Additional Effects of Dry Needling With Conventional Physical Therapy Versus Conventional Physical Therapy in Plantar Fasciitis: a Randomized Control Trial

Foundation University Islamabad

Status: Enrolling

Conditions: Plantar Fascitis

Treatments: Procedure: Standard treatment; Procedure: Sham Dry needling; Procedure: Dry needling

Study type: Interventional

Funder types: Other

Identifiers

NCT06706531

FUI/CTR/2024/53

Details and patient eligibility

About

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.

Full description

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:

1. Numeric pain rating scale
2. Goniometer
3. 30 meter walk test
4. 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.

Enrollment: 44 estimated patients

Sex: All

Ages: 18 to 35 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 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

Exclusion criteria

• 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

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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44 participants in 2 patient groups

Standard treatment + Sham Dry needling

Active Comparator group

Description:

Participants will receive standard treatment of plantar facitis along with sham dry needling

Treatment:

Procedure: Sham Dry needling

Procedure: Standard treatment

Standard treatment + Dry needling

Experimental group

Description:

Participants will receive standard treatment of plantar facitis along with dry needling

Treatment:

Procedure: Dry needling

Procedure: Standard treatment