Effect of Graston Technique on Planter Thickness in Patients With Planter Fasciitis

Not Applicable

Not yet recruiting

• Conditions: Plantar Fascitis
• Interventions: Other: Garston technique; Other: exercise program

• Registration Number: NCT06248853
• Lead Sponsor: Cairo University

Brief Summary

this study will be conducted to investigate the effect of Graston Technique on Planter Thickness in Patients With Planter Fasciitis

Detailed Description

Plantar fasciitis (PF), generally a self-limiting condition, is identified as one of the most common causes of heel pain in adults. It affects both sedentary and athletic populations .

It may be considered that PF emerges due to excessive and prolonged standing or running, which causes an acute inflammation or micro-tears, and degenerative changes plantar fascia. The persistence of these risk factors inhibits the regular repair process thus collagen degeneration occurs, causing the structural changes of the plantar fascia. Numerous interventions have been described for treatment of PF, which include: Stretching calf or plantar region which is performed with the patient stands with staggered legs facing toward a wall, with both hands stretched out .The Graston technique can break up scar tissue and restore soft tissue. The Graston technique is a type of manual therapy in which patented stainless-steel instruments are used to restore soft tissue motion by breaking up scar tissue. fifty patients with planter fasciitis will be assigned randomly to two equal groups; first one will receive graston technique in addition to exercise program, the second one will receive exercise program only for six weeks

Study Timeline

• Status Verified: 2024-01
• Study First Submitted: 2024-01-31
• Study First Submitted QC: 2024-01-31
• Last Update Submitted: 2024-01-31
• Study First Posted: 2024-02-08
• Last Update Posted: 2024-02-08
• Study Start: 2024-02-10
• Primary Completion: 2024-04-30
• Study Completion: 2024-04-30

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 50

Inclusion Criteria

• patients that Clinically diagnosed cases of plantar fasciitis not less than 6 weeks.
• patients willing to precipitate in the study and take treatment for 6 successive weeks.
• Heel pain felt maximally over the plantar aspect of heel
• Pain in the heel on the first step in the morning
• No history of rest pain in the heel

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Exclusion Criteria

• Subjects with clinical disorders where therapeutic ultrasound is contraindicated such as infective conditions of foot, tumor, calcaneal fracture, metal implant around ankle.
• Subjects with a clinical disorder where myofascial release is contraindicated as dermatitis.
• Subjects with impaired circulation to lower extremities
• Subjects with referred pain due to sciatica and other neurological disorders.
• Arthritis
• Corticosteroids injection in heel preceding 3 months

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Garston technique	exercise program	the patients will receive graston technique with exercise program three times aweek for six weeks
Garston technique	Garston technique	the patients will receive graston technique with exercise program three times aweek for six weeks
exercise program	exercise program	the patients will receive an exercise program three times a week for six weeks

Primary Outcome Measures

Name	Time	Method
plantar thickness	up to six weeks	Ultrasonography will be used to measure planter thickness

Secondary Outcome Measures

Name	Time	Method
pain pressure threshold	up to six weeks	The pressure algometer device will be used to measure pain pressure threshold
pain intensity	up to six weeks	Visual Analogue Scale (VAS) will be used to assess pain intensity: The VAS is a 100-mm horizontal line that may be used to quantify symptoms in a continuous fashion. Patients will instructed to indicate the intensity of their pain by marking on a line anchored by "no pain" on the left and "worst imaginable pain" on the right .
pain intensity at the first step	up to six weeks	numerical pain rating scale (NPRS) will be used to measure pain intensity at the first step. NPRS is a 10cm horizontal line t. Patients will instructed to indicate the intensity of their pain by marking on a line anchored by "no pain" on the left and "worst imaginable pain" on the right side.
functional levels of foot	up to six weeks	The Foot and Ankle Ability Measure (FAAM) questionnaire will be used to assess foot function. The FAAM is a self-reported questionnaire that comprehensively assesses the physical function of those with musculoskeletal conditions of the leg, foot, and ankle. It has a 21-item subscale for measuring the function of the individual with his or her activities of daily living (ADLs) and a ten-item subscale for measuring function with sports. The ADL subscale will be used for this study. The instrument is scored on a Likert scale from 4 to 0, with 4 representing ''no difficulty'' as going up stairs and 0 representing ''unable to do.'' The answers are then converted to a scale from 0 to 100, with a higher score representing a higher functional level.