Comparing Instrument Assisted Soft Tissue Mobilization With Positional Release Technique for Plantar Fasciitis Pain and Range of Motion

Doaa Said Mohamed Ibrahim

Status: Invitation-only

Conditions: Heel Pain; Chronic Plantar Fasciitis; Plantar Fascia Inflammation

Treatments: Procedure: Exercises; Procedure: Instrument assisted soft tissue mobilization; Procedure: Positional release

Study type: Interventional

Funder types: Other

Identifiers

NCT07070245

No:P.T.REC/012/005492

Details and patient eligibility

About

Chronic plantar fasciitis (CPF) is the most common cause of chronic heel pain in adults, affecting both young active patients and older, more sedentary individuals. It results from chronic overload of the plantar fascia. This overload may be due to overuse, as seen in runners and military personnel, or due to excessive loading in individuals with obesity (body mass index >30), sedentary lifestyles, or occupations that require prolonged standing.

Enrollment: 60 estimated patients

Sex: All

Ages: 30 to 50 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Clinically diagnosed cases of plantar fasciitis not less than 3 months.
2. Heel pain felt maximally over plantar aspect of heel.
3. Pain in the heel on the first step in the morning.
4. Their age ranging from 30 to 50 years

Exclusion criteria

1. Subjects can't tolerate close physical contact (Kotwalkar et al., 2019).
2. Athletes.
3. Subjects with skin infections (Kotwalkar et al., 2019).
4. Subjects with recent fracture with incomplete bony union (Rowlett et al., 2018).
5. Subjects with acute inflammatory or infectious process (Rowlett et al., 2018).
6. Subjects with hematoma (Rowlett et al., 2018).
7. Subjects with osteoporosis (Looney et al., 2011).
8. Subjects with foot deformity (Kotwalkar et al., 2019).
9. Subjects that take medications that may increase blood clotting (Kotwalkar et al., 2019).
10. Surgery to the ankle or foot (Looney et al., 2011).

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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60 participants in 3 patient groups

Positional release technique

Experimental group

Description:

Positional release technique in addition to exercises in form of stretching exercises for plantar fascia, gastrocnemius, soleus muscles, and short foot exercise (study group) The treatment protocol will be two sessions. given per week for 4 weeks.

Treatment:

Procedure: Positional release

Traditional exercises (control group)

Experimental group

Description:

Traditional exercises (control group), traditional exercises in form of stretching exercises for plantar fascia, gastrocnemius, soleus muscles, and short foot exercise The treatment protocol will be two sessions. given per week for 4 weeks.

Treatment:

Procedure: Exercises

Instrument assisted soft tissue mobilization

Experimental group

Description:

Instrument-assisted soft tissue mobilization in addition to exercises (study group) in form of stretching exercises for plantar fascia, gastrocnemius, soleus muscles, and short foot exercise

Treatment:

Procedure: Instrument assisted soft tissue mobilization