INIT Versus IASTM In Patients With Chronic PF
ConditionPlanter Fasciitis
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age40-60
SponsorCairo University
About this trial
1. To investigate integrated neuromuscular inhibition versus Instrument assisted soft tissue mobilization on general pain intensity in patient with chronic plantar fasciitis. 2. To investigate integrated neuromuscular inhibition versus Instrument assisted soft tissue mobilization on pain intensity at initial morning step in patient with chronic plantar fasciitis. 3. To investigate integrated neuromuscular inhibition versus Instrument assisted soft tissue mobilization on pain pressure threshold in patient with chronic plantar fasciitis. 4. To investigate integrated neuromuscular inhibition versus Instrument assisted soft tissue mobilization on active dorsiflexion ROM in patient with chronic plantar fasciitis. 5. To investigate integrated neuromuscular inhibition versus Instrument assisted soft tissue mobilization on functional disability in patient chronic plantar fasciitis.
5\) Investigate integrated neuromuscular inhibition versus Instrument assisted soft tissue mobilization on functional disability in patient chronic plantar fasciitis.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patient with history of plantar fasciitis more than three months ago.
Plantar heel pain with first few steps upon walking in the morning and after prolonged rest.
Patient's Age between 40-60 years old.
Patient's Body mass index (BMI 18 to 29.9kg/m2).
Disqualifiers
Patients with any prior surgery to distal tibia, fibula, ankle joint or rear foot region.
Presence of any red flags i.e., tumor, fracture, and heterotrophic ossification and had acute inflammatory condition at ankle-foot region were excluded from the study.
Deformity of foot and ankle complex and subjects with referred pain due to sciatica and other neurological disorder.
Trial design
Design model
Parallel
Treatments tested in this trial
integrated neuromuscular inhibition technique
Other interventionintegrated neuromuscular inhibition technique for gastrocniemus muscle
instrument assissted soft tissue mobilization
Other interventioninstrument assissted soft tissue mobilization for calf muscle
convential treatment
Other interventionconvential treatment (home education program, therapeutic ultrasound, plantar fascia stretching, intrinsic muscle strengthening of foot, Self stretching of calf muscle using a towel and Ice Massage using frozen bottle).
Treatment groups
54 Participants
are divided into 3 treatment groupsGroup A: integrated neuromuscular inhibition techniqueExperimental treatment 1 intervention
Group B: instrument assisted soft tissue mobilizationExperimental treatment 1 intervention
Group C: conventional treatmentPlacebo comparator 1 intervention
Trial outcomes
Primary outcomes
1
general pain intensity
general pain intensity at planter aspect of foot will be measured by Visual analog scale (VAS): a horizontal line, 100 mm in length, anchored by word descriptors at each end (0 means no pain to 10 means worth pain). The VAS score is determined by measuring in millimeters from the left hand end of the line to the point that the patient marks.
Time frame
change of general pain intensity through 4 weeksSecondary outcomes
1
pain intensity in morning initial step
pain intensity in morning initial step at planter aspect of foot will be measured by Visual analog scale (VAS): a horizontal line, 100 mm in length, anchored by word descriptors at each end.(0 means no pain to 10 means worse pain) The VAS score is determined by measuring in millimeters from the left hand end of the line to the point that the patient marks.
Time frame
change of pain intensity in morning initial step through 4 weeks.Other outcomes
1
Disability function of ankle joint
Disability function of ankle joint will be assisted by Arabic version of foot function index scale: The FFI (questionnaire) consists of 23 self-reported items divided into 3 subcategories on the basis of patient values: pain, disability and activity limitation. The patient has to score each question on a scale from 0 (no pain or difficulty) to 10 (worst pain imaginable or so difficult it requires help), that best describes their foot over the past week. The pain subcategory consists of 9 items and measures foot pain in different situations, such as walking barefoot versus walking with shoes. The disability subcategory consists of 9 items and measures difficulty performing various functional activities because of foot problems, such as difficulty climbing stairs. The activity limitation subcategory consists of 5 items and measures limitations in activities because of foot problems, such as staying in bed all day.
Time frame
change of disability function of ankle joint through 4 weeks2
pain pressure threshold
Pain pressure threshold will be measured by Pressure algometer (FPX 25 Wagner Instruments, Greenwich, CT, USA) was use for the measurement of PPT. Used to assess Pressure pain threshold (tenderness) over the lower medial trigger point in gastrocnemius muscle of the involved heel.
Time frame
change of pain pressure thershold through 4 weeks3
active ankle dorsiflexion range of motion
active ankle dorsiflexion range of motion will be measured by Electro goniometer:Used to measure active ankle dorsiflexion range of motion.
Time frame
change of active ankle dorsiflexion range of motion through 4 weeksLocations
Sponsors and contacts
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Source ClinicalTrials.gov
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