High-power Pain Thershold Ultrasound Versus Myofascial Release in Patients With Chronic Plantar Fasciitis

NCT05827367 | Unknown

• 1 other identifier: HPPTUS versus MFR IN PF
• Study Type: interventional
• Target: 60
• Locations: 0 countries
• Sites: N/A

Brief Summary

1. 1.To compare effect of high power pain threshold ultrasound versus myofascial release technique on pain pressure threshold over the medial calcaneal tuberosity of the involved heel in treating of chronic planter fasciitis patients
2. 2.To compare effect of high power pain threshold ultrasound versus myofascial release technique on pain intensity in treating of chronic planter fasciitis patients.
3. 3.To compare effect of high power pain threshold ultrasound versus myofascial release technique on ankle disability function in treating of chronic planter fasciitis patients.
4. 4.To compare effect of high power pain threshold ultrasound versus myofascial release technique on ankle active dorsiflexion range of motionin treating of chronic planter fasciitis patients.
5. 5.To compare effect of high power pain threshold ultrasound versus myofascial release technique on walk endurance. In treating of chronic planter fasciitis patients.

Conditions

Plantar Fascitis

Keywords

high power pain thershold ultrasound; Planter fasciitis; Myofascial release

Outcome Measures

Primary Outcomes (1)

• pain pressure threshold

  pain pressure threshold over the medial calcaneal tuberosity of the involved heel will be measured by pressure algometer.

  Change at pain pressure thershold through 4 weeks

Secondary Outcomes (1)

• Pain intensity at first step after prolonged setting

  Change at pain intensity through 4 weeks

Other Outcomes (3)

• Disability function of ankle joint

  Change at disability function of ankle through 4 weeks

• Ankle joint dorsi flexion

  Change at ankle dorsi flexion through 4 weeks

• Walk endurance

  Change at walk endurance through 4 weeks

Study Arms (3)

high power pain thershold ultrasound

EXPERIMENTAL

Patients will reseiv high power pain ultrasound ,intrinsic muscle strength and plantar fascia streatching

Device: Ultrasound; Other: Strength and stretching

myofascial release

EXPERIMENTAL

Plantar fascia myofascial release,gastrocnmias Myofascial release ,soluse myofascial release,foot interstice muscle strength and plantar fascia streatching

Other: Myofascial release technique; Other: Strength and stretching

control arm

PLACEBO COMPARATOR

Plantar fascia stretching and foot interstice muscle strength

Other: Strength and stretching

Interventions

Ultrasound DEVICE

The high-power pain threshold ultrasound (HPPTUS) In this technique, "which be applied in continuous mode with intensity from t0.5 to 2 watt/cm to elicit pain threshold the US probe was kept motionless, and the intensity progressively increased until the maximum level of pain patient can endure was selected, it was maintained on this level for 3 to 4 seconds and then decreased to half intensity for 15 seconds the treatment process was repeated three times.

high power pain thershold ultrasound

Myofascial release technique OTHER

Plantar fascia myofascial release Soluse muscle myofascial release Gastrocnmias muscle myofascial release

myofascial release

Strength and stretching OTHER

Plantar fascia stretching Interstice foot muscles strengthing

control arm; high power pain thershold ultrasound; myofascial release

Eligibility Criteria

• Age: 40 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Patients with history of plantar fasciitis more than three months ago
• Patient's age ranged between 40-60 years old
• Patients with body mass index (MBI)\<30kg/m2

You may not qualify if:

• Patients with any prior surgery to distal tibia, fibula, ankle joint or rear foot region.
• presence of any red flags i.e., tumor, fracture, and heterotrophic ossification and had acute inflammatory condition at ankle-foot region were excluded from the study.
• Deformity of foot and ankle complex and subjects with referred pain due to sciatica and other neurological disorders

Sponsors & Collaborators

• Cairo University: lead

MeSH Terms

Interventions

Ultrasonography; Myofascial Release Therapy

Intervention Hierarchy (Ancestors)

Diagnostic Imaging; Diagnostic Techniques and Procedures; Diagnosis; Massage; Therapy, Soft Tissue; Musculoskeletal Manipulations; Complementary Therapies; Therapeutics; Physical Therapy Modalities; Rehabilitation

Study Officials

• doaa rafat, Lecturer

  Cairo University

  STUDY DIRECTOR

• amaal hassan, Professor

  Cairo University

  STUDY DIRECTOR

• mohammed kaddah, Professor

  Cairo University

  STUDY DIRECTOR

Central Study Contacts

menna ali mohammed tolba, B.sc. In Physicaltherapy

CONTACT

02201003654140; mennatolba89@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, CARE PROVIDER
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal investigator

Study Record Dates

• First Submitted: February 27, 2023
• First Posted: April 25, 2023
• Study Start: July 1, 2023
• Primary Completion: August 1, 2023
• Study Completion: September 1, 2023
• Last Updated: May 3, 2023

Record last verified: 2023-05