Effects of Low-Dye Taping Compared to Calcaneal Taping in Patients With Plantar Fasciitis
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- Pain Intensity
研究概览
简要总结
Plantar fasciitis is a common musculoskeletal condition characterized by inflammation and microtears of the plantar fascia, leading to heel pain, particularly during initial steps after rest. It negatively impacts gait, mobility, and overall quality of life. Physiotherapy interventions such as stretching, strengthening, electrotherapy, and taping techniques are commonly used for management. Among these, Low-Dye taping and calcaneal taping provide biomechanical support by reducing strain on the plantar fascia and improving foot posture; however, comparative evidence between the two is limited.
This study aims to evaluate the effectiveness of Low-Dye taping versus calcaneal taping in reducing pain and improving foot function in patients with plantar fasciitis. A total of 36 participants will be randomly assigned to either intervention group and treated over a two-week period. Outcome measures will include pain (VAS), functional ability (FFI), ankle range of motion (goniometer), and gait analysis, assessed before and after intervention. Data will be analyzed using SPSS v27, with statistical significance set at p < 0.05.
详细描述
Plantar fasciitis is a common musculoskeletal condition characterized by inflammation and micro tears of the plantar fascia, often resulting in sharp heel pain during the first steps in the morning or after prolonged rest. It significantly affects gait, functional mobility, and quality of life. Conservative physiotherapy interventions such as stretching, strengthening, and electrotherapy are widely used. Taping techniques like Low-Dye and Calcaneal taping offer biomechanical support by reducing strain on the plantar fascia, improving foot posture, and alleviating symptoms. Despite the frequent use of both techniques, there is a lack of direct comparative evidence to guide best practice. The objective of this research study is to compare the effectiveness of low dye taping and calcaneal taping in reducing pain and improving foot function in patients with plantar fasciitis. 36 Participants clinically diagnosed with plantar fasciitis will be randomly allocated to either the LDT (low dye taping) groupor theCT (calcaneal taping) group. The intervention will be administered over a fixed period.
Outcome measures will include the Visual Analog Scale (VAS) for pain, Foot Function Index (FFI) for functional limitation, goniometer for ankle rangeof motion and observational gait analysis recorded before and after the intervention. A total of 36 participants will be divided into two groups, group A (LDT) and group B (CT), according to the inclusion criteria such as clinical diagnosis of plantar fasciitis, age range, and absence of other foot or systemic pathologies.
Informed consent will be obtained. Baseline data, including VAS, FFI scores, goniometric measurements and gait analysis will be recorded, each participant will receive taping for 2 weeks. Post-intervention scores will be collected. Data will be analyzed using SPSS v27. Descriptive statistically will summarize demographics.
Inferential statistics (paired-t- test /independent t test) will compare pre- and post-treatment changes within and between groups with significance of p <0.05.
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
- 19 Years 至 44 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adults of 19 - 44 years old age.
- •Both genders will be included
- •Pain in plantar heel lasting more than three months
- •Clinical diagnosis of unilateral PF in compliance with the American
- •physical therapy association's (APTA) Orthopedic Section clinical practice
- •guidelines
- •Positive windlass test
- •Negative tarsal tunnel tests
- •Limited active and passive talocrural joint dorsiflexion range of motion
- •Pain on the inner side of the heel is most noticeable with the first steps after
- •rest and tends to worsen after standing or walking for a long time.
- •Willing and capable of adhering to the study procedure and completing follow-up
- •examinations.
- •Planter fascia tests i.e. windlass mechanism, hop test, stair climbing.
- •Sedentary individuals (no exercise plan followed in last 3 months)
排除标准
- •• Previous surgical intervention for plantar fasciitis.
- •Congenital abnormalities of foot.
- •Lower extremities affected by systemic disorders, such as rheumatoid arthritis,
- •diabetes or peripheral neuropathy.
- •The presence of additional foot disorders, such as stress fractures, Achilles
- •tendinopathy, or nerve entrapment syndromes.
- •Any contraindications to taping, such as skin sensitivity or allergy.
- •Not willing or not capable of adhering to the study procedure and completing follow-
- •up examinations.
- •Pregnant women, mental illness, immune suppressed patients, patients with
- •peripheral vascular disease, thrombocytopenia patients, anti-coagulant therapy
- •patients and post mastectomy.
