Effects Of Muscle Energy Versus Counter Strain Technique on Pain, Function and Satisfaction Level in Planter Fasciitis
Condition: Plantar Fasciitis
MeSH terms: Fasciitis; Fasciitis, Plantar
Study type: Interventional

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.
    

Intervention name(s): Muscle Energy Technique; Counterstrain Technique
Intervention type(s): Other; Other
Intervention description(s): 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
Other intervention name(s): Spontaneous Release by Positioning
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Group A: Muscle energy technique along with routine physical therapy, Group B: Counterstrain technique along with routine physical therapy
Masking: Double (Participant, Outcomes Assessor)
Primary purpose: Treatment
Keywords: Counterstrain, Function, METs, Pain, Plantar Fasciitis, Satisfaction