Clinical trial NCT06231199: Combined Effect of Foam Roller and Gastrocnemius Release on Plantar Fasciitis
Official title: Combined Effect of Foam Roller and Gastrocnemius Release on Plantar Fasciitis
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: Plantar Fascitis
Keywords: foam roller
gastrocnemius release
plantar fascitis
Lead sponsor: Cairo University
Sponsor class: OTHER
First posted: 2024-01-30
Enrollment: 60
Sex: ALL
Minimum age (years): 18
Maximum age (years): 60
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: foam roller combined with gastrocnemius release and conventional treatment
Primary purpose: TREATMENT

Brief summary: this study will be conducted to investigate the efficacy of combining foam roller and gastrocnemius release on pain intensity level, dorsi flexion range of motion of ankle joint ,dorsi flexion range of motion of big toe and foot function in subjects with plantar fasciitis.

Detailed description: Plantar fasciitis refers to degeneration and inflammation of the proximal plantar fascia. The condition presents with plantar medial heel pain, often exacerbated following periods of inactivity, such as upon waking in the morning.The term "plantar fasciitis" has been quoted for years, but this is a misnomer as inflammatory cells are not present in biopsies from involved fascia. Therefore, advocate the terminology "plantar fasciitis" to explain the syndrome characterized by pain along the proximal plantar fascia and its attachment in the area of the calcaneal tuberosity with function impairment, implying a more chronic degenerative process than acute heel pain.Research found that both stretching and foam rolling techniques helped reduce pain and increase the ROM. However, the effectiveness of foam rolling was superior to stretching in terms of increased pressure pain thresholds (PPTs) at gastrocnemius and soleus. there was a gap in the previous literature in combined effect of gastrocnemius release and foam roller in managing plantar fasciitis and assessing dorsi flexion range of motion of both big toe and ankle joint along with pain assessment and foot function. sixty patients with planter fascitis will be assigned randomly to two groups; first one will receive manual and foam roller release of gastrocnemius and conventional treatment and the other one will receive conventional treatment only.

Eligibility criteria: Inclusion Criteria:

* aged between 18 years and 60 years
* heel pain in the morning with first step, insidious sharp pain under the heel, tenderness on medial calcaneus and symptoms decreasing with slight activity (like walking) and worsening toward the end of the day

Exclusion Criteria:

* Infective conditions of foot, tumor, calcaneal fracture
* Metal implant around ankle
* Dermatitis, acute sepsis and anesthetic areas
* Subject with impaired circulation to lower extremities
* Subject with referred pain due to sciatica
* Corticosteroids
* Injection in heel preceding 3 month
* Patient who cannot co-operate
* history of flat foot

Primary outcomes:
measure: pain intensity level
timeFrame: up to four weeks
measure: ankle dorsiflexion
timeFrame: up to four weeks
measure: foot function
timeFrame: up to four weeks
Secondary outcomes:
measure: big toe range of motion
timeFrame: up to four weeks
Other outcomes:
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