IASTM Versus PRT in Patients With Chronic PF

Study Overview
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Brief Summary
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The goal of this clinical trial] is to compare between the effect of instrument assisted soft tissue mobilization and positional release technique in patients with chronic plantar fasciitis The main question[s] it aims to answer are: Is there a difference between the effect of instrument assisted soft tissue mobilization and positional release technique on pain pressure threshold in patients with chronic plantar fasciitis? Is there a difference between the effect of instrument assisted soft tissue mobilization and positional release technique on foot function level in patients with chronic plantar fasciitis?

Detailed Description
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Design of the study: Pretest - posttest randomized controlled trial. Subjects selection: Sixty patients their age range from 30-50 years of both genders with chronic plantar fasciitis will participate in this study according to sample size calculation.

Official Title
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Instrument Assisted Soft Tissue Mobilization Versus Positional Release Technique in Patients With Chronic Plantar Fasciitis

Conditions
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Chronic Plantar Fasciitis

Intervention / Treatment
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* Other: Instrument assisted soft tissue mobilization in addition to traditional treatment
* Other: Positional release technique in addition to traditional treatment
* Other: Traditional treatment


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Clinically diagnosed cases of plantar fasciitis not less than 3 months. Heel pain felt maximally over plantar aspect of heel. Pain in the heel on the first step in the morning. Their age ranging from 30-50 years. Body mass index range from (18.5 to 24.9 kg/m2). Exclusion Criteria: Subjects can't tolerate close physical contact. Athletes. Subjects with skin infections. Subjects with recent fracture with incomplete bony union. Subjects with acute inflammatory or infectious process. Subjects with hematoma. Subjects with osteoporosis. Subjects with foot deformity. Subjects that take medications that may increase blood clotting. Surgery to the ankle or foot.

Ages Eligible for Study
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Minimum Age: 30 Years
Maximum Age: 50 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: instrument assisted soft tissue mobilization in addition to traditional treatment<br>study group | Other: Instrument assisted soft tissue mobilization in addition to traditional treatment<br>* The treatment protocol will be two sessions will be given per week for 4 weeks.<br>|
| Experimental: positional release technique in addition to traditional treatment<br>study group | Other: Positional release technique in addition to traditional treatment<br>* The treatment protocol will be two sessions will be given per week for 4 weeks.<br>|
| Active Comparator: traditional treatment<br>control group | Other: Traditional treatment<br>* The treatment protocol will be two sessions will be given per week for 4 weeks.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pressure Algometer (Change in pain pressure threshold) | Change in pain pressure threshold as assessed using pressure algometer on medial plantar process, with the unit of measurement in kg/cm². Change in pain pressure threshold as assessed using pressure algometer on gastrocnemius muscle, with the unit of measurement in kg/cm². Change in pain pressure threshold as assessed using pressure algometer on soleus muscle, with the unit of measurement in kg/cm². Change in pain pressure threshold as assessed using pressure algometer over the posteromedial aspect of the calcaneus , with the unit of measurement in kg/cm². | Pre-intervention and immediately after intervention | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The Arabic Version of Foot and Ankle Ability Measure | The foot and ankle ability measure is a reliable, responsive, and valid measure of physical function for individuals with a broad range of musculoskeletal disorders of the lower leg, foot, and ankle. This self-report outcome instrument is available in English, German, French and Persian. The Foot and Ankle Ability Measure is a 29-item questionnaire divided into two subscales: the Foot and Ankle Ability Measure, 21-item Activities of Daily Living Subscale and the Foot and Ankle Ability Measure, 8-item Sports Subscale. Each item is scored on a 5-point Likert scale (4 to 0) from 'no difficulty at all' to 'unable to do'. Item score totals, which range from 0 to 84 for the ADL subscale and 0 to 32 for the Sports subscale, were transformed to percentage scores. Higher scores represent higher levels of function for each subscale, with 100% representing no dysfunction. | Pre-intervention and immediately after intervention | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Positional release technique, Instrument assisted soft tissue mobilization