Dry needling in patients with chronic heel pain due to plantar fasciitis: A single-blinded randomized clinical trial

Authors

  • Arash Babaei-Ghazani Neuromusculoskeletal Research Center, Physical Medicine and Rehabilitation Department, Firozgar hospital, Valiasr Square, Tehran, Iran.
  • Bina Eftekharsadat Physical Medicine and Rehabilitation Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Abstract:

Background: This study examined the effects of dry needling on chronic heel pain due to plantar fasciitis. &nbsp; Methods: During this single-blinded clinical trial, 20 eligible patients were randomized into two groups: A case group treated with dry needling and a control group. Patients&rsquo; plantar pain severity, (using modified visual analog scale [VAS] scoring system), range of motion of ankle joint in dorsiflexion [ROMDF] and plantar extension [ROMPE] and foot function index (using standard questionnaires of SEM5 and MDC7) were assessed at baseline, four weeks after intervention and four weeks after withdrawing treatment. Independent sample t-test, Mann-Whitney U test, paired t-test, Wilcoxon signed rank tests, and chi square test were used for data analysis. &nbsp; Results: The mean VAS scores in the case group was significantly lower than the control group after four weeks of intervention (p<0.001). Comparison of the ROMDF and ROMPE did not reveal any significant changes after four weeks of intervention in the case and control groups (p=0.7 and p=0.65, respectively). The mean of MDC7 and SEM5 scores in the case group were significantly lower than the control group following four weeks of intervention (p<0.001). &nbsp; Conclusion: Despite the insignificant effect on ROMDF and ROMPE, trigger point dry needling, by improving the severity of heel pain, can be used as a good alternative option before proceeding to more invasive therapies of plantar fasciitis.

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Journal title

volume 30  issue 1

pages  724- 732

publication date 2016-01

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