapyhiltonthemanagementofpainfulcalcanealspurwithplantarfasciitis
AT magdalenahagnerderengowska arandomisedcontrolledclinicalstudyexaminingtheeffectofhighintensitylasertherapyhiltonthemanagementofpainfulcalcanealspurwithplantarfasciitis
AT kubaptaszkowski arandomisedcontrolledclinicalstudyexaminingtheeffectofhighintensitylasertherapyhiltonthemanagementofpainfulcalcanealspurwithplantarfasciitis
AT robertdymarek arandomisedcontrolledclinicalstudyexaminingtheeffectofhighintensitylasertherapyhiltonthemanagementofpainfulcalcanealspurwithplantarfasciitis
AT jakubtaradaj arandomisedcontrolledclinicalstudyexaminingtheeffectofhighintensitylasertherapyhiltonthemanagementofpainfulcalcanealspurwithplantarfasciitis
AT piotrtkocz randomisedcontrolledclinicalstudyexaminingtheeffectofhighintensitylasertherapyhiltonthemanagementofpainfulcalcanealspurwithplantarfasciitis
AT tomaszmatusz randomisedcontrolledclinicalstudyexaminingtheeffectofhighintensitylasertherapyhiltonthemanagementofpainfulcalcanealspurwithplantarfasciitis
AT łukaszkosowski randomisedcontrolledclinicalstudyexaminingtheeffectofhighintensitylasertherapyhiltonthemanagementofpainfulcalcanealspurwithplantarfasciitis
AT karolinawalewicz randomisedcontrolledclinicalstudyexaminingtheeffectofhighintensitylasertherapyhiltonthemanagementofpainfulcalcanealspurwithplantarfasciitis
AT łukaszargier randomisedcontrolledclinicalstudyexaminingtheeffectofhighintensitylasertherapyhiltonthemanagementofpainfulcalcanealspurwithplantarfasciitis
AT michałkuszewski randomisedcontrolledclinicalstudyexaminingtheeffectofhighintensitylasertherapyhiltonthemanagementofpainfulcalcanealspurwithplantarfasciitis
AT magdalenahagnerderengowska randomisedcontrolledclinicalstudyexaminingtheeffectofhighintensitylasertherapyhiltonthemanagementofpainfulcalcanealspurwithplantarfasciitis
AT kubaptaszkowski randomisedcontrolledclinicalstudyexaminingtheeffectofhighintensitylasertherapyhiltonthemanagementofpainfulcalcanealspurwithplantarfasciitis
AT robertdymarek randomisedcontrolledclinicalstudyexaminingtheeffectofhighintensitylasertherapyhiltonthemanagementofpainfulcalcanealspurwithplantarfasciitis
AT jakubtaradaj randomisedcontrolledclinicalstudyexaminingtheeffectofhighintensitylasertherapyhiltonthemanagementofpainfulcalcanealspurwithplantarfasciitis
_version_ 1718432096824852480