Medial Longitudinal Arch Support and Plantar Fascia Stretch Taping in Plantar Fasciitis

Riphah International University

Status: Not yet enrolling

Conditions: Plantar Fascitis

Treatments: Other: Fascia Stretch taping using KT tape; Other: Medial longitudinal arch support taping using low dye tape

Study type: Interventional

Funder types: Other

Identifiers

NCT07204054

REC/F24C08G30008

Details and patient eligibility

About

Rationale of this research is to evaluate the outcome of two widely used but biomechanically distinct techniques of Taping done for plantar fascia i.e. Fascia taping which supports the fascia, and Low dye taping which realigns with medial longitudinal arch. The significance of this study is to identify which taping technique will improve pain, ankle ROM, foot function and arch flexibility which will help clinicians in identifying the most suitable and effective taping method for the patients

Full description

Plantar fasciitis is one of the most common causes of chronic heel pain, leading to reduced mobility, altered gait, and impaired quality of life. Despite its high prevalence, most conventional treatments focus primarily on calf stretching, orthotic devices, or electrotherapy. Taping is a cost effective and powerful treatment technique, this study is being done to identify which taping technique will improve pain, ankle ROM, foot function and arch flexibility in patients with acute and subacute plantar fasciitis. It is a randomized control trial which will be conducted on 36 patient calculated using G* Power software. Participants were randomly assigned to intervention or control group after a baseline assessment using lottery ticket and opaque envelop. All participants in both groups were evaluated on 6 occasions baseline, post-intervention, post every treatment.

Enrollment: 36 estimated patients

Sex: All

Ages: 25 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

Participants' full filling the criteria given below will be recruited in this study. Diagnosis based on clinical guidelines linked to the International Classification of Function, Disability and Health of the Orthopaedic Section of the American Physiotherapy Association.

• Age 25-65 years
• Positive Windlass test
• Tenderness at medial calcaneal tubercle
• Limited ankle dorsiflexion <16
• Acute or subacute stage unilateral plantar fasciitis

Exclusion criteria

Individuals with one of the following disorder will be excluded from this study

• Fracture of ankle or foot
• Diabetes
• Neuropathy
• Cognitive impairments/ Psychological disorder
• Rheumatoid Arthritis
• Open wound.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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36 participants in 2 patient groups

Medial Longitudinal arch support taping using Low dye Tape

Active Comparator group

Description:

Medial longitudinal arch support taping is applied using low-dye tape with no tension in the tape; placement of a strip in the area of the metatarsal heads, in the dorsal area placement of a strap on the back, forming a circle with the front strap and in the plantar area; a figure of eight was made, starting from the side of the fifth metatarsal, surrounding the heel and ending at the starting point, the same operation was performed as in point but starting from the hallux. The last part is different, as a strip at the main point of pain, that is, at the insertion towards the medial edge of the foot. Ultrasound, stretching and strengthening exercises. Ultrasound will be applied for duration of 7 minutes at the plantar aspect of foot with 1.5 w/cm2 output and continuous mode of frequency of 1MHz. Stretching (5reps with 10 sec hold each stretch) of gastrocnemius and Soleus, toe curl exercise all for a duration of 2 weeks for 2 sessions per week

Treatment:

Other: Medial longitudinal arch support taping using low dye tape

Fascia Stretch taping using KT tape

Experimental group

Description:

Fascia Taping which is applied in which In the first step, after the metatarsophalangeal joints were dorsiflexed, the first strap was adhered firmly to the posterior heel at its proximal end. The other end of the strap was cut into four slices of equal width. Each slice was applied with a 50% stretch (50% tensile strain) and attached to the plantar forefoot. In the second step, another strap was applied following the same pattern and overlapped the first strap. In the third step, the last strap was applied with gentle compression across the bases of the four slices beneath the foot and wrapped around the rearfoot. Ultrasound, stretching and strengthening exercises. Ultrasound will be applied for duration of 7 minutes at the plantar aspect of foot with 1.5 w/cm2 output and continuous mode of frequency of 1MHz. Stretching (5reps with 10 sec hold each stretch) of gastrocnemius and Soleus and toe curl exercise for a period of twice a week session for 2 weeks

Treatment:

Other: Fascia Stretch taping using KT tape