Comparison of Structural Diagnosis and Management Approach and Myofascial Release for Plantar Heel Pain in Diabetic Patients.
Trial Snapshot
- Phase
- Not Applicable
- Status
- Not Applicable
- Sponsor
- Enrollment
- 70
- Locations
- 1
- Primary Endpoint
- As primary outcome, Pain, Disability, Activity limitation.
Study Overview
Brief Summary
Planter heel pain is the most common musculoskeletal condition of the lower extremities characterized by plantar fascia pain, perfascial structure pain, in the morning placing the first step on the floor then feel pain most in the foot, during prolonged time standing or walking feel pain, it can be caused for associated risk factors such as (type-1 or type-2 diabetes, obesity, most time stay in weight-bearing position which is more tend to occur heel pain, calcaneal spur). Both the SDM approach and MFR are effective for plantar heel pain but in the previous study where the results showed that the SDM approach is effective for improving heel pain compared with MFR. This study protocol will determine the comparison of the Structural Diagnosis and Management (SDM) Approach and MyoFascial Release (MFR) for plantar heel pain in diabetic patients.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Masking
- Participant and Outcome Assessor Blinded
Eligibility Criteria
- Ages
- 30.00 Year(s) to 70.00 Year(s) (—)
- Sex
- All
Inclusion Criteria
- •Planter heel pain in diabetic patients
- •Patients who willing to participate
- •Age between (30 to 70 years)
- •Both gender (male and female)
- •Patients with a diagnosis of unilateral or bilateral plantar heel pain, plantar fasciitis, and heel spur.
- •Planter heel pain is associated with plantar fasciitis and calcaneal spur, during the morning it’s very painful when taking place the foot is on the floor among diabetic patients, and pain during a long time of standing, after walking and walking on the floor with barefoot.
- •Plantar heel pain with calf muscle tightness and stress on perifascial structure.
- •Any traumatic history (not fracture of the foot)
- •Limited ankle dorsiflexion and activity limitation.
Exclusion Criteria
- •Patients with active foot ulceration or infection, severe peripheral vascular disease.
- •Patient with contraindications to manual therapy or exercise interventions.
- •Patient who have any surgery of the foot.
Outcomes
Primary Outcomes
As primary outcome, Pain, Disability, Activity limitation.
Time Frame: 12 Sessions,4 Weeks
Secondary Outcomes
- As secondary outcome, Muscle strength & Range of Motion (ROM)(12 Sessions,4 Weeks)
Investigators
Paroshmoni Biswas Mim
Jashore University of Science and Technology,