Comparing Instrument Assisted Soft Tissue Mobilization With Positional Release Technique for Plantar Fasciitis Pain and Range of Motion

NCT07070245 | Enrolling By Invitation

• 1 other identifier: No:P.T.REC/012/005492
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

Chronic plantar fasciitis (CPF) is the most common cause of chronic heel pain in adults, affecting both young active patients and older, more sedentary individuals. It results from chronic overload of the plantar fascia. This overload may be due to overuse, as seen in runners and military personnel, or due to excessive loading in individuals with obesity (body mass index \>30), sedentary lifestyles, or occupations that require prolonged standing.

Conditions

Chronic Plantar Fasciitis; Heel Pain; Plantar Fascia Inflammation

Keywords

Instrument assisted soft tissue mobilization; Chronic plantar fasciitis; Positional release technique

Outcome Measures

Primary Outcomes (2)

• Pain intensity level assessed by Numeric Pain Rating Scale (NPRS)

  Pain intensity level assessed by Numeric Pain Rating Scale. A scale ranging from 0 (no pain) to 10 (worst imaginable pain). Higher scores indicate greater pain intensity.

  Baseline and after 8 sessions (approximately 4 weeks)

• Range of motion

  A digital goniometer is used for the assessment of ankle dorsiflexion, plantar flexion range of motion, and knee flexion range of motion.

  Baseline and after 8 sessions (approximately 4 weeks)

Study Arms (3)

Positional release technique

EXPERIMENTAL

Positional release technique in addition to exercises in form of stretching exercises for plantar fascia, gastrocnemius, soleus muscles, and short foot exercise (study group) The treatment protocol will be two sessions. given per week for 4 weeks.

Procedure: Positional release

Traditional exercises (control group)

EXPERIMENTAL

Traditional exercises (control group), traditional exercises in form of stretching exercises for plantar fascia, gastrocnemius, soleus muscles, and short foot exercise The treatment protocol will be two sessions. given per week for 4 weeks.

Procedure: Exercises

Instrument assisted soft tissue mobilization

EXPERIMENTAL

Instrument-assisted soft tissue mobilization in addition to exercises (study group) in form of stretching exercises for plantar fascia, gastrocnemius, soleus muscles, and short foot exercise

Procedure: Instrument assisted soft tissue mobilization

Interventions

Instrument assisted soft tissue mobilization PROCEDURE

The treatment protocol will be two sessions. given per week for 4 weeks.

Instrument assisted soft tissue mobilization

Positional release PROCEDURE

The treatment protocol will be two sessions. given per week for 4 weeks.

Positional release technique

Exercises PROCEDURE

The treatment protocol will be two sessions. given per week for 4 weeks.

Traditional exercises (control group)

Eligibility Criteria

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

You may qualify if:

• Clinically diagnosed cases of plantar fasciitis not less than 3 months.
• Heel pain felt maximally over plantar aspect of heel.
• Pain in the heel on the first step in the morning.
• Their age ranging from 30 to 50 years

You may not qualify if:

• Subjects can't tolerate close physical contact (Kotwalkar et al., 2019).
• Athletes.
• Subjects with skin infections (Kotwalkar et al., 2019).
• Subjects with recent fracture with incomplete bony union (Rowlett et al., 2018).
• Subjects with acute inflammatory or infectious process (Rowlett et al., 2018).
• Subjects with hematoma (Rowlett et al., 2018).
• Subjects with osteoporosis (Looney et al., 2011).
• Subjects with foot deformity (Kotwalkar et al., 2019).
• Subjects that take medications that may increase blood clotting (Kotwalkar et al., 2019).
• Surgery to the ankle or foot (Looney et al., 2011).

Sponsors & Collaborators

• Doaa Said Mohamed Ibrahim: lead

Study Sites (1)

Faculty of Physical Therapy

Port Said, Port Said Governorate, Egypt

Location

Related Publications (1)

• Neufeld SK, Cerrato R. Plantar fasciitis: evaluation and treatment. J Am Acad Orthop Surg. 2008 Jun;16(6):338-46. doi: 10.5435/00124635-200806000-00006.

  PMID: 18524985 BACKGROUND

MeSH Terms

Conditions

Fasciitis, Plantar

Interventions

Exercise

Condition Hierarchy (Ancestors)

Fasciitis; Musculoskeletal Diseases; Foot Diseases

Intervention Hierarchy (Ancestors)

Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Lecturer

Study Record Dates

• First Submitted: July 5, 2025
• First Posted: July 17, 2025
• Study Start: June 22, 2025
• Primary Completion: September 22, 2025
• Study Completion: October 1, 2025
• Last Updated: July 17, 2025

Record last verified: 2025-07

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)