研究组 & 干预措施
Calcaneal Taping
A taping method focused on stabilizing the heel bycontrollingrear foot eversion to correct abnormal calcaneal alignment.
Participants in the calcaneal taping group will receive taping by standard protocol
1) Position the foot in slight inversion (heel tilted inward) while the patient is seatedorlyingdown.
11 2) Start the tape on the lateral side of the heel, wrap under the heel and pull upwardandmedially across the Achilles tendon. 3) Secure the tape on the medial ankle, maintaining the heel in inverted position. 4) Apply 2-3 overlapping strips for firmness, and reapply every 2-3 days as needed.(mulligan)
Tape Type:
Rigid zinc oxide tape (1.5 inches wide) Purpose: Provides strong support heel and correct excessive eversion
干预措施: Calcaneal Taping (Procedure)
Low Dye Taping
A taping technique applied around the foot'smediallongitudinal arch designed to reduce excessive pronation and support theplantarfascia Participants in the low dye taping group will receive taping by standard protocol
1) Apply an anchor strip across the top of the foot near the toes. 2) Pull 3-4 strips from the outer foot under the arch to the inner side to lift thearch. 3) Optionally add a heel lock strip for rear foot control. 4) Secure everything with another anchor strip and remove after 3-5 days. Tape type : Rigid Zinc Oxide Tape Width: 1.5 inches (3.8 cm) Purpose: Provides strong support to the arch and controls pronation
干预措施: Low Dye Taping (Procedure)
结局指标
主要结局
Pain Intensity
时间窗: groups will be assessed at baseline and 2 weeks to evaluate treatment outcomes.
The Visual Analogue Scale (VAS) is used to measure pain. The tool comprises of a straight line, either horizontal or vertical, typically measuring 10 cm (or an acceptable length). It is marked with labels at each end that indicate the extreme values of the parameter being assessed, such as "no pain" and "worst possible pain" for evaluating pain intensity. The distance between the initial position and the mark made by the respondent is quantified and employed as a quantitative measure, usually falling within the range of 0 to 100. Higher 9 scores signify a higher level of intensity or severity.
Foot Functional Index
时间窗: groups will be assessed at baseline and 2 weeks to evaluate treatment outcomes.
The Foot Function Index (FFI) questionnaire is a commonly used outcome measure tool for evaluating foot function and discomfort in persons with diverse foot problems, such as plantar fasciitis. The assessment is composed of three subscales: pain, disability, and activity limitation. Each subscale includes several items that are assessed on a Likert scale. The Foot Function Index (FFI) quantifies the influence of foot-related issues on everyday tasks, including walking, standing, and engaging in leisure activities. Scoring interpretation entails adding together the scores of individual items inside each subscale to calculate subscale scores. Higher scores indicate more significant foot dysfunction and discomfort
Range of Motion of foot
时间窗: groups will be assessed at baseline and 2 weeks to evaluate treatment outcomes.
Goniometer will be used to measure Ranges of Motion (ROM). It generally comprises of two arms, one stationary and one adjustable, equipped with a protractor-like scale for the measurement of angles. The immobile arm is positioned in line with the bone closest to the joint, while the mobile arm is positioned in line with the bone farthest from the joint. By accurately aligning the goniometer and carefully studying the joint's motion, a precise measurement of the joint angle is acquired
Step Length
时间窗: groups will be assessed at baseline and 2 weeks to evaluate treatment outcomes
Step length will be assessed using observational gait analysis (OGA) through visual inspection and simple distance measurement. Unit of measurement is centimetres (cm)
Stride Length
时间窗: Baseline and 2 weeks
Stride length will be assessed using observational gait analysis (OGA) through visual inspection and simple distance measurement.Unit of Measure is centimetres (cm)
Cadence
时间窗: Baseline and 2 weeks
Cadence will be assessed using observational gait analysis (OGA) using stopwatch timing. Unit of Measure is steps per minute (steps/min)
Walking Speed
时间窗: Baseline and 2 weeks
Walking speed will be assessed using observational gait analysis (OGA) by measuring time taken to cover a fixed distance.Unit of Measure is meters per second (m/s)
Gait Cycle Time
时间窗: Baseline and 2 weeks
Gait cycle time will be assessed using observational gait analysis (OGA) with stopwatch timing. Unit of Measure is seconds (s)
次要结局
未报告次要终点