Effects of J Stroke Myofascial Release in Patients With Planter Fasciitis

NCT ID: NCT05856019

Last Updated: 2023-12-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-05-01

Study Completion Date

2023-08-01

Brief Summary

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The purpose of the study is to compare the effects of j stroke myofascial release on planter fascia versus ischemic release on gastrocnemius in patients with planter fasciitis.

Detailed Description

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Planter fasciitis is commonly occur in athletes and females who wear flat shoes. It is caused by the loss of planter fascia flexibility that leads to mechanical overloading of fascial structures. There are some risk factors that are important to consider include age, leg length difference, inadequate footwear, inappropriate walking and running patterns and increased planter fascia thickness. Planter fascia thickness more than 4mm can be considered as an indicative of planter fasciitis.

Myofascial soft tissue mobilization is a low load, long duration stretch to the myofascial complex technique that is given in both acute and chronic conditions which in caused by tightness and soft tissue restriction in the patients with planter fasciitis to restore length, decrease pain and to improve function.

Cupping therapy on gastrocnemius is a medical technique that applies negative pressure over pain areas and pressure points that alleviates pain and improve blood circulation. it could be low-cost and convenient alternative technique to treat planter fasciitis.

Conditions

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Plantar Fascitis

Keywords

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planter fascitis J stroke myofascial release Ischemic release on gastrocnemius

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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J Stroke Myofascial Release

Patient is in prone lying position with foot supported. Pressure is applied with the heel of the opposite hand, while a stroke in the shape of the letter J is applied in the direction of the restriction, with two or three fingers, which creates some torque at the end. Myofascial Release techniques will be performed for 20 repetitions.

Group Type EXPERIMENTAL

J Stroke Myofascial Release

Intervention Type OTHER

Group A will receive J stroke myofascial release on planter fascia (with hot pack for 10-15 minutes on calf) 3 sessions per week for 4 weeks.

Ischemic Release on Gastrocnemius through Dry Cupping

Dry cupping will provided to the subjects thrice a week for 4 weeks in the dry cupping therapy group, a plastic cupping bell will be used. Cups will applied to the painful site for 10 minutes in each session. A manual hand pump was used to create the vacuum for suction. The intensity of the vacuum will based on subject tolerance.

Group Type ACTIVE_COMPARATOR

Ischemic Release on Gastrocnemius through Dry Cupping

Intervention Type OTHER

Group B will ischemic release on gastrocnemius (with hot pack for 10-15 minutes on calf) 3 sessions per week for 4 weeks.

Interventions

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J Stroke Myofascial Release

Group A will receive J stroke myofascial release on planter fascia (with hot pack for 10-15 minutes on calf) 3 sessions per week for 4 weeks.

Intervention Type OTHER

Ischemic Release on Gastrocnemius through Dry Cupping

Group B will ischemic release on gastrocnemius (with hot pack for 10-15 minutes on calf) 3 sessions per week for 4 weeks.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Age 18-60years
* Both Genders
* Chronic pain
* Heel pain with current and previous diagnosis of planter faucitis
* Unilateral planter fascia involvement
* Mild to moderate heel pain with NPRS pain score value between 2-6

Exclusion Criteria

* Recent surgery to ankle joint
* Impaired sensations
* Open wound
* Peripheral vascular disease
* Recent fractures (\<6 months)
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Riphah International University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Rabiya Noor, phd

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

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Ortho-Med Clinic

Lahore, Punjab Province, Pakistan

Site Status

Countries

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Pakistan

References

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Akter S, Hossain MS, Hossain KMA, Uddin Z, Hossain MA, Alom F, Kabir MF, Walton LM, Raigangar V. Comparison of Structural Diagnosis and Management (SDM) approach and MyoFascial Release (MFR) for improving plantar heel pain, ankle range of motion and disability: A randomized clinical trial. J Man Manip Ther. 2024 Aug;32(4):368-377. doi: 10.1080/10669817.2023.2214020. Epub 2023 May 24.

Reference Type BACKGROUND
PMID: 37222021 (View on PubMed)

Karagounis P, Tsironi M, Prionas G, Tsiganos G, Baltopoulos P. Treatment of plantar fasciitis in recreational athletes: two different therapeutic protocols. Foot Ankle Spec. 2011 Aug;4(4):226-34. doi: 10.1177/1938640011407320.

Reference Type BACKGROUND
PMID: 21868796 (View on PubMed)

Malik S, Anand P, Bhati P, Hussain ME. Effects of dry cupping therapy on pain, dynamic balance and functional performance in young female with recreational runners chronic plantar fasciitis. Sports Orthopaedics and Traumatology. 2022;38(2):159-70.

Reference Type BACKGROUND

Tamboli U, Patil C. Effect of myofascial release with lower limb strengthening on plantar fasciitis. International Journal of Physical Education, Sports and Health. 2021;8(1):27-31.

Reference Type BACKGROUND

Vijayakumar M, Jaideep A, Khankal R, Gazbare P, Abraham B. Effectiveness of compressive myofascial release vs instrument assisted soft tissue mobilization in subjects with active trigger points of the calf muscle limiting ankle dorsiflexion. Int J Health Sci Res. 2019;9(4):98-106.

Reference Type BACKGROUND

Farooq N, Aslam S, Bashir N, Awan WA, Shah M, Irshad A. Effectiveness of transverse friction massage of Flexor digitorum brevis and Calf muscle stretching in Plantar fasciitis on foot function index scale: A randomized control trial. Isra Med J. 2019;1(4):305-9.

Reference Type BACKGROUND

Prakash S, Misra A. Effect of manual therapy versus conventional therapy in patients with plantar fasciitis-a comparative study. Int J Physiother Res. 2014;2(1):378-82.

Reference Type BACKGROUND

Armagan Alpturker K, Cerrahoglu ABL, Orguc IS. Evaluation Effects of Laser Therapy and Extracorporeal Shock Wave Therapy with Clinical Parameters and Magnetic Resonance Imaging for Treatment of Plantar Fasciitis in Patients with Spondyloarthritis: A Randomized Controlled Trial. Int J Rheumatol. 2020 Aug 27;2020:4386361. doi: 10.1155/2020/4386361. eCollection 2020.

Reference Type BACKGROUND
PMID: 32908536 (View on PubMed)

Other Identifiers

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REC/RCR & AHS/23/0122

Identifier Type: -

Identifier Source: org_study_id