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A randomized control study of comparison of standard care versus ultrasonography guided single dose of methylprednisoloneacetate injection for planar fasciopathy
Dev K, Meena AS, Meena M, Joshi M
European Journal of Molecular and Clinical Medicine 2022;9(3):1344-1354
clinical trial
4/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVES: Plantar fasciitis is a painful condition but can be self-limiting condition. Among the different treatment which exit, physiotherapy and corticosteroid injection are effective and popular. In this study, the author evaluated the efficacy of standard care versus ultrasonography guided single dose of methylprednisolone acetate injection for planar fasciopathy. DESIGN: This randomized clinical trial conducted in Physical Medicine and Rehabilitation department of S M S medical college. METHOD: Patients were allocated to standard care physiotherapy group (n = 35) and ultrasonography guided steroid injection group (n = 35) equally. Pain and functional ability on a visual analog scale (VAS), plantar fascia thickness and Foot Ankle Disability Index (FADI) were evaluated at baseline and at 6 weeks after treatment. RESULTS: The mean age was not different between both groups (40.60 +/- 10.64 years versus 41.43 +/- 9.66 years, p = 0.734). There was a reduction in VAS from baseline to weeks 6 (after treatment) (65.315 +/- 7.182 versus 32.57 +/- 4.235, respectively) (p < 0.001). PF thickness at 6 weeks significantly reduced to 3.895 +/- 0.18 compared to baseline (p < 0.001). FADI had a considerable improved at week 6 (76.675 +/- 2.131) compared to baseline (62.915 +/- 1.823) (p < 0.001). CONCLUSION: Both interventions caused improvement in pain and functional ability 2 months after treatment. Although inter difference were not significant.

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