Comparing Instrument Assisted Soft Tissue Mobilization With Positional Release Technique for Plantar Fasciitis Pain and Range of Motion
Trial Snapshot
- Phase
- Not Applicable
- Status
- Enrolling By Invitation
- Sponsor
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- Pain intensity level assessed by Numeric Pain Rating Scale (NPRS)
Study Overview
Brief Summary
Chronic plantar fasciitis (CPF) is the most common cause of chronic heel pain in adults, affecting both young active patients and older, more sedentary individuals. It results from chronic overload of the plantar fascia. This overload may be due to overuse, as seen in runners and military personnel, or due to excessive loading in individuals with obesity (body mass index >30), sedentary lifestyles, or occupations that require prolonged standing.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Participant)
Eligibility Criteria
- Ages
- 30 Years to 50 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Clinically diagnosed cases of plantar fasciitis not less than 3 months.
- •Heel pain felt maximally over plantar aspect of heel.
- •Pain in the heel on the first step in the morning.
- •Their age ranging from 30 to 50 years
Exclusion Criteria
- •Subjects can't tolerate close physical contact (Kotwalkar et al., 2019).
- •Subjects with skin infections (Kotwalkar et al., 2019).
- •Subjects with recent fracture with incomplete bony union (Rowlett et al., 2018).
- •Subjects with acute inflammatory or infectious process (Rowlett et al., 2018).
- •Subjects with hematoma (Rowlett et al., 2018).
- •Subjects with osteoporosis (Looney et al., 2011).
- •Subjects with foot deformity (Kotwalkar et al., 2019).
- •Subjects that take medications that may increase blood clotting (Kotwalkar et al., 2019).
- •Surgery to the ankle or foot (Looney et al., 2011).
Arms & Interventions
Positional release technique
Positional release technique in addition to exercises in form of stretching exercises for plantar fascia, gastrocnemius, soleus muscles, and short foot exercise (study group) The treatment protocol will be two sessions. given per week for 4 weeks.
Intervention: Positional release (Procedure)
Traditional exercises (control group)
Traditional exercises (control group), traditional exercises in form of stretching exercises for plantar fascia, gastrocnemius, soleus muscles, and short foot exercise The treatment protocol will be two sessions.
given per week for 4 weeks.
Intervention: Exercises (Procedure)
Instrument assisted soft tissue mobilization
Instrument-assisted soft tissue mobilization in addition to exercises (study group) in form of stretching exercises for plantar fascia, gastrocnemius, soleus muscles, and short foot exercise
Intervention: Instrument assisted soft tissue mobilization (Procedure)
Outcomes
Primary Outcomes
Pain intensity level assessed by Numeric Pain Rating Scale (NPRS)
Time Frame: Baseline and after 8 sessions (approximately 4 weeks)
Pain intensity level assessed by Numeric Pain Rating Scale. A scale ranging from 0 (no pain) to 10 (worst imaginable pain). Higher scores indicate greater pain intensity.
Range of motion
Time Frame: Baseline and after 8 sessions (approximately 4 weeks)
A digital goniometer is used for the assessment of ankle dorsiflexion, plantar flexion range of motion, and knee flexion range of motion.
Secondary Outcomes
No secondary outcomes reported
Investigators
Doaa Said Mohamed Ibrahim
Lecturer
Cairo University