Clinical trial NCT06377800: Effects Of Navicular Mobilization In Patients With Planter Fasciitis
Official title: Effects Of Navicular Mobilization In Patients With Planter Fasciitis
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Plantar Fascitis
Keywords: Planter Fasciitis
Foot Navicular bone
Mobilization,
Flat Foot
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2024-04-22
Enrollment: 32
Sex: ALL
Minimum age (years): 18
Maximum age (years): 30
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The significance of studying the effects of navicular mobilization in patients suffering from plantar fasciitis lies in its potential to provide valuable insights into non-invasive treatment approaches for a common and debilitating foot condition such as flat foot. Understanding how this therapy impacts navicular height, pain and disability of the foot can lead to improved clinical outcomes and a better understanding of the biomechanical factors contributing to plantar fasciitis. Ultimately, this research may help refine treatment strategies and enhance the quality of life for individuals suffering from this condition

Detailed description: The foot is a complex structure comprising numerous bones, muscles, and ligaments that work together to provide support and facilitate movement. It is supported by three arches: the medial longitudinal arch, the lateral longitudinal arch, and the transverse arch. The medial longitudinal arch plays a crucial role in absorbing weight, but issues like ligament laxity and muscle weakness can cause it to shorten, leading to conditions like plantar fasciitis. Plantar fasciitis, a common overuse injury, occurs when the plantar fascia, a fibrous tissue that supports the arch of the foot, becomes inflamed due to repetitive strain, especially during activities that increase its stretch, such as barefoot walking or stair climbing. People with flat feet are more susceptible to plantar fasciitis due to the overstretching of the plantar fascia caused by the lack of arch support.

Navicular drop, a measure of the navicular bone height, also plays a significant role in foot biomechanics and the development of plantar fasciitis. High navicular height leads to increased foot pronation and tension on the plantar fascia, while low navicular height causes overpronation and arch collapse, both of which can result in inflammation of the plantar fascia. Physiotherapists use techniques like navicular mobilization to address issues related to the navicular bone and improve blood circulation, healing, and pain relief in cases of plantar fasciitis. By understanding the biomechanics of the foot and employing targeted interventions, healthcare professionals can help manage and prevent conditions like plantar fasciitis, allowing individuals to maintain optimal foot health and functionality.

Eligibility criteria: Inclusion Criteria:

* Plantar fasciitis with flat foot.
* Positive Flat foot cases diagnosed with foot print measurement.
* Unilateral or bilateral involvement with chronic plantar fasciitis
* Diagnosed case of plantar fasciitis will be taken with navicular drop.
* Navicular Drop (ND) of \> 10mm

Exclusion Criteria:

* Patients with Peripheral vascular diseases.
* Patients with History of fractures in the lower limb
* 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.

Primary outcomes:
measure: Numeric Pain Rating Scale
timeFrame: four weeks
measure: (Foot Function Index)
timeFrame: four weeks
measure: Navicular drop test
timeFrame: four weeks
measure: Foot print analysis
timeFrame: four weeks
Secondary outcomes:
Other outcomes:
Locations:
city: Faisalābad
country: Pakistan
facility: DHQ Hospital
state: Punjab
Study officials:
affiliation: Riphah International University
name: maria Khalid, MSOMPT
role: PRINCIPAL_INVESTIGATOR
References: