Effect of Selected Rehabilitation Program in Patients With Plantar Fasciitis

NCT ID: NCT06456944

Last Updated: 2025-07-22

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 48 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-06-15
• Study Completion Date: 2025-04-15

Brief 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.

Detailed Description

Plantar fasciitis (PF), which constitutes approximately 15% of all foot disorders, is the most prevalent cause of heel pain. It is a long-term degenerative process that is impacted by subtalar pronation and pes planus. One million US patients saw primary care physicians with PF between 1995 and 2000. There is not enough data to determine the best physical therapy management techniques for individuals with heel pain, despite the existence of multiple successful treatment approaches. this study investigated at how a mechanically based rehabilitation program affected patients with PF in terms of foot alignment, plantar fascia thickness, pain, pressure pain threshold, ROM and foot function. The approach included strengthening the plantar intrinsic muscles of the foot, plantar fascia specific stretching and Achilles tendon stretching, and passively correcting the pathomechanics of the foot by low dye tapping and high load resistance exercise for Achilles tendon and windlass mechanism

Conditions

Plantar Fascitis; Plantar Fasciitis, Chronic; Heel Pain Syndrome

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

selected rehabilitation program

involves 24 patients and will be given the selected rehabilitation program involving (self-stretching exercise, mobilization of the ankle and subtalar, rigid tape and unilateral heel raising exercise 3 times per week for 8 weeks.

Group Type: EXPERIMENTAL

stretching exercises

Intervention Type: OTHER

stretching exercises of the plantar fascia, gastrocnemius and soleus

rigid tape

Intervention Type: OTHER

low-dye tapping will be done to provide mechanical correction to plantar fascia and medial longitudinal arch

mobilization

Intervention Type: OTHER

mobilization techniques for the talocrural joint in weight bearing and non-bearing positions and subtalar joint

strengthening exercise

Intervention Type: OTHER

strengthening exercise of the plantar intrinsic muscles using short foot exercise and strengthening of the Achilles tendon and windlass mechanism using unilateral heel raise exercises

traditional program

involves 24 patients and will be given the traditional program involving (self-stretching exercise, mobilization of the ankle and subtalar, plantar fascial release and ultrasonic therapy 3 times per week for 8 weeks.

Group Type: EXPERIMENTAL

stretching exercises

Intervention Type: OTHER

stretching exercises of the plantar fascia, gastrocnemius and soleus

ultrasound

Intervention Type: DEVICE

therapeutic ultrasound upon the most painful point on the medial calcaneal tubercle. The parameters involved a pulsed mode (duty cycle 50%) using an intensity of 1.5 W/cm2 and a 1 MHz of frequency for 5 minutes

mobilization

Intervention Type: OTHER

mobilization techniques for the talocrural joint in weight bearing and non-bearing positions and subtalar joint

myofascial release

Intervention Type: OTHER

deep tissue release of the plantar fascia and flexor hallucis longus in a stretched position of the plantar fascia

Interventions

stretching exercises

stretching exercises of the plantar fascia, gastrocnemius and soleus

Intervention Type: OTHER

ultrasound

therapeutic ultrasound upon the most painful point on the medial calcaneal tubercle. The parameters involved a pulsed mode (duty cycle 50%) using an intensity of 1.5 W/cm2 and a 1 MHz of frequency for 5 minutes

Intervention Type: DEVICE

rigid tape

low-dye tapping will be done to provide mechanical correction to plantar fascia and medial longitudinal arch

Intervention Type: OTHER

mobilization

mobilization techniques for the talocrural joint in weight bearing and non-bearing positions and subtalar joint

Intervention Type: OTHER

myofascial release

deep tissue release of the plantar fascia and flexor hallucis longus in a stretched position of the plantar fascia

Intervention Type: OTHER

strengthening exercise

strengthening exercise of the plantar intrinsic muscles using short foot exercise and strengthening of the Achilles tendon and windlass mechanism using unilateral heel raise exercises

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Plantar medial heel pain: most noticeable with initial steps after a period of inactivity, but also worse following prolonged weight-bearing
• Pain with palpation of the proximal insertion of the plantar fascia
• Positive windlass test
• flat foot posture utilizing the foot posture index
• age range from 40 to 60 years

Exclusion Criteria

• tarsal tunnel syndrome
• atrophy of the fat pad.
• diabetic patients or patients with rheumatoid arthritis
• corticosteroid injection over the last sex months

• Minimum Eligible Age: 40 Years
• Maximum Eligible Age: 60 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Horus University

OTHER

Sponsor Role: lead

Responsible Party

Mohamed Ramadan Ibraheem Ramadan

principle investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Mohamed Ramadan Ibraheem, Assistant lecturer

Role: PRINCIPAL_INVESTIGATOR

Horus University

Locations

Outpatient clinic, Faculty of Physical Therapy, Horus University, Egypt

Damietta, , Egypt

out-patient clinic, Faculty of Physical Therapy, Horus university

Damietta, , Egypt

Countries

Egypt

Other Identifiers

Mohamed PHD

Identifier Type: -

Identifier Source: org_study_id