Evidence map›Paper›PMID 31883516›Full record

Trial reportBMC musculoskeletal disorders2019

Effectiveness of physical therapy treatment in addition to usual podiatry management of plantar heel pain: a randomized clinical trial.

Shane M McClinton, Bryan C Heiderscheit, Thomas G McPoil, Timothy W Flynn

Registry-linked trialOpen access · goldAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC musculoskeletal disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01865734 (Comparison of Usual Podiatric Care and Early Physical Therapy for Plantar Heel Pain), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.0field-weighted citation impact, top 26% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01865734 nacompletednot on this map

Comparison of Usual Podiatric Care and Early Physical Therapy for Plantar Heel Pain: A Randomized Clinical Trial

TypeinterventionalSponsorDes Moines UniversityRan2013 to 2017Enrolled95ConditionsFasciitis, PlantarArmsPhysical therapy after initial podiatry visit, Usual care provided by podiatry
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 14 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 4 institutions in 1 country.

Shane M McClintonDoctor of Physical Therapy Program, Des Moines University, 3200 Grand Avenue, Des Moines, IA, USA. shane.mcclinton@dmu.edu.ORCID http://orcid.org/0000-0002-8655-2564
Bryan C HeiderscheitDepartments of Orthopedics & Rehabilitation and Biomedical Engineering, and Doctor of Physical Therapy Program, University of Wisconsin-Madison, 1636 Highland Ave, Madison, WI, USA.
Thomas G McPoilSchool of Physical Therapy, Regis University, Denver, CO, USA.
Timothy W FlynnSchool of Physical Therapy, South College, Knoxville, TN, USA.
Des Moines University · USRegis University · USSouth College · USUniversity of Wisconsin–Madison · US

Funding

Iowa Osteopathic Education Research Fund at Des Moines University 09-16-03Orthopaedic Section, American Physical Therapy Association (US) Not applicable
6 · The paper itself

Abstract

backgroundMany patients will seek care from a podiatrist for plantar heel pain (PHP), while few of these patients will also be seen by a physical therapist. Physical therapists can provide treatment that is not a part of routine podiatric care for PHP and may provide additional improvement. Therefore, the purpose of this study was to examine the effects of interdisciplinary care for PHP that incorporated physical therapy treatment after initiating podiatric treatment.

methodsEligible individuals with PHP that presented to a podiatrist were randomized to receive usual podiatric care (uPOD) or usual podiatric care plus physical therapy treatment (uPOD+PT). The primary outcome was change in foot and ankle ability measure (FAAM) at 6-months. Secondary outcomes included change in numeric pain rating scale (NPRS), patient-reported success, and 6-week and 1-year endpoints. Patient-reported success was defined as the top two global rating of change scale rankings. Primary analysis was intention-to-treat (ITT) using analysis by covariance adjusted to baseline scores, and a secondary per-protocol (PP) analysis was performed analyzing only those who completed treatment.

resultsNinety-five individuals participated and were included in the ITT analysis, and 79 were included in the PP analysis. For the primary outcome of FAAM change from baseline to 6-months, both groups improved significantly (uPOD+PT: 26.8 [95% CI 21.6, 31.9]; uPOD: (20 [15.6, 24.4]), but there was no between-group difference (4.3 [- 1, 9.6]). For secondary outcomes, the uPOD+PT group demonstrated greater improvement in NPRS at 6 weeks (0.9 [0.3, 1.4]) and 1 year (1.5 [0.6, 2.5]) in the ITT analysis. In the PP analysis, the uPOD+PT group demonstrated greater improvement in FAAM at 6 months (7.7 [2.1, 13.3]) and 1 year (5.5 [0.1, 10.8]), NPRS at 6 weeks (0.9 [0.2, 1.6]), 6 months (1.3 [0.6, 2.1]) and 1 year (1.3 [0.6, 2.1]), and in patient-reported success (relative risk [95% CI]) at 6 weeks (2.8 [1.1, 7.1]), 6 months (1.5 [1.1, 2.1]), and 1 year (1.5 [1.1, 1.9]).

conclusionsThere was no significant benefit of uPOD+PT in the primary outcome of FAAM change at 6 months. Secondary outcomes and PP analysis indicated additional benefit of uPOD+PT, mostly observed in individuals who completed treatment.

trial registrationProspectively registered May 24, 2013 at www.clinicaltrials.gov (NCT01865734).

Indexed as

Physical Therapy ModalitiesAdolescentAdultAgedCombined Modality TherapyFasciitis, PlantarFemaleHumansMaleMiddle AgedMusculoskeletal PainPain MeasurementPatient Care TeamPodiatryTime FactorsTreatment OutcomeExerciseManual therapyPhysiotherapyPlantar fasciitisPodiatrist

Identifiers

PMID31883516
PMCPMC6935140
OpenAlexW2996971575

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.