Effects of Hamstring Stretching With Conventional Physical Therapy in Plantar Fasciitis
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 64
- 试验地点
- 1
- 主要终点
- Visual Analogue Scale (VAS)
研究概览
简要总结
The purpose of the study is to compare the effects of Hamstring stretching versus conventional treatment for plantar fasciitis. A randomized control trial was conducted at Cena Medical Center Rawalpindi and Midland Doctors Institute Muzaffarabaad. The sample size was 64 calculated through open-epi tool. The participants were divided into two groups, interventional and control group each having 32 participants. The study duration was 1 year. Sampling technique applied was Purposive sampling for recruitment and group randomization using flip coin method. Only 25to 45 years participants with plantar fasciitis along with hamstring tightness were included in the study. Tools used in this study are Goniometer, Visual Analogue Scale(VAS) for pain, and Functional Foot Index (FFI) for pain and disability. Data was collected before treatment at baseline and after 1st and 2nd week of the application of interventions. Data analyzed through SPSS version 25.
详细描述
Plantar fasciitis is one of the main causes of heel pain. it is caused by the micro trauma to the site of attachment of plantar fascia at its origin on the medial tubercle of calcaneus resulting in inflammation. Plantar fascia is a fibrous band present at the bottom of foot which attaches heel to each of the toes.plantar fascia has a windlass mechanism which continuously stretches and shortens facilitating foot movements during walk.
During the standing phase all the tension forces are gathered at calcaneal tuberosity, which is a site of attachment for plantar fascia on heel. Pain is generally present at the medial side of heel to the medial arch of the foot.
Plantar fasciitis is often caused in people who have long periods of standing, involved in activities like running, jumping or other repeated activities. After knowing the exact mechanism it is suggested that it should be termed as planter fasciosis.Plantar fasciitis accounts for almost 80% of the total heel pain experienced by the people.
Planter fasciitis is treated with various treatment options. Initially it is treated by conservative treatments such as, rest, ice massage, foot ware modification, oral analgesics, stretching techniques, physical therapy modalities, and night splinting. If pain do not resolve with conservative treatment then further treatment options will be extracorporeal shock wave therapy, cortisone injections and surgery.
Diana et al concluded that addition of manual techniques for trigger point release along with stretching of plantar fascia is more effective than stretching alone. In a randomized control trial with a follow up of 12 months high load strength training was found to be quicker and more efficient treatment for plantar fasciitis. another RCT conducted in 2017 reported that stretching of Achilles tendon along with plantar fascia is twice effective than only plantar fascia stretching.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 25 Years 至 45 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Both Genders
- •25 to 45 years of age
- •Participants having heel pain for more than one month.
- •Participants having Windlass positive test.
- •Participants having hamstring tightness.
- •sit and reach test positive.
- •Bilateral plantar fasciitis.
排除标准
- •Patients with corticosteroid injection
- •Fracture around ankle and Calcaneal
- •Any soft tissue injuries around ankle.
- •Other Neurological/ Musculoskeletal disorder
- •Congenital foot anomalies
- •Systemic medical illness
研究组 & 干预措施
Experimental Group
hamstring stretching, cold pack, stretching, strengthening of plantar fascia and calf muscles.
. Hamstring stretching will be used as an intervention protocol along with conventional physical therapy. Treatment protocol will be followed for thrice a week for 2 weeks. The session will be of approximately 20 minutes. Patient will be in supine lying, passively increase hip flexion while keeping the back straight, and the knee in the extended position from the start to the end of the stretching while the ankle will be in a neutral position
a 30-second rest period will be recommended between stretching repetitions. For each stretching repetition, the individual had to achieve a position of mild discomfort (not pain) which will sustain for 30 seconds.
干预措施: Experimental Group (Other)
Control Group
Cold pack, stretching, strengthening of plantar fascia and calf muscles
Control group included Cold pack for 7 to 10 mins. Followed by stretching of plantar fascia through:
- toe stretches to stretch the plantar fascia.
- towel to stretch the bottom of foot (towel scrunches)
- calf muscles stretching
After stretching exercises strengthening is performed by the following:
- towel curls
- heel raise Patients performed 2 sets, each repetition lasting 30 seconds, 2 times a day for each exercise.
干预措施: Control Group (Other)
结局指标
主要结局
Visual Analogue Scale (VAS)
时间窗: upto 2 weeks
The visual analogue scale (VAS) is a scale that is used as a questionnaire. It is a measurement instrument for subjective characteristics or attitudes that cannot be directly measured. When responding to a VAS item, respondents specify their level of agreement to a statement by indicating a position along a continuous line between two end points.patient rates its pain between 0 to 10. VAS Visual Analogue Scale changes measured at baseline after 1 week and sfter 2nd week.
次要结局
- Goniometery for ROM(Range of Motion)(upto 2 weeks)
- Functional Foot Index (FFI-R)(upto 2 weeks)