Effects Of Muscle Energy Versus Counter Strain Technique on Pain, Function and Satisfaction Level in Planter Fasciitis

NCT05424341 | Completed

• 1 other identifier: Taliah Bashir Sindhu
• Study Type: interventional
• Target: 66
• Locations: 1 country
• Sites: 1

Brief Summary

Previous studies has discussed the effects of muscle energy technique and counterstrain technique in upper trapezius and low back pain but no comparative study is found on planter fasciitis patients. In this study we are going to compare the effects of muscle energy technique and counterstrain technique with routine physical therapy in relation with pain, functional status and satisfaction level in planter fasciitis patients

Conditions

Plantar Fasciitis

Keywords

Counterstrain, Function, METs, Pain, Plantar Fasciitis, Satisfaction

Outcome Measures

Primary Outcomes (3)

• Pain Intensity

  Pain intensity will be measured by Visual Analogue Scale (VAS)

  Change in pain intensity will be measured at baseline, at end of first week, at end of second week

• Function

  Functional status will be measured by Foot and Ankle Ability Measure (FAAM)

  Change in Functional Status will be measured at baseline, at end of first week, at end of second week

• Satisfaction Level

  Satisfaction level will be measured by Short-Form Patient Satisfaction Questionnaire (PSQ-18)

  Level of satisfaction will be observed at end of First Session, at end of first week, at end of second week

Study Arms (2)

Group A

EXPERIMENTAL

This group will receive muscle energy technique along with routine physical therapy. This protocol will be given for 3 alternative days for 2 weeks . Each session will be of 50 mins. Data will be collected at baseline , at 1st week and at 2nd week.

Other: Muscle Energy Technique

Group B

ACTIVE COMPARATOR

This group will receive counterstrain technique along with routine physical therapy. This protocol will be given for 3 alternative days for 2 weeks . Each session will be of 50 mins. Data will be collected at baseline , at 1st week and at 2nd week.

Other: Counterstrain Technique

Interventions

Muscle Energy Technique OTHER

For Gastrocnemius muscle, subject will be in supine position keeping knee fully extended and therapist on affected side in walking position. The subject's ankle joint will be dorsiflexed until a resistance feel and will ask to hold this position and exert 20% of force towards plantar flexion for a period of 5 to 7 seconds. Resistance will be released and relaxation of 5 seconds will be given during which the ankle will was passively dorsiflexed to a new barrier. 5 repetitions will be given.

Group A

Counterstrain Technique OTHER

Therapist places thumb on tender point at plantar fascia insertion while patient in supine position with ipsilateral knee flexed. Plantar flex the toes and ankle while monitoring sore site with thumb, curling around tender point until monitoring thumb feels symptomatic relief. Supination/pronation of foot will be added if necessary. The position of ease will be maintained for 90 secs until tissues beneath monitoring thumb softens. Tender spot is re-evaluated once the foot is returned to neutral without moving the thumb. It will be repeated 3 times for 30 secs resting interval in-between

Also known as: Spontaneous Release by Positioning

Group B

Eligibility Criteria

• Age: 20 Years - 68 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age 20 to 68 years.
• Both male and female.
• Patients are clinical diagnosed by the orthopedic surgeon.
• Patients present with pain that persist for more than 4 weeks in heel and planter surface of foot.
• Pain with the first steps after inactivity

You may not qualify if:

• Patients with history of ankle and foot fracture.
• Congenital or acquired deformity of ankle and foot.
• Patients with arthritis.
• Pervious history of surgery for planter fasciitis.
• Patients use an assistive device for walking.
• Patients use corticosteroid injection in heel.

Sponsors & Collaborators

• University of Lahore: lead

Study Sites (1)

The University of Lahore

Lahore, Punjab Province, 54000, Pakistan

Location

MeSH Terms

Conditions

Fasciitis, Plantar; Pain; Personal Satisfaction

Condition Hierarchy (Ancestors)

Fasciitis; Musculoskeletal Diseases; Foot Diseases; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Behavior

Study Officials

• Ayesha Jamil, M.Phil

  University of Lahore

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Model Details: Group A: Muscle energy technique along with routine physical therapy, Group B: Counterstrain technique along with routine physical therapy

Study Record Dates

• First Submitted: June 8, 2022
• First Posted: June 21, 2022
• Study Start: June 1, 2022
• Primary Completion: December 1, 2022
• Study Completion: December 1, 2022
• Last Updated: April 7, 2023

Record last verified: 2023-04

Data Sharing

• IPD Sharing: Will share
• Time Frame: Beginning 9 months and ending on 36th month

Locations

PA (1)