Plantar Fascitis
Conditions
Brief summary
Plantar fasciitis is a common cause of heel pain due to overuse or repetitive stress on the plantar fascia. Risk factors include abnormal foot structure, obesity, and poor footwear. Physiotherapy interventions like foot core exercises and ankle proprioceptive neuromuscular facilitation (PNF) are gaining attention for improving pain and foot function.
Detailed description
To compare the effects of ankle PNF and foot core exercises on pain, foot posture, and function in patients with plantar fasciitis. A randomized controlled trial will be conducted with 50 participants, divided into two groups. Group A will receive ankle PNF and Group B will receive foot core exercises, both alongside conventional physiotherapy.
Interventions
Proprioceptive Neuromuscular Facilitation (PNF) is a therapeutic technique that uses sensory input to enhance muscle function and improve flexibility. For the ankle, PNF techniques can be used to increase range of motion, improve balance and stability, and reduce pain associated with ankle injuries.
This Group will be given foot core exercises which includes heel raise, toe curls, foot doming, toe spreading, balancing board, and tennis ball roll under foot along with conventional therapy which includes ultrasound, plantar fascia stretching and Achilles stretching.
Sponsors
Study design
Eligibility
Inclusion criteria
* Participants between 30 to 50 years of age * Plantar fasciitis diagnosed case. * Both males and females. * Unilateral or bilateral involvement with acute or chronic plantar fasciitis. * Positive windlass test. * Patient with previous plantar fascia pain from the past 3 months. * Patient who reported medial plantar calcaneal discomfort in initial steps after waking up.
Exclusion criteria
* Patients with recent history of using steroid injections or anti-inflammatory medicine use. * Patient with any Peripheral vascular diseases * Patients with History of fractures or gait or postural foot abnormality. * Patients with Skin infections and wounds on the foot * Patients with any neurological deficit involving foot * Patients with a history of foot or ankle surgery.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The Foot Function Index (FFI) | 6 Month | The Foot Function Index (FFI) is a questionnaire used to assess how foot problems affect a person's daily life, specifically focusing on pain, disability, and activity limitations. It involves self-reporting scores on a scale (often 0-10 or 0-100) for various activities, with higher scores indicating greater impact. |
| Foot Posture Index (FPI-6) | 6 Months | The Foot Posture Index (FPI-6) is a tool used to assess foot posture, with scores ranging from -12 (highly supinated) to +12 (highly pronated). A score between 0 and +5 is generally considered normal, while scores of +6 to +9 indicate pronation, and 10+ indicate highly pronated feet. Conversely, scores of -1 to -4 are considered supinated, and -5 to -12 are highly supinated |
Countries
Pakistan