Effects Of Navicular Mobilization In Patients With Planter Fasciitis

NCT06377800 | Completed DMC

• 1 other identifier: REC 01801 Kainat Fatima
• Study Type: interventional
• Target: 32
• Locations: 1 country
• Sites: 1

Brief Summary

The significance of studying the effects of navicular mobilization in patients suffering from plantar fasciitis lies in its potential to provide valuable insights into non-invasive treatment approaches for a common and debilitating foot condition such as flat foot. Understanding how this therapy impacts navicular height, pain and disability of the foot can lead to improved clinical outcomes and a better understanding of the biomechanical factors contributing to plantar fasciitis. Ultimately, this research may help refine treatment strategies and enhance the quality of life for individuals suffering from this condition

Conditions

Plantar Fascitis

Keywords

Planter Fasciitis; Foot Navicular bone; Mobilization,; Flat Foot

Outcome Measures

Primary Outcomes (4)

• Numeric Pain Rating Scale

  The Numerical Pain Rating Scale (NPRS) is a subjective measure in which individuals rate their pain on an eleven-point numerical scale. The scale is composed of 0 (no pain at all) to 10 (worst imaginable pain). According to researches NPRS shows excellent reliability (0.97 and 0.99, respectively) for the measurement of musculoskeletal pain

  four weeks

• (Foot Function Index)

  Foot function index is a questionnaire used to assess pathological impact on foot with respect to disability, limitations of activity and pain. It consists of 23 questions which are sub divided into three sub scales. These three sub scales are pain, activity limitation and disability.(19) It's scoring is done by adding these scales which range is from 0 to 100. Minimum score is 0 and maximum is 100. Where 0 shows no pain and 100 shows worst pain.

  four weeks

• Navicular drop test

  Navicular drop test is used to measure static foot assessment in Sagittal plane of navicular tuberosity in neutral state. The tuberosity of the navicular bone is measured in neutral position, relaxed and stance position. Supinated foot showed less than 5mm, neutral foot shows range from 6 to 8mm or 5 to 9mm and pronated foot shows reading from greater than 10 to 15 or greater than 9mm.

  four weeks

• Foot print analysis

  In this technique, participants created footprints on paper while standing, submerged clean feet a normal foot, while SPI \> 1.15 denotes a flat foot. (22) The correlation test and intraclass correlation coefficient showed that I was a valid and reliable in diagnosing flatfoot (0.427, 0.446).

  four weeks

Study Arms (2)

navicular mobilization along with conventional therapy.

EXPERIMENTAL

In the prone position, when the foot is stabilized by a towel underneath, navicular mobilization is administered. The therapist's fixing hand wraps the calcaneus, grasps the talus bone, and fixes it. By placing the thumb on the plantar surface of the foot and pushing with the thumb of the other hand in a dorsal direction, navicular mobilization is provided. This dorsal glide will be given with 2 sets of 5 minutes. Each session will be of 30 minutes.

Other: navicular mobilization along conventional therapy.

conventional therapy

OTHER

ultrasound therapy at 1.5 w/cm2 for 7 minutes in continuous mode at a 3MHz frequency. Stretching targets the medial arch and surrounding muscles like calf and tibialis posterior with exercises such as arch lift, heel raise, towel pickup, and toe lift. Additionally, strengthening exercises for intrinsic foot muscles like standing toe curls and towel toe curls are included. Ice pack application for 10 minutes follows

Other: conventional therapy

Interventions

navicular mobilization along conventional therapy. OTHER

In the prone position, when the foot is stabilized by a towel underneath, navicular mobilization is administered. The therapist's fixing hand wraps the calcaneus, grasps the talus bone, and fixes it. By placing the thumb on the plantar surface of the foot and pushing with the thumb of the other hand in a dorsal direction, navicular mobilization is provided. This dorsal glide will be given with 2 sets of 5 minutes. Each session will be of 30 minutes.

navicular mobilization along with conventional therapy.

conventional therapy OTHER

ultrasound therapy at 1.5 w/cm2 for 7 minutes in continuous mode at a 3MHz frequency. Stretching targets the medial arch and surrounding muscles like calf and tibialis posterior with exercises such as arch lift, heel raise, towel pickup, and toe lift. Additionally, strengthening exercises for intrinsic foot muscles like standing toe curls and towel toe curls are included. Ice pack application for 10 minutes follows

conventional therapy

Eligibility Criteria

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

You may qualify if:

• Plantar fasciitis with flat foot.
• Positive Flat foot cases diagnosed with foot print measurement.
• Unilateral or bilateral involvement with chronic plantar fasciitis
• Diagnosed case of plantar fasciitis will be taken with navicular drop.
• Navicular Drop (ND) of \> 10mm

You may not qualify if:

• Patients with Peripheral vascular diseases.
• Patients with History of fractures in the lower limb
• Patients with Skin infections and wounds on the foot
• Patients with any neurological deficit involving foot.
• Patients with a history of foot or ankle surgery.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

DHQ Hospital

Faisalābad, Punjab Province, Pakistan

Location

MeSH Terms

Conditions

Flatfoot

Condition Hierarchy (Ancestors)

Talipes; Foot Deformities, Acquired; Foot Deformities; Musculoskeletal Diseases; Foot Deformities, Congenital; Lower Extremity Deformities, Congenital; Limb Deformities, Congenital; Musculoskeletal Abnormalities; Congenital Abnormalities; Congenital, Hereditary, and Neonatal Diseases and Abnormalities

Study Officials

• maria Khalid, MSOMPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 18, 2024
• First Posted: April 22, 2024
• Study Start: April 2, 2024
• Primary Completion: June 10, 2024
• Study Completion: July 1, 2024
• Last Updated: July 23, 2024

Record last verified: 2024-07

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)