Medial Longitudinal Arch Support and Plantar Fascia Stretch Taping in Plantar Fasciitis

NCT07204054 | Not Yet Recruiting

• 1 other identifier: REC/F24C08G30008
• Study Type: interventional
• Target: 36
• Locations: 1 country
• Sites: 2

Brief Summary

Rationale of this research is to evaluate the outcome of two widely used but biomechanically distinct techniques of Taping done for plantar fascia i.e. Fascia taping which supports the fascia, and Low dye taping which realigns with medial longitudinal arch. The significance of this study is to identify which taping technique will improve pain, ankle ROM, foot function and arch flexibility which will help clinicians in identifying the most suitable and effective taping method for the patients

Conditions

Plantar Fascitis

Keywords

foot function; pain; ankle ROM; arch mobility

Outcome Measures

Primary Outcomes (4)

• Visual Analogue Scale to assess pain

  Visual analogue scale to determine the extent of patients pain. The pain VAS is a unidimensional measure of pain intensity, used to record patients' pain progression, or compare pain severity between patients with similar conditions. VAS has a straight horizontal line of fixed length, usually 100 mm. The ends are defined as the extreme limits of the parameter to be measured (symptom, pain, health) orientated from the left (worst) to the right (best).

  2 weeks

• Foot Functional index

  The FFI questionnaire consists of 23 self-reported items divided into 3 subcategories on the basis of patient values: pain, disability and activity limitation. The patient has to score each question on a scale from 0 (no pain or difficulty) to 10 (worst pain imaginable or so difficult it requires help), that best describes their foot over the past week. section (Pain: items 1-9; Disability: 10-18; Activity Limitation: 19-23).

  2 weeks

• Ankle ROM via Goniometry

  Using a goniometer to determine the effect on ankle ROM

  2 weeks

• Arch Height Index and Arch Height flexibility using AHIMS

  Arch Height Index AHI is the ratio calculated by dividing the height from the floor to the dorsum of the foot by the total foot length. Arch height flexilbility AHF is a change in arch height between sitting and standing positions. AHI= Height from floor to dorsum of foot/ Total foot length AHF mm/kN =AH sitting - AH standing/0.4 × body weight

  2 weeks

Study Arms (2)

Medial Longitudinal arch support taping using Low dye Tape

ACTIVE COMPARATOR

Medial longitudinal arch support taping is applied using low-dye tape with no tension in the tape; placement of a strip in the area of the metatarsal heads, in the dorsal area placement of a strap on the back, forming a circle with the front strap and in the plantar area; a figure of eight was made, starting from the side of the fifth metatarsal, surrounding the heel and ending at the starting point, the same operation was performed as in point but starting from the hallux. The last part is different, as a strip at the main point of pain, that is, at the insertion towards the medial edge of the foot. Ultrasound, stretching and strengthening exercises. Ultrasound will be applied for duration of 7 minutes at the plantar aspect of foot with 1.5 w/cm2 output and continuous mode of frequency of 1MHz. Stretching (5reps with 10 sec hold each stretch) of gastrocnemius and Soleus, toe curl exercise all for a duration of 2 weeks for 2 sessions per week

Other: Medial longitudinal arch support taping using low dye tape

Fascia Stretch taping using KT tape

EXPERIMENTAL

Fascia Taping which is applied in which In the first step, after the metatarsophalangeal joints were dorsiflexed, the first strap was adhered firmly to the posterior heel at its proximal end. The other end of the strap was cut into four slices of equal width. Each slice was applied with a 50% stretch (50% tensile strain) and attached to the plantar forefoot. In the second step, another strap was applied following the same pattern and overlapped the first strap. In the third step, the last strap was applied with gentle compression across the bases of the four slices beneath the foot and wrapped around the rearfoot. Ultrasound, stretching and strengthening exercises. Ultrasound will be applied for duration of 7 minutes at the plantar aspect of foot with 1.5 w/cm2 output and continuous mode of frequency of 1MHz. Stretching (5reps with 10 sec hold each stretch) of gastrocnemius and Soleus and toe curl exercise for a period of twice a week session for 2 weeks

Other: Fascia Stretch taping using KT tape

Interventions

Medial longitudinal arch support taping using low dye tape OTHER

Low dye Taping which is applied by patient lying supine on treatment table. No tension is applied due to the characteristics of the tape and it is described in the following steps; placement of a strip in the area of the metatarsal heads, in the dorsal area placement of a strap on the back, forming a circle with the front strap and in the plantar area; a figure of eight was made, starting from the side of the fifth metatarsal, surrounding the heel and ending at the starting point, the same operation was performed as in point but starting from the hallux. The last part is different, as a strip at the main point of pain, that is, at the insertion towards the medial edge of the foot Ultrasound, stretching and strengthening exercises. Ultrasound will be applied for duration of 7 minutes at the plantar aspect of foot with 1.5 w/cm2 output and continuous mode of frequency of 1MHz. Stretching of gastrocnemius and soleus and towel curl exercise.

