Evidence map›Paper›PMID 42891962›Full record

Trial reportJournal of foot and ankle research2026

Loop Taping for Heel Fat Pad Syndrome: A Crossover Pilot Randomized Controlled Trial.

Alison H Chang, Katrine Bruun Skov, Thomas Sørensen, Michael Skovdal Rathleff, Henrik Riel, Kristian Damgaard Lyng, Jens Lykkegaard Olesen, Marianne Christensen

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of foot and ankle research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05385796 (Study of Taping for Heel Fat Pad Syndrome), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

NCT05385796 nacompletednot on this map

Study of Taping for Heel Fat Pad Syndrome (STEP): A Randomized Controlled Crossover Single-blind Clinical Trial

TypeinterventionalSponsorNorthwestern UniversityRan2022 to 2023Enrolled16ConditionsHeel Fat Pad SyndromeArmsLoop taping, Control taping
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Alison H ChangDepartment of Physical Therapy and Human Movement Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.ORCID https://orcid.org/0000-0001-7309-9687
Katrine Bruun SkovDepartment of Physiotherapy and Occupational Therapy, Aalborg University Hospital, Aalborg, Denmark.
Thomas SørensenDepartment of Physio- and Occupational Therapy, Lillebaelt Hospital-University Hospital of Southern Denmark, Vejle, Denmark.ORCID https://orcid.org/0009-0009-5891-1257
Michael Skovdal RathleffDepartment of Physiotherapy and Occupational Therapy, Aalborg University Hospital, Aalborg, Denmark.
Henrik RielDepartment of Health Science and Technology, Faculty of Medicine, Aalborg University, Aalborg, Denmark.ORCID https://orcid.org/0000-0003-4575-6293
Kristian Damgaard LyngDepartment of Health Science and Technology, Faculty of Medicine, Aalborg University, Aalborg, Denmark.ORCID https://orcid.org/0000-0001-8668-691X
Jens Lykkegaard OlesenCenter for General Practice at Aalborg University, Aalborg, Denmark.
Marianne ChristensenDepartment of Physiotherapy and Occupational Therapy, Aalborg University Hospital, Aalborg, Denmark.ORCID https://orcid.org/0000-0003-3517-8151

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesHeel fat pad syndrome (HFPS) is a common but under-investigated cause of plantar heel pain. No randomized controlled trials (RCTs) have evaluated targeted treatments. This study evaluated the immediate and short-term effects of novel loop taping on pain, function, and fat pad thickness in adults with HFPS.

designTwo-period crossover pilot RCT.

interventionsParticipants completed two taping conditions (loop and control) in randomized order, separated by a 4-to-7-day washout, with each participant serving as their own control. OUTCOME MEASURES: The primary outcome was immediate change in heel pain during the most painful weightbearing activity [0-10 numeric pain rating scale (NPRS)]. Secondary outcomes at 3 days post-taping included changes in Foot Health Status Questionnaire (FHSQ) Pain and Function scores [0 (worst)-100 (best)] and in average 24-h heel pain (NPRS). Mechanistic outcomes included heel fat pad thickness and pressure pain threshold (PPT). Linear mixed effects models estimated between-condition differences.

resultsAmong 16 paired observations, loop taping produced a small, non-significant between-condition difference in change in immediate activity-related pain (mean difference 0.8; 95% CI: -0.1 to 1.7; p = 0.10); 63% (loop) versus 25%-31% (control) met minimal clinically important difference (MCID) thresholds. Between-condition differences favored loop taping for FHSQ Pain (20.7 points; 95% CI: 4.5 to 36.8; p = 0.02) and Function (11.3 points; 95% CI: -1.0 to 23.6; p = 0.09), exceeding MCIDs of 12.4 and 6.4 points. Fat pad thickness increased by 1.7 mm (95% CI: 1.2 to 2.3; p < 0.001) and correlated with improvement in FHSQ Pain. PPT did not differ between conditions.

conclusionsLoop taping showed favorable trends for reducing pain and improving function and significantly increased heel fat pad thickness. Although underpowered for definitive conclusions, several outcomes exceeded MCIDs. Findings support the potential of loop taping and inform primary outcome selection and design considerations for future, larger trials of this low-cost, pathomechanics-based intervention. TRAIL REGISTRATION: This RCT was registered at Clinicaltrialabas.gov (NCT05385796).

Indexed as

Adipose TissueAthletic TapeFasciitis, PlantarHeelAdultCross-Over StudiesFemaleHumansMaleMiddle AgedPain MeasurementPilot ProjectsSyndromeTreatment OutcomeWeight-Bearingconservative managementfoot painheel fat pad syndromeplantar heel painrandomized controlled trialtaping

Identifiers

PMID42891962
PMCPMC13676420

What OpenQuestion holds

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Read underepoch 390

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.