Additional Effects of Dry Needling With Conventional Physical Therapy Versus Conventional Physical Therapy in Plantar Fasciitis: a Randomized Control Trial
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 44
- 试验地点
- 2
- 主要终点
- Pain intensity
研究概览
简要总结
This study is a randomized controlled trial and the purpose of this study is to determine the effects of dry needling with conventional physical therapy versus conventional physical therapy on gait parameters in plantar fasciitis: a randomized control trial.
详细描述
The purpose of this study is to determine the effects of dry needling with conventional physical therapy versus conventional physical therapy on gait parameters in plantar fasciitis Outcomes variables of Pain , Ankle ROM, gait parameters and activities of daily living in adults (age : 40-60 years ) will be determined using:
- Numeric pain rating scale
- Goniometer
- 30 meter walk test
- foot and ankle ability measure FAAM Data will be before and after the intervention protocol for each participant. Data collection procedure: Participants of interest would be approached and explained about the research. Informed written consent will be taken. Pre and post intervention scores will be recorded.
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
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 35 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age 40-60 years
- •Both genders
- •Plantar heel pain for longer than 3 months
- •Pain score at least or less than 8 on the numeric pain (NPRS)
- •Clinical diagnosis of unilateral PF in accordance with the clinical practice guidelines from the Orthopaedic Section of the American Physical Therapy Association APTA:
- •Plantar medial heel pain: most noticeable with initial steps after a period of inactivity but also worse following prolonged weight bearing
- •Heel pain precipitated by a recent increase in weight bearing activity
- •Pain with palpation of the proximal insertion of the plantar fascia
- •Positive windlass test
- •Negative tarsal tunnel tests
- •Limited active and passive talocrural joint dorsiflexion range of motion
- •Abnormal foot posture index score
- •High body mass index in nonathletic individuals
排除标准
- •Positive ankle drawer tests
- •Pregnant womwn, mental illness, immune suppressed patients, thrombocytopenia, anti-coagulant therapy patients and post-mastectomy
- •Congenital abnormalities of foot
- •A history of surgery to the ankle, foot or lower leg
- •Other causes of heel pain (including tarsal tunnel syndrome, calcaneal fracture, ankle or foot instability, arthritis of the foot or ankle, rheumatoid arthritis, spondyloarthropathy, gout,peripheral neuropathy )
- •Presented with 2 or more positive neurologic signs consistent with nerve root compression
结局指标
主要结局
Pain intensity
时间窗: 3 weeks
Pain will be measured on Numerical Pain rating scale. The 11-point numeric scale ranges from '0' representing one pain extreme (e.g. "no pain") to '10' representing the other pain extreme (e.g. "pain as bad as you can imagine" or "worst pain imaginable").
The Foot and Ankle Ability Measure (FAAM)
时间窗: 3 weeks
It is a self-report outcome instrument developed to assess physical function for individuals with foot and ankle related impairments .The response to each item on the ADL subscale is scored from 4 to 0, with 4 being 'no difficulty' and 0 being 'unable to do'
Gait speed:
时间窗: 3 weeks
Gait speed = Distance (m) / time (s)
Cadence
时间窗: 3 weeks
Cadence (steps/min) = steps counted x 60 / time (s)
Cycle length
时间窗: 3 weeks
Cycle time (s) = time (s) x 2/steps counted
Stride length
时间窗: 3 weeks
SL (m) = speed (m/s) x cycle time (s)
Range of motion
时间窗: 3 weeks
Ankle range will be measured with goniometer
次要结局
未报告次要终点