![]() ![]() The trial was registered with the Australian Clinical Trials Registry (ACTRN012605000046606) which meets the requirements of the International Committee of Medical Journal Editors (ICMJE) for trial registration. Ethical approval for the trial was gained from the University of Western Sydney Human Research Ethics Committee. Participants were informed prior to entering the study that a sham intervention was being administered in the trial and were blinded as to whether they were receiving active treatment or not. Participants with a clinical diagnosis of plantar heel pain and who provided informed consent were randomly allocated to one of two groups: (i) low-Dye taping with sham ultrasound, or (ii) sham ultrasound only. We therefore conducted a participant-blinded randomised trial to determine whether low-Dye taping is an effective short-term treatment for plantar heel pain.Ī randomised, participant-blinded trial was conducted between February and June 2005. To this date, the effect of low-Dye taping on patient outcomes has only been assessed in non-randomised trials with beneficial results reported. However, it is unknown if a change in a surrogate outcome measure such as navicular drop actually correlates to an improvement for the patient. A reduction in strain is achieved by reducing navicular drop upon weightbearing (i.e. Like foot orthoses, it is thought that supportive tape reduces the symptoms of plantar heel pain by reducing strain in the plantar fascia during standing and ambulation. A systematic review of randomised crossover trials examined the effect of low-Dye taping on biomechanical variables. As such, short-term treatments such as supportive taping are used to alleviate symptoms during this interim period – the low-Dye taping technique being one of the most frequently used. Only heel pads, orthoses, steroid injections, night splints and extracorporeal shock wave therapy have been evaluated in randomised trials.įoot orthoses are a common treatment for plantar heel pain, however due to the manufacturing process, they often require a period of a few weeks between the initial consultation and issuing the devices. A systematic review identified 26 different conservative treatments that have been recommended for the treatment of plantar heel pain. Ī wide variety of management strategies have been developed to treat the disorder. The disorder is thought to be multifactorial in origin with factors such as obesity, excessive periods of weightbearing activity and decreased ankle range of motion commonly suggested to be involved. Seven percent of adults aged 65 years or older have been found to have plantar heel pain. A recent United States study estimated that each year one million patient visits at office-based physicians and hospital outpatient departments are for the diagnosis and treatment of heel pain. It is a common disorder in both athletic and sedentary populations. Plantar heel pain (plantar fasciitis) can be a painful and debilitating condition. When used for the short-term treatment of plantar heel pain, low-Dye taping provides a small improvement in 'first-step' pain compared with a sham intervention after a one-week period. Thirteen participants in the taping group experienced an adverse event however most were mild to moderate and short-lived. There were no other statistically significant differences between groups. The estimate of effect on 'first-step' pain favoured the low-Dye tape (ANCOVA adjusted mean difference -12.3 mm 95% CI -22.4 to -2.2 P = 0.017). Participants treated with low-Dye taping reported a small improvement in 'first-step' pain after one week of treatment compared to those who did not receive taping. Outcome measures included 'first-step' pain (measured on a 100 mm Visual Analogue Scale) and the Foot Health Status Questionnaire domains of foot pain, foot function and general foot health. The duration of follow-up for each participant was one week. Participants were randomly allocated to (i) low-Dye taping and sham ultrasound or (ii) sham ultrasound alone. ![]() Ninety-two participants with plantar heel pain (mean age 50 ± 14 years mean body mass index 30 ± 6 and median self-reported duration of symptoms 10 months, range of 2 to 240 months) were recruited from the general public between February and June 2005. We performed a participant-blinded randomised trial to assess the effectiveness of low-Dye taping, a commonly used short-term treatment for plantar heel pain. ![]() Treatment of the condition is usually conservative, however the effectiveness of many treatments frequently used in clinical practice, including supportive taping of the foot, has not been established. Plantar heel pain is one of the most common musculoskeletal disorders of the foot and ankle. ![]()
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