About this trial
The goal of this clinical trial is to learn if a barefoot walking programme can treat plantar fasciopathy (heel pain) in adults aged 18-70. The main questions it aims to answer are:
* Does a barefoot walking programme reduce heel pain compared to a standardised stretching and strengthening programme? * Does a barefoot walking programme improve foot function and quality of life in adults with plantar fasciopathy?
Researchers will compare a barefoot walking programme to a standardised stretching and strengthening programme to see if barefoot walking is an effective conservative management approach for plantar fasciopathy.
Participants will:
* Be randomly assigned to either a barefoot walking programme or a stretching and strengthening programme * Complete a 12-week home-based exercise programme * Complete short weekly questionnaires throughout the 12 weeks * Complete 3 follow-up surveys over 6 months after the intervention ends * Receive education on load management and plantar fasciopathy
Eligibility criteria
Qualifiers
Aged 18-70 years;
Clinical diagnosis of Plantar Fasciopahty, defined by: a) Pain localised to the medial calcaneal tubercle of sharp or stabbing quality; b) Pain worst with the first few steps in the morning or after a period of rest (first-step pain); c) Pain reproduced with palpation of the medial calcaneal tubercle OR positive Windlass Test;
Symptom duration greater than 4 weeks;
Able to walk independently without a mobility aid
Disqualifiers
Prior surgery on the affected foot
Diabetes with peripheral neuropathy or other neurological condition affecting lower limb sensation or motor control
Active inflammatory arthropathy, uncontrolled vascular disease, or inability to walk unaided
Current or recent (less than 6 months) bony stress fracture or other acute foot or ankle injury on the affected side
Trial design
Treatments tested in this trial
- Barefoot Walking Programme
- Standardised Conservative Care
Treatment groups
Sponsors and collaborators
Elisabetta Brigo
Lead sponsor
South East Technological University
Sponsor institution