Plantar Fasciitis
Conditions
Keywords
Counterstrain, Function, METs, Pain, Plantar Fasciitis, Satisfaction
Brief summary
Previous studies has discussed the effects of muscle energy technique and counterstrain technique in upper trapezius and low back pain but no comparative study is found on planter fasciitis patients. In this study we are going to compare the effects of muscle energy technique and counterstrain technique with routine physical therapy in relation with pain, functional status and satisfaction level in planter fasciitis patients
Detailed description
Heel pain is one of the most prevalent musculoskeletal diseases of the lower limb, affecting both physically active and sedentary people. Amongst the possible causes, planter fasciitis is one of the most common cause of heel pain. Planter fasciitis is a degenerative syndrome resulting from the repeated injury at its origin on the calcaneus. Its most common symptom is discomfort in the plantar area of the foot and, more specifically, in the inferior part of the heel. It is frequently more intense while taking your first steps in the morning or after a period of physical inactivity, and it worsens with prolonged standing or weight-lifting activities. It is not frequently linked to nocturnal discomfort or paresthesia. Different physiotherapy treatment conventions help in pain relieving for example, rest, taping, stretching, orthosis-night brace, Silicon heel cups and myofascial release. This study will compare the effects of Muscle Energy Technique versus Counterstrain Technique in patients with plantar Fasciitis.
Interventions
OTHERMuscle Energy Technique
For Gastrocnemius muscle, subject will be in supine position keeping knee fully extended and therapist on affected side in walking position. The subject's ankle joint will be dorsiflexed until a resistance feel and will ask to hold this position and exert 20% of force towards plantar flexion for a period of 5 to 7 seconds. Resistance will be released and relaxation of 5 seconds will be given during which the ankle will was passively dorsiflexed to a new barrier. 5 repetitions will be given.
Therapist places thumb on tender point at plantar fascia insertion while patient in supine position with ipsilateral knee flexed. Plantar flex the toes and ankle while monitoring sore site with thumb, curling around tender point until monitoring thumb feels symptomatic relief. Supination/pronation of foot will be added if necessary. The position of ease will be maintained for 90 secs until tissues beneath monitoring thumb softens. Tender spot is re-evaluated once the foot is returned to neutral without moving the thumb. It will be repeated 3 times for 30 secs resting interval in-between
Sponsors
University of Lahore
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Intervention model description
Group A: Muscle energy technique along with routine physical therapy, Group B: Counterstrain technique along with routine physical therapy
Eligibility
Sex/Gender
ALL
Age
20 Years to 68 Years
Healthy volunteers
No
Inclusion criteria
* Age 20 to 68 years. * Both male and female. * Patients are clinical diagnosed by the orthopedic surgeon. * Patients present with pain that persist for more than 4 weeks in heel and planter surface of foot. * Pain with the first steps after inactivity
Exclusion criteria
* • Patients with history of ankle and foot fracture. * Congenital or acquired deformity of ankle and foot. * Patients with arthritis. * Pervious history of surgery for planter fasciitis. * Patients use an assistive device for walking. * Patients use corticosteroid injection in heel.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain Intensity | Change in pain intensity will be measured at baseline, at end of first week, at end of second week | Pain intensity will be measured by Visual Analogue Scale (VAS) |
| Function | Change in Functional Status will be measured at baseline, at end of first week, at end of second week | Functional status will be measured by Foot and Ankle Ability Measure (FAAM) |
| Satisfaction Level | Level of satisfaction will be observed at end of First Session, at end of first week, at end of second week | Satisfaction level will be measured by Short-Form Patient Satisfaction Questionnaire (PSQ-18) |
Countries
Pakistan
Outcome results
None listed