Evidence map›Paper›PMID 38904119›Full record

Trial reportBritish journal of sports medicine2024

Is radial extracorporeal shock wave therapy (rESWT), sham-rESWT or a standardised exercise programme in combination with advice plus customised foot orthoses more effective than advice plus customised foot orthoses alone in the treatment of plantar fasciopathy? A double-blind, randomised, sham-controlled trial.

Marte Heide, Cecilie Røe, Marianne Mørk, Kjersti Myhre, Cathrine Brunborg, Jens Ivar Brox, Aasne Fenne Hoksrud

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in British journal of sports medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03472989 (The Effectiveness of Radial Extracorporeal Shockwave Therapy), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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.

NCT03472989 nacompletednot on this map

The Effectiveness of Radial Extracorporeal Shockwave Therapy (rESWT), Sham- rESWT, Standardised Exercise Program or Usual Care for Patients With Plantar Fasciopathy. Study Protocol for a Double-blind, Randomised Sham- Controlled Trial

TypeinterventionalSponsorOslo University HospitalRan2018 to 2023Enrolled200ConditionsPlantar FascitisArmsRadial extracorporeal shock wave, Sham-radial extracorporeal shock wave, Standardized high-load exercise program, Usual care
3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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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

7 authors.

Marte HeideInstitute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway marte.heide@medisin.uio.no.ORCID http://orcid.org/0000-0003-0135-5332
Cecilie RøeInstitute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway.
Marianne MørkInstitute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway.
Kjersti MyhreDepartment of Physical Medicine and Rehabilitation, Oslo University Hospital, Oslo, Norway.
Cathrine BrunborgOslo Centre for Biostatistics and Epidemiology, Oslo University Hospital, Oslo, Norway.
Jens Ivar BroxInstitute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway.
Aasne Fenne HoksrudNorwegian Olympic and Paralympic Committee and Confederation of Sports, Oslo, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess whether radial extracorporeal shock wave therapy (rESWT), sham-rESWT or a standardised exercise programme in combination with advice plus customised foot orthoses is more effective than advice plus customised foot orthoses alone in alleviating heel pain in patients with plantar fasciopathy.

methods200 patients with plantar fasciopathy were included in a four-arm, parallel-group, sham-controlled, observer-blinded, partly patient-blinded trial. At baseline, before randomisation, all patients received advice plus customised foot orthoses. Patients were randomised to rESWT (n=50), sham-rESWT (n=50), exercise (n=50) or advice plus customised foot orthoses alone (n=50). Patients in the rESWT and sham-rESWT groups received three treatments. The exercise programme comprised two exercises performed three times a week for 12 weeks, including eight supervised sessions with a physiotherapist. Patients allocated to advice plus customised foot orthoses did not receive additional treatment. The primary outcome was change in heel pain during activity in the previous week per Numeric Rating Scale (0-10) from baseline to 6-month follow-up. The outcome was collected at baseline, and 3, 6 and 12 months.

resultsThe primary analysis showed no statistically significant between-group differences in mean change in heel pain during activity for rESWT versus advice plus customised foot orthoses (-0.02, 95% CI -1.01 to 0.96), sham-rESWT versus advice plus customised foot orthoses (0.52, 95% CI -0.49 to 1.53) and exercise versus advice plus customised foot orthoses (-0.11, 95% CI -1.11 to 0.89) at 6 months.

conclusionIn patients with plantar fasciopathy, there was no additional benefit of rESWT, sham-rESWT or a standardised exercise programme over advice plus customised foot orthoses in alleviating heel pain. TRIAL REGISTRATION NUMBER: NCT03472989.

Indexed as

Exercise TherapyExtracorporeal Shockwave TherapyFasciitis, PlantarFoot OrthosesAdultAgedCombined Modality TherapyDouble-Blind MethodFemaleHumansMaleMiddle AgedPain MeasurementTreatment OutcomeExercise TherapyFootFoot OrthosesRandomized Controlled TrialRehabilitation

Identifiers

PMID38904119
PMCPMC11347971

What OpenQuestion holds

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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.