Plantar Fascitis
Conditions
Keywords
foot function, pain, ankle ROM, arch mobility
Brief summary
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
Detailed 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.
Interventions
OTHERMedial longitudinal arch support taping using low dye tape
Low dye Taping which is applied by patient lying supine on treatment table. No tension is applied due to the characteristics of the tape and it is described in the following steps; 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 of gastrocnemius and soleus and towel curl exercise.
OTHERFascia Stretch taping using KT tape
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. Dashed arrows denote the direction of stretch 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
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)
Eligibility
Sex/Gender
ALL
Age
25 Years to 65 Years
Healthy volunteers
No
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.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visual Analogue Scale to assess pain | 2 weeks | Visual analogue scale to determine the extent of patients pain. The pain VAS is a unidimensional measure of pain intensity, used to record patients' pain progression, or compare pain severity between patients with similar conditions. VAS has a straight horizontal line of fixed length, usually 100 mm. The ends are defined as the extreme limits of the parameter to be measured (symptom, pain, health) orientated from the left (worst) to the right (best). |
| Foot Functional index | 2 weeks | 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. section (Pain: items 1-9; Disability: 10-18; Activity Limitation: 19-23). |
| Ankle ROM via Goniometry | 2 weeks | Using a goniometer to determine the effect on ankle ROM |
| Arch Height Index and Arch Height flexibility using AHIMS | 2 weeks | Arch Height Index AHI is the ratio calculated by dividing the height from the floor to the dorsum of the foot by the total foot length. Arch height flexilbility AHF is a change in arch height between sitting and standing positions. AHI= Height from floor to dorsum of foot/ Total foot length AHF mm/kN =AH sitting - AH standing/0.4 × body weight |
Countries
Pakistan
Contacts
Primary ContactImran Amjad, Phd
Outcome results
None listed