Gastrocnemius Stretching on Plantar Heel Pain, Foot Mobility and Function in Patients With Plantar Fasciitis

NCT05920551 | Unknown

• 1 other identifier: 012/7080002023
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

The study aims to investigate the effectiveness of gastrocnemius stretching exercises on plantar heel pain intensity, foot mobility, and function in patients with plantar fasciitis.

Conditions

Plantar Fascitis

Outcome Measures

Primary Outcomes (1)

• Changes in Plantar heel pain intensity

  Measured using a Visual Analog Scale (VAS)

  Changes in Plantar heel pain intensity at Baseline and after 4 weeks of intervention and 3 months

Secondary Outcomes (2)

• Changes in Foot mobility

  Changes in foot mobility at Baseline and after 4 weeks of intervention and 3 months

• Changes in Foot function

  Changes in foot function at Baseline and after 4 weeks of intervention and 3 months

Study Arms (2)

Gastrocnemius Stretching Group

EXPERIMENTAL

Patients will receive ultrasound therapy, fascia strengthening exercises, and gastrocnemius stretching exercises.

Other: Gastrocnemius Stretching Exercises; Other: Standard care

Control Group

ACTIVE COMPARATOR

Patients will receive ultrasound therapy and fascia strengthening exercises without gastrocnemius stretching exercises.

Other: Standard care

Interventions

Gastrocnemius Stretching Exercises OTHER

The gastrocnemius stretching exercises will be performed by patients in the study group. These exercises will involve stretching the gastrocnemius muscle in a controlled manner to improve flexibility and reduce tension in the plantar fascia.

Gastrocnemius Stretching Group

Standard care OTHER

Ultrasound therapy: A therapeutic ultrasound device will be used to apply ultrasound waves to the plantar fascia area for pain relief and to promote healing. The frequency, intensity, and duration of the ultrasound therapy will be determined by the treating physical therapist based on individual patient needs.Fascia strengthening exercises: Patients will be instructed to perform exercises targeting the intrinsic foot muscles and the plantar fascia to improve strength and function. Examples of these exercises include toe curls, towel scrunches, and arch lifts. Patients will be asked to perform these exercises daily, with the specific number of repetitions and sets determined by the physical therapist.

Control Group; Gastrocnemius Stretching Group

Eligibility Criteria

• Age: 30 Years - 50 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Pain reproduced with palpation of the plantar fascia
• localized and sharp but not radiating
• worse in the initial step after and an extended period of rest
• decreased initially after the first steps but exacerbated with increased activityat least 6 weeks
• unresponsive conservative form of plantar fasciitis care (ie, rest, stretching, full-length silicone insole, prescription NSAIDs when taken for a period of 2 weeks)

You may not qualify if:

• history of previous steroid injections
• previous surgery of the foot, lumbar spine disc herniation or back injury
• patients with rheumatic diseases (e.g., rheumatoid arthritis, spondyloarthropathy, gout disease, enthesopathy, Sjogren's syndrome, and systemic lupus erythematosus)

Sponsors & Collaborators

• Ahram Canadian University: lead

Study Sites (1)

Outpatient clinic of faculty of physical therapy, Ahram Canadian University

Al Ḩayy Ath Thāmin, Giza Governorate, 3221405, Egypt

RECRUITING

MeSH Terms

Interventions

Standard of Care

Intervention Hierarchy (Ancestors)

Quality Indicators, Health Care; Quality of Health Care; Health Services Administration; Health Care Quality, Access, and Evaluation

Study Officials

• Amal Fawzy, Ph.d

  Faculty of Physical Therapy, Ahram Canadian University

  STUDY DIRECTOR

Central Study Contacts

Mohamed M ElMeligie, Ph.d

CONTACT

+201064442032; mohamed.elmeligie@acu.edu.eg

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Lecturer of Physical Therapy and Director of Electromyography Lab

Study Record Dates

• First Submitted: June 17, 2023
• First Posted: June 27, 2023
• Study Start: July 1, 2023
• Primary Completion: February 1, 2024
• Study Completion: February 1, 2024
• Last Updated: June 27, 2023

Record last verified: 2023-06

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)