Effects of Active and PRT on Pain, Function and Temporospatial Gait Parameters in Runners With Plantar Fascitis

Not Applicable

Recruiting

• Conditions: Pain; Plantar Fascitis; Gait
• Interventions: Other: Active release technique; Other: Positional release technique

• Registration Number: NCT06131762
• Lead Sponsor: Riphah International University

Brief Summary

The study is randomized and single -blinded. Ethical approval is taken from ethical committee of Riphah International university Lahore.Participants who will meet criteria will be requested to give verbal consent and to sign written consent form. After signing consent form participants will be allocated to the group A and Group B by using computerized generated randomization. Group A will receive ultrasound then Active release technique while group B will receive ultrasound and Positional release technique for 4 weeks. Treatment sessions will be 12 sessions, 3 sessions per week on alternative days for 4 weeks

Detailed Description

A single blinded randomized clinical trial will be conducted on 26 subjects diagnosed for planter fasciitis from Jawad Club Faisalabad and Alfatah Sports Club, Faisalabad by looking for symptoms and tenderness at heel as mentioned in inclusion criteria and will confirmed by windlass test. Participants who will meet criteria will be requested to give verbal consent and to sign written consent form. After signing consent form participants will be allocated to the group A and Group B by using computerized generated randomization. Group A will receive ultrasound then Active release technique while group B will receive ultrasound and Positional release technique for 4 weeks. Treatment sessions will be 12 sessions, 3 sessions per week on alternative days for 4 weeks. Pain will be measured by Numerical Pain Rating Scale (NPRS), Foot and ankle disability will be assessed by Foot Function Index (FFI), while gait parameters i.e. walking speed will be measured by 4-meter walking test, and step and stride length will be evaluated by measuring tape by taking foot prints before and after the 4 weeks of treatment period. Data will be analyzed through statistical package for the social sciences (SPSS) version 22.

Study Timeline

• Study Start: 2023-02-20
• Study First Submitted: 2023-11-09
• Study First Submitted QC: 2023-11-09
• Study First Posted: 2023-11-14
• Status Verified: 2023-12
• Last Update Submitted: 2023-12-26
• Last Update Posted: 2023-12-29
• Primary Completion: 2024-02-20
• Study Completion: 2024-02-20

Recruitment & Eligibility

• Status: RECRUITING
• Sex: Male
• Target Recruitment: 26

Inclusion Criteria

• Male runners age between 18-30 years
• Duration of running at least 6 months
• Positive windlass test
• Patients with unilateral or bilateral plantar fasciitis

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Exclusion Criteria

• Recent accidental foot or ankle injury
• Previous lower-body surgical intervention within 6 months
• Recent fractures in the lower limb (femur, tibia, fibula or foot bones) within 6 months
• Diagnosed musculoskeletal disorders (rheumatoid arthritis, calcaneal spurs)
• Diagnosed neuropathy, local and systemic neurologic disorders (including sciatica, tarsal tunnel syndrome, nerve entrapment of abductor digiti minimi and posterior tibial

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Active release technique	Active release technique	ART performed from long sitting position, the therapist started by shortening the muscle or fascia of affected limb then apply very specific pressure with hand as we stretch tissue is lengthened. Active movement is done whenever possible according to the instructions given by therapist. ART for 8-10 minutes will be given.
Positional release technique	Positional release technique	Positional release technique where participant lie supine with the affected limb out of the plinth and then by application of brief mechanical pressure on tender point with one fingertip in order to determine tenderness. The foot should then be positioned, most probably into pure plantarflexion and gentle fine-tuned by rotation, until the score in the tender point has reduce by at least 70%. This position is held for 90 seconds with 3 repetitions i.e. total of 270 seconds was given.

Primary Outcome Measures

Name	Time	Method
Gait parameters	pre and 4 weeks post intervention	gait parameters will be measured by 4-meter walking test
Foot Function	pre and 4 weeks post intervention	Foot function will be assessed by Foot Function Index (FFI),

Trial Locations

Locations (1)

Jawad club, Alfatah sports complex; 🇵🇰 Faisalābad, Punjab, Pakistan