Association Between Plantar Fasciitis and Isolated Gastrocnemius Tightness.
Ngenomeulu T Nakale, Andrew Strydom, Nick P Saragas...
https://pubmed.ncbi.nlm.nih.gov/29198141/Actively Recruiting
Led by Istituto Ortopedico Rizzoli · Updated on 2026-05-05
45
Participants Needed
1
Research Sites
4 weeks
Total Duration
Researchers are studying plantar fasciopathy PF, a common cause of foot pain characterized by pain and structural changes at the plantar fascias attachment to the heel bone. This condition involves degenerative tissue changes rather than inflammation and may be linked to tightness in the calf muscles. The study aims to evaluate new clinical tests that could improve diagnosis, including a modified version of the Royal London Hospital Test and localized tenderness assessment, as well as to explore the role of gastrocnemius muscle tightness using the Silfverskif6ld test. The study involves two groups patients with persistent PF scheduled for surgery and control participants without recent foot pain. Participants will undergo diagnostic tests including the modified Royal London Hospital Test, palpation for tenderness at the heel, and the Silfverskif6ld test for muscle tightness. These assessments will be performed by multiple examiners to measure sensitivity, specificity, reproducibility, and predictive value of the tests. The study uses a controlled design with blinded assessments conducted on the same day to ensure reliable results. Participants will be evaluated through physical examinations including palpation and movement tests to assess pain and muscle tightness. The study will measure how accurate and consistent these diagnostic tests are by comparing results from morning and afternoon sessions. The research will also track how common and reproducible the Silfverskif6ld test is in this population. Overall, the study aims to develop simple and reliable bedside tests to improve early diagnosis and management of plantar fasciopathy.
CONDITIONS
Sensitivity and Tests for Evaluation of Plantar Fasciopathy
S
Simone Ottavio Zielli, MD
A
Antonio Mazzotti, MD, PhD
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Istituto Ortopedico Rizzoli
Lead Sponsor
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Duration - 1 day
Participants undergo diagnostic tests including the Gastroc Sign, tenderness assessment at the medial calcaneal tuberosity, and the Silfverskiöld test to evaluate plantar fasciopathy.
1 day with repeated evaluations from morning to afternoon
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
NON_RANDOMIZED
Model
PARALLEL
Primary Purpose
DIAGNOSTIC
Number of Arms
2
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Ngenomeulu T Nakale, Andrew Strydom, Nick P Saragas...
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https://pubmed.ncbi.nlm.nih.gov/23386760/Istituto Ortopedico Rizzoli
Lead Sponsor