INIT Versus IASTM In Patients With Chronic PF
NCT Number: NCT06493487
Status: NOT_YET_RECRUITING
Study Type: INTERVENTIONAL
Phases: NA
Conditions: Planter Fasciitis
Interventions: OTHER: integrated neuromuscular inhibition technique|OTHER: instrument assissted soft tissue mobilization|OTHER: convential treatment
Sponsor: Cairo University
Sex: ALL
Age: ADULT
Enrollment: 54
Study Design: Allocation: RANDOMIZED|Intervention Model: PARALLEL|Masking: DOUBLE (PARTICIPANT, CARE_PROVIDER)|Primary Purpose: TREATMENT
Start Date: 2024-07-01
Completion Date: 2024-09-01

Summary:
1. To investigate integrated neuromuscular inhibition versus Instrument assisted soft tissue mobilization on general pain intensity in patient with chronic plantar fasciitis.
2. To investigate integrated neuromuscular inhibition versus Instrument assisted soft tissue mobilization on pain intensity at initial morning step in patient with chronic plantar fasciitis.
3. To investigate integrated neuromuscular inhibition versus Instrument assisted soft tissue mobilization on pain pressure threshold in patient with chronic plantar fasciitis.
4. To investigate integrated neuromuscular inhibition versus Instrument assisted soft tissue mobilization on active dorsiflexion ROM in patient with chronic plantar fasciitis.
5. To investigate integrated neuromuscular inhibition versus Instrument assisted soft tissue mobilization on functional disability in patient chronic plantar fasciitis.

5) Investigate integrated neuromuscular inhibition versus Instrument assisted soft tissue mobilization on functional disability in patient chronic plantar fasciitis.

Primary Outcome Measures: general pain intensity, general pain intensity at planter aspect of foot will be measured by Visual analog scale (VAS): a horizontal line, 100 mm in length, anchored by word descriptors at each end (0 means no pain to 10 means worth pain). The VAS score is determined by measuring in millimeters from the left hand end of the line to the point that the patient marks., change of general pain intensity through 4 weeks
Secondary Outcome Measures: pain intensity in morning initial step, pain intensity in morning initial step at planter aspect of foot will be measured by Visual analog scale (VAS): a horizontal line, 100 mm in length, anchored by word descriptors at each end.(0 means no pain to 10 means worse pain) The VAS score is determined by measuring in millimeters from the left hand end of the line to the point that the patient marks., change of pain intensity in morning initial step through 4 weeks.
Other Outcome Measures: Disability function of ankle joint, Disability function of ankle joint will be assisted by Arabic version of foot function index scale:

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. The pain subcategory consists of 9 items and measures foot pain in different situations, such as walking barefoot versus walking with shoes. The disability subcategory consists of 9 items and measures difficulty performing various functional activities because of foot problems, such as difficulty climbing stairs. The activity limitation subcategory consists of 5 items and measures limitations in activities because of foot problems, such as staying in bed all day., change of disability function of ankle joint through 4 weeks|pain pressure threshold, Pain pressure threshold will be measured by Pressure algometer (FPX 25 Wagner Instruments, Greenwich, CT, USA) was use for the measurement of PPT. Used to assess Pressure pain threshold (tenderness) over the lower medial trigger point in gastrocnemius muscle of the involved heel., change of pain pressure thershold through 4 weeks|active ankle dorsiflexion range of motion, active ankle dorsiflexion range of motion will be measured by Electro goniometer:Used to measure active ankle dorsiflexion range of motion., change of active ankle dorsiflexion range of motion through 4 weeks