Effect of Selected Rehabilitation Program in Patients With Plantar Fasciitis
NCT Number: NCT06456944
Status: NOT_YET_RECRUITING
Study Type: INTERVENTIONAL
Phases: NA
Conditions: Plantar Fascitis|Plantar Fasciitis, Chronic|Heel Pain Syndrome
Interventions: OTHER: stretching exercises|DEVICE: ultrasound|OTHER: rigid tape|OTHER: mobilization|OTHER: myofascial release|OTHER: strengthening exercise
Sponsor: Horus University
Sex: ALL
Age: ADULT
Enrollment: 48
Study Design: Allocation: RANDOMIZED|Intervention Model: PARALLEL|Masking: SINGLE (PARTICIPANT)|Primary Purpose: TREATMENT
Start Date: 2024-06-15
Completion Date: 2025-04-15
Locations: Outpatient clinic, Faculty of Physical Therapy, Horus University, Egypt, Damietta, 34518, Egypt|Out-Patient Clinic, Faculty of Physical Therapy, Horus University, Damietta, Egypt

Summary:
This study will be done to investigate the effect of the selected rehabilitation program for PF on plantar fascia thickness, clinical outcomes such as pain, foot function, dorsiflexion ROM and pressure pain threshold and alignment such as rearfoot eversion angle and foot posture index in patients with PF.

Primary Outcome Measures: Assessing the change in pain intensity, VAS is typically composed of a 100 mm horizontal line attached to two opposed labels, the left end marked "no pain" and the right end marked "worst possible pain. Patients were marked a score on the scale by a vertical line that exactly refer to their pain, At baseline and following 8 weeks
Secondary Outcome Measures: Assessing the change in foot posture, using the foot posture index. It is a clinical measure of foot posture, either supinated or pronated, using 6 items for assessment of foot and scoring of each item from -2 to +2, At baseline and following 8 weeks|Assessing the change in foot function, The Arabic version of the foot function index (FFI) is a widely used self-reporting measure used to assess the impact of foot pathology on pain, disability, and activity limitation. It is a reliable and sensitive outcome measure for patients with foot and ankle disorders. The FFI's subscale scores range from 0% to 100%, with higher scores indicating lower function and a poorer quality of life., At baseline and following 8 weeks|Assessing the change in plantar fascia thickness, using the ultrasound, participants were positioned in a prone position with relaxed arms and legs, and measurements were taken with the ankle joint in neutral or slightly dorsi-flexion. Electro-conductive gel was applied to the US transducer and plantar surface of foot before imaging. The transducer was placed longitudinally on the calcaneus surface to obtain a clear image of the plantar fascia., At baseline and following 8 weeks|Assessing the change in rear foot angle, using kinovea motion analysis software, the rearfoot (calcaneus) angle is measured as the angle between the bisection of the lower one-third of the leg and the bisection of the calcaneus. The MLA is classified as: normal arch 2-8°, low arch ≥ 8.1° and high arch ≤ 1.9., At baseline and following 8 weeks|Assessing the change in range of motion, The bubble inclinometer is used to measure the angle of the tibia relative to the floor during active ankle dorsiflexion, while the patient lunges forward with their heel on the ground and knee in line with the second toe., At baseline and following 8 weeks|Assessing the change in pressure pain threshold, the pressure algometer is utilized to measure the pressure pain threshold (PPT), The patient lay supine, in a relaxed position, with his feet hanging over the edge of the bed with no pressure on the heel. PPT is measured by laying the patient supine with feet hanging over the bed, without pressure on the heel. PPT is determined by applying pressure to the skin until the patient experiences pain., At baseline and following 8 weeks