Correlation Between Gastrocnemius Tightness and Heel Pain Severity in Plantar Fasciitis.
Christopher J Pearce, Dexter Seow, Bernard P Lau
https://pubmed.ncbi.nlm.nih.gov/32924578Actively Recruiting
Phase Not Applicable
Age: 20Years - 90Years
All Genders
ID06308380
Effectiveness of Rehabilitation Protocol in Patients With Shortened Posterior Leg Muscles, Whether or Not Combined With Ultrasound-Guided Surgery
Led by Fundación Universidad Católica de Valencia San Vicente Mártir · Updated on 2025-05-11
40
Participants Needed
3
Research Sites
49 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
This research aims to develop and evaluate a specialized rehabilitation exercise program for adults with foot problems and tight calf muscles. It compares patients who choose minimally invasive ultrasound-guided surgery combined with rehabilitation to those who follow the rehabilitation program alone. The study focuses on differences in recovery of ankle movement and the return to sports and daily activities. Participants will be divided into two groups: one group will undergo a 12-week rehabilitation exercise program three times a week, while the other group will have minimally invasive gastrocnemius muscle surgery followed by a more intensive rehabilitation regimen three times daily for four weeks. Both groups receive the same rehabilitation protocol, with the surgical group starting exercises after surgery. Throughout the study, participants will have assessments before treatment, at two months, and six months to measure ankle movement, foot posture, pressure on the foot, pain, and function. Researchers will use gait analysis and baropodometric exams to evaluate progress. The study will compare outcomes between groups to understand the added impact of surgery combined with rehabilitation. The total study duration includes initial assessments and follow-ups over six months.
CONDITIONS
Brief Title
Effectiveness of Rehabilitation Protocol in Patients With Shortened Posterior Leg Muscles
Who Can Participate
Age: 20Years - 90Years
All Genders
Eligibility Criteria
You may qualify if you...
- Patients with shortened posterior musculature
- Chronic ankle pain
- Limitations in activities of daily living
- Atypical gait
- Clubfoot
You will not qualify if you...
- Previous lower limb surgeries
- Neuropathic pain
- Bony cap equinus
- Analgesic physiotherapy
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
1
2
3
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Surgery and Immediate Post-operative Care
Duration - Up to 4 weeks
Participants in the surgery group undergo minimally invasive ultrasound-guided gastrocnemius recession surgery to relieve calf muscle tightness.
1 surgery visit and daily rehabilitation exercises for 4 weeks
Treatment
Duration - 12 weeks
Participants undergo a specialized rehabilitation protocol focused on improving ankle dorsiflexion and calf muscle length.
3 rehabilitation sessions per week for the rehabilitation-only group; 3 rehabilitation sessions per day for 4 weeks post-surgery group
Follow-up
Duration - Up to 6 months
Participants are evaluated for ankle dorsiflexion range of motion, foot posture, pain, function, and gait at multiple timepoints after treatment.
Visits at pre-surgery (baseline), 2 months, and 6 months
Trial Site Locations
Total: 3 locations
1
Podologia Avançada
Granollers, Barcelona, Spain, 08401
Actively Recruiting
2
Clinica Mayral foot center
Barcelona, Barcelon, Spain, 08029
Actively Recruiting
3
Clinicas UCV
Valencia, València, Spain, 46001
Actively Recruiting
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Research Team
C
Cristina Razzano
M
Maria del Mar Aranda, Dra.
How is the study designed?
Study Type
INTERVENTIONAL
Masking
DOUBLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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Published Research Related To This Trial
Association Between Plantar Fasciitis and Isolated Gastrocnemius Tightness.
Ngenomeulu T Nakale, Andrew Strydom, Nick P Saragas...
https://pubmed.ncbi.nlm.nih.gov/29198141Chronic effect of different types of stretching on ankle dorsiflexion range of motion: Systematic review and meta-analysis.
Diulian Muniz Medeiros, Tamara Fenner Martini
https://pubmed.ncbi.nlm.nih.gov/29223884A mechanical equinometer to measure the range of motion of the ankle joint: interobserver and intraobserver reliability.
Dominik C Meyer, Clement M L Werner, Tobias Wyss...
https://pubmed.ncbi.nlm.nih.gov/16539903Clinical diagnosis of gastrocnemius tightness.
Pierre Barouk, Louis Samuel Barouk
https://pubmed.ncbi.nlm.nih.gov/25456715Ultrasound-guided gastrocnemius recession: a new ultra-minimally invasive surgical technique.
Manuel Villanueva, Álvaro Iborra, Guillermo Rodríguez...
https://pubmed.ncbi.nlm.nih.gov/27716217Anatomical basis of a safe mini-invasive technique for lengthening of the anterior gastrocnemius aponeurosis.
Simone Moroni, Alejandro Fernández-Gibello, Gabriel Camunas Nieves...
https://pubmed.ncbi.nlm.nih.gov/32705404Localization of Muscle Edema and Changes on Muscle Contractility After Dry Needling of Latent Trigger Points in the Gastrocnemius Muscle.
Luis Baraja-Vegas, Saúl Martín-Rodríguez, Francisco Piqueras-Sanchiz...
https://pubmed.ncbi.nlm.nih.gov/30715456A Predictive Model for Gastrocnemius Tightness in Forefoot Pain and Intractable Plantar Keratosis of the Second Rocker.
Mar Torres Cobacho, Jorge M Barcia, Valentín Freijó-Gutiérrez...
https://pubmed.ncbi.nlm.nih.gov/34144595The efficacy of loading programmes for improving patient-reported outcomes in chronic midportion Achilles tendinopathy: A systematic review.
John Head, Adrian Mallows, James Debenham...
https://pubmed.ncbi.nlm.nih.gov/31763774