Effects of J Stroke Myofascial Release in Patients With Planter Fasciitis

Riphah International University

Status: Completed

Conditions: Plantar Fascitis

Treatments: Other: Ischemic Release on Gastrocnemius through Dry Cupping; Other: J Stroke Myofascial Release

Study type: Interventional

Funder types: Other

Identifiers

NCT05856019

REC/RCR & AHS/23/0122

Details and patient eligibility

About

The purpose of the study is to compare the effects of j stroke myofascial release on planter fascia versus ischemic release on gastrocnemius in patients with planter fasciitis.

Full description

Planter fasciitis is commonly occur in athletes and females who wear flat shoes. It is caused by the loss of planter fascia flexibility that leads to mechanical overloading of fascial structures. There are some risk factors that are important to consider include age, leg length difference, inadequate footwear, inappropriate walking and running patterns and increased planter fascia thickness. Planter fascia thickness more than 4mm can be considered as an indicative of planter fasciitis.

Myofascial soft tissue mobilization is a low load, long duration stretch to the myofascial complex technique that is given in both acute and chronic conditions which in caused by tightness and soft tissue restriction in the patients with planter fasciitis to restore length, decrease pain and to improve function.

Cupping therapy on gastrocnemius is a medical technique that applies negative pressure over pain areas and pressure points that alleviates pain and improve blood circulation. it could be low-cost and convenient alternative technique to treat planter fasciitis.

Enrollment: 40 patients

Sex: All

Ages: 18 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age 18-60years
• Both Genders
• Chronic pain
• Heel pain with current and previous diagnosis of planter faucitis
• Unilateral planter fascia involvement
• Mild to moderate heel pain with NPRS pain score value between 2-6

Exclusion criteria

• Recent surgery to ankle joint
• Impaired sensations
• Open wound
• Peripheral vascular disease
• Recent fractures (<6 months)

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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40 participants in 2 patient groups

J Stroke Myofascial Release

Experimental group

Description:

Patient is in prone lying position with foot supported. Pressure is applied with the heel of the opposite hand, while a stroke in the shape of the letter J is applied in the direction of the restriction, with two or three fingers, which creates some torque at the end. Myofascial Release techniques will be performed for 20 repetitions.

Treatment:

Other: J Stroke Myofascial Release

Ischemic Release on Gastrocnemius through Dry Cupping

Active Comparator group

Description:

Dry cupping will provided to the subjects thrice a week for 4 weeks in the dry cupping therapy group, a plastic cupping bell will be used. Cups will applied to the painful site for 10 minutes in each session. A manual hand pump was used to create the vacuum for suction. The intensity of the vacuum will based on subject tolerance.

Treatment:

Other: Ischemic Release on Gastrocnemius through Dry Cupping