Combined Effect of Foam Roller and Gastrocnemius Release on Plantar Fasciitis

Not Applicable

Not yet recruiting

Brief Summary: this study will be conducted to investigate the efficacy of combining foam roller and gastrocnemius release on pain intensity level, dorsi flexion range of motion of ankle joint ,dorsi flexion range of motion of big toe and foot function in subjects with plantar fasciitis.

Detailed Description: Plantar fasciitis refers to degeneration and inflammation of the proximal plantar fascia. The condition presents with plantar medial heel pain, often exacerbated following periods of inactivity, such as upon waking in the morning.The term "plantar fasciitis" has been quoted for years, but this is a misnomer as inflammatory cells are not present in biopsies from involved fascia. Therefore, advocate the terminology "plantar fasciitis" to explain the syndrome characterized by pain along the proximal plantar fascia and its attachment in the area of the calcaneal tuberosity with function impairment, implying a more chronic degenerative process than acute heel pain.Research found that both stretching and foam rolling techniques helped reduce pain and increase the ROM. However, the effectiveness of foam rolling was superior to stretching in terms of increased pressure pain thresholds (PPTs) at gastrocnemius and soleus. there was a gap in the previous literature in combined effect of gastrocnemius release and foam roller in managing plantar fasciitis and assessing dorsi flexion range of motion of both big toe and ankle joint along with pain assessment and foot function. sixty patients with planter fascitis will be assigned randomly to two groups; first one will receive manual and foam roller release of gastrocnemius and conventional treatment and the other one will receive conventional treatment only.

Recruitment & Eligibility

Inclusion Criteria

aged between 18 years and 60 years
heel pain in the morning with first step, insidious sharp pain under the heel, tenderness on medial calcaneus and symptoms decreasing with slight activity (like walking) and worsening toward the end of the day

Exclusion Criteria

Arm && Interventions

Group	Intervention	Description
gastrocnemius release	conventional treatment	the patients will receive gastrocnemius release manually and by foam roller three times a week for four weeks plus conventional treatment
conventional treatment	conventional treatment	the patients will receive conventional treatment three times a week for four weeks
gastrocnemius release	gastrocnemius release	the patients will receive gastrocnemius release manually and by foam roller three times a week for four weeks plus conventional treatment

Primary Outcome Measures

Name	Time	Method
pain intensity level	up to four weeks	visual analogue scale will be used for assess pain intensity level. VAS was a 10-cm-long horizontal line with no pain and worst possible pain at the extremes of the line
ankle dorsiflexion	up to four weeks	Electro goniometers are electronic versions of the standard goniometers used in the clinic to measure ankle dorsiflexion ROM
foot function	up to four weeks	The foot function index (questionnaire) will be used to assess foot function. it consists of 23 self-reported items divided into 3 subcategories based on patient values: pain, disability and activity limitation. The patient has to score each question on a scale from 0 (no pain or difficulty) to 10 (worst pain imaginable or so difficult it requires help)

Secondary Outcome Measures

Name	Time	Method
big toe range of motion	up to four weeks	Electro goniometers are electronic versions of the standard goniometers used in the clinic to measure big toe range of motion

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