Medial Longitudinal arch support taping using Low dye Tape

Fascia Stretch taping using KT tape OTHER

Fascia Taping which is applied in which In the first step, after the metatarsophalangeal joints were dorsiflexed, the first strap was adhered firmly to the posterior heel at its proximal end. The other end of the strap was cut into four slices of equal width. Each slice was applied with a 50% stretch (50% tensile strain) and attached to the plantar forefoot. In the second step, another strap was applied following the same pattern and overlapped the first strap. In the third step, the last strap was applied with gentle compression across the bases of the four slices beneath the foot and wrapped around the rearfoot. Dashed arrows denote the direction of stretch Ultrasound, stretching and strengthening exercises. Ultrasound will be applied for duration of 7 minutes at the plantar aspect of foot with 1.5 w/cm2 output and continuous mode of frequency of 1MHz. Stretching (5reps with 10 sec hold each stretch) of gastrocnemius and Soleus and toe curl exercise

Fascia Stretch taping using KT tape

Eligibility Criteria

• Age: 25 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Participants' full filling the criteria given below will be recruited in this study. Diagnosis based on clinical guidelines linked to the International Classification of Function, Disability and Health of the Orthopaedic Section of the American Physiotherapy Association.
• Age 25-65 years
• Positive Windlass test
• Tenderness at medial calcaneal tubercle
• Limited ankle dorsiflexion \<16
• Acute or subacute stage unilateral plantar fasciitis

You may not qualify if:

• Individuals with one of the following disorder will be excluded from this study
• Fracture of ankle or foot
• Diabetes
• Neuropathy
• Cognitive impairments/ Psychological disorder
• Rheumatoid Arthritis
• Open wound.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (2)

Bahria Town Stroke and Rehabilitation Centre

Rawalpindi, Punjab Province, 44000, Pakistan

Location

IIMCT Railway General Hopsital

Rawalpindi, Punjab Province, 44000, Pakistan

Location

Related Publications (4)

• Koh HLA, Lin WH, Kong PW. Comfort and Ground Reaction Forces in Flat-Footed Female Runners: Comparison of Low-Dye Taping versus Sham Taping. J Sports Sci Med. 2020 Aug 13;19(3):620-626. eCollection 2020 Sep.

  PMID: 32874115 BACKGROUND

• Garcia-Gomariz C, Hernandez-Guillen D, Nieto-Gil P, Blasco-Garcia C, Alcahuz-Grinan M, Blasco JM. Effects of Kinesiotape versus Low-Dye Tape on Pain and Comfort Measures in Patients with Plantar Fasciitis: A Randomized Clinical Trial. Life (Basel). 2024 Feb 12;14(2):249. doi: 10.3390/life14020249.

  PMID: 38398758 BACKGROUND

• Van Tonder T, Allison GT, Hopper D, Grisbrook TL. Multidimensional impact of low-Dye taping on low-load hopping in individuals with and without plantar fasciitis. Phys Ther Sport. 2018 Jan;29:43-49. doi: 10.1016/j.ptsp.2017.11.001. Epub 2017 Nov 8.

  PMID: 29245027 BACKGROUND

• Podolsky R, Kalichman L. Taping for plantar fasciitis. J Back Musculoskelet Rehabil. 2015;28(1):1-6. doi: 10.3233/BMR-140485.

  PMID: 24867905 BACKGROUND

MeSH Terms

Conditions

Pain

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Ramsha Tariq, MSPT(OMPT)

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Imran Amjad, Phd

CONTACT

+92 3324390125; imran.amjad@riphah.edu.pk

Study Design

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

Study Record Dates

• First Submitted: September 25, 2025
• First Posted: October 2, 2025
• Study Start: September 30, 2025
• Primary Completion: March 10, 2026
• Study Completion (Estimated): May 20, 2026
• Last Updated: October 2, 2025

Record last verified: 2025-09

Data Sharing

• IPD Sharing: Will not share

Locations

PA (2)