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IRCT20190717044238N9 IRCT 2023-11-09 Riphah International University Lahore Comparative effects of foam roller and J-stroke myofascial release in patients with plantar fasciitis ceofrajsmripwpf Comparative effects of foam roller and J-stroke myofascial release in patients with plantar fasciitis 2023-08-01 anticipated 44 Complete https://irct.ir/trial/73257 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Randomization description: Randomization will be done by use of sealed envelops which involves assigning participants to different groups by randomly selecting an envelope that contains their group assignment. This will ensure reduce biasness in allocation of interventions. Simple randomization method is used to allocate participants to different groups, Blinding description: In the trial the outcome assessor is blinded by not knowing or being unaware which intervention patients are receiving , but the researcher know. This trial will be single blinded. N/A Plantar fasciitis. Intervention 1: Intervention group: Group A: Foam roller will be given to group A along with the conventional treatment. This group patient will be treated with Foam roller for pain beneath heel for 45 seconds with 15 seconds rest with 5 repetitions, 3 times per week for 4 weeks. Guidelines for using foam roller: 1. Choose a medium-density foam roller with a smooth surface.2. Warm up your foot and calf muscles before starting.3. Sit down and position the foam roller under your foot.4. Gradually put your body weight on the foam roller.5. Roll back and forth along the foot to target different areas.6. Adjust the angle of your foot to target different areas.7. Stretch your calf muscles and plantar fascia after foam rolling. Intervention 2: Intervention group: Group B: J-stroke myofascial release techniques will be given to group B along with the conventional treatment. These patients will be treated with J-stroke myofascial release beneath the heel for 10 seconds over 5 to 12 repetitions, 3 times per week for 4 weeks. Technique of J-stroke myofascial release:1. Position the patient comfortably with their foot exposed.2. Apply a small amount of lubricant to the area being treated.3. Place the thumb or fingertips on the inner part of the plantar fascia, near the heel.4. Apply gentle and sustained pressure while gliding the thumb or fingertips along the inner side of the plantar fascia, moving towards the ball of the foot.5. Perform the stroke in a J-shaped or inverted L-shaped pattern.6. Repeat the stroke multiple times focusing on areas of tenderness or tension. No - There is not a plan to make this available Justification or reason for not sharing IPD is confidentiality of participants
public Muneeba Najeeb
Ittefaq Street 218 /8 Rehmanpura ferozepur road lahore
Lahore Pakistan 54000 +92 306 5367838 muneeba.najeeb2015@gmail.com Riphah International University Lahore scientific Fareeha Amjad
Riphah International University Lahore Gulberg green Campus
Lahore Pakistan 54000 +92 334 3372779 fari_fairy22@gmail.com Riphah International University Lahore Pakistan Both male and female Patients age between 25-55 years with heel pain Pre-diagnosed and referred patients of plantar fasciitis by orthopedic surgeon Complain of plantar fasciitis since last 6 weeks Pain in the heel on the first step in the morning Heel pain felt maximally over plantar aspect of heel Patients with unilateral plantar fasciitis 25 years 55 years Both Inflammatory and degenerative joint disorder Impaired blood circulation Ankle and foot bone fracture Patients with skin diseases i.e., Dermatitis or any infective disorder in which ultrasound is contraindicated Metal implants and post-surgical Altered sensation in lower extremity Patients with history of corticosteroid injection in heel in last 3 months Malignancy Referred pain due to neurological disorders M72.2 Myofascial release, plantar fasciitis, pain threshold, trigger points, visual analogue scale Rehabilitation Rehabilitation Intervention group: Group A: Foam roller will be given to group A along with the conventional treatment. This group patient will be treated with Foam roller for pain beneath heel for 45 seconds with 15 seconds rest with 5 repetitions, 3 times per week for 4 weeks. Guidelines for using foam roller: 1. Choose a medium-density foam roller with a smooth surface.2. Warm up your foot and calf muscles before starting.3. Sit down and position the foam roller under your foot.4. Gradually put your body weight on the foam roller.5. Roll back and forth along the foot to target different areas.6. Adjust the angle of your foot to target different areas.7. Stretch your calf muscles and plantar fascia after foam rolling. Intervention group: Group B: J-stroke myofascial release techniques will be given to group B along with the conventional treatment. These patients will be treated with J-stroke myofascial release beneath the heel for 10 seconds over 5 to 12 repetitions, 3 times per week for 4 weeks. Technique of J-stroke myofascial release:1. Position the patient comfortably with their foot exposed.2. Apply a small amount of lubricant to the area being treated.3. Place the thumb or fingertips on the inner part of the plantar fascia, near the heel.4. Apply gentle and sustained pressure while gliding the thumb or fingertips along the inner side of the plantar fascia, moving towards the ball of the foot.5. Perform the stroke in a J-shaped or inverted L-shaped pattern.6. Repeat the stroke multiple times focusing on areas of tenderness or tension. Pain Intensity. Timepoint: Baseline and 4th week. Method of measurement: Visual Analogue Scale (VAS). Pain Pressure Threshold. Timepoint: Baseline and 4th week. Method of measurement: Pressure Algometry. Ankle Dorsiflexion Range of Motion (ROM). Timepoint: Baseline and 4th week. Method of measurement: Weight Bearing Lunge Test for Ankle Dorsiflexion ROM. Functional Disability. Timepoint: Baseline and 4th week. Method of measurement: Foot and Ankle disability Index (FADI). Riphah International University Lahore Approved 2023-08-03 Research and ethics Commitee Riphah College of Rehabilitation and Allied Health Sciences Riphah International University Gulberg Campus Lahore Punjab Pakistan