Effect of Selected Rehabilitation Program in Patients With Plantar Fasciitis

Horus University

Status: Completed

Conditions: Plantar Fascitis; Heel Pain Syndrome; Plantar Fasciitis, Chronic

Treatments: Other: mobilization; Other: rigid tape; Other: strengthening exercise; Other: myofascial release; Device: ultrasound; Other: stretching exercises

Study type: Interventional

Funder types: Other

Identifiers

NCT06456944

Mohamed PHD

Details and patient eligibility

About

This study will be done to investigate the effect of the selected rehabilitation program for PF on plantar fascia thickness, clinical outcomes such as pain, foot function, dorsiflexion ROM and pressure pain threshold and alignment such as rearfoot eversion angle and foot posture index in patients with PF.

Full description

Plantar fasciitis (PF), which constitutes approximately 15% of all foot disorders, is the most prevalent cause of heel pain. It is a long-term degenerative process that is impacted by subtalar pronation and pes planus. One million US patients saw primary care physicians with PF between 1995 and 2000. There is not enough data to determine the best physical therapy management techniques for individuals with heel pain, despite the existence of multiple successful treatment approaches. this study investigated at how a mechanically based rehabilitation program affected patients with PF in terms of foot alignment, plantar fascia thickness, pain, pressure pain threshold, ROM and foot function. The approach included strengthening the plantar intrinsic muscles of the foot, plantar fascia specific stretching and Achilles tendon stretching, and passively correcting the pathomechanics of the foot by low dye tapping and high load resistance exercise for Achilles tendon and windlass mechanism

Enrollment: 48 patients

Sex: All

Ages: 40 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Plantar medial heel pain: most noticeable with initial steps after a period of inactivity, but also worse following prolonged weight-bearing
• Pain with palpation of the proximal insertion of the plantar fascia
• Positive windlass test
• flat foot posture utilizing the foot posture index
• age range from 40 to 60 years

Exclusion criteria

• tarsal tunnel syndrome
• atrophy of the fat pad.
• diabetic patients or patients with rheumatoid arthritis
• corticosteroid injection over the last sex months

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

---

48 participants in 2 patient groups

selected rehabilitation program

Experimental group

Description:

involves 24 patients and will be given the selected rehabilitation program involving (self-stretching exercise, mobilization of the ankle and subtalar, rigid tape and unilateral heel raising exercise 3 times per week for 8 weeks.

Treatment:

Other: stretching exercises

Other: strengthening exercise

Other: rigid tape

Other: mobilization

traditional program

Experimental group

Description:

involves 24 patients and will be given the traditional program involving (self-stretching exercise, mobilization of the ankle and subtalar, plantar fascial release and ultrasonic therapy 3 times per week for 8 weeks.

Treatment:

Other: stretching exercises

Device: ultrasound

Other: myofascial release

Other: mobilization