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IRCT20210111050005N1 IRCT 2021-02-01 The University of Faisalabad Effectiveness of Graston technique treatment on chronic plantar Fasciitis Effectiveness of Graston technique treatment on Pain, and Foot General Health of chronic Plantar Fasciitis patients 2021-01-30 anticipated 30 Complete https://irct.ir/trial/53637 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Other, Purpose: Treatment, Other design features: Objective 1= To assess the effectiveness of Graston technique with taping on the treatment of chronic plantar heel pain in chronic plantar fasciitis patients, Objective 2= To assess the effectiveness of Graston technique with taping on foot function and foot health related quality of life of chronic plantar fasciitis patients, Randomization description: Each patient of heel pain coming to the recruitment center will be screened. I will make a list of 30 patients according to the sequence as they are coming I will be give them numbers 1 to 30 i.e. the first patient enrolled will be given number 1 and last patient enrolled will be given number 30. Every odd will be allocated into treatment group and every even number will be allocated into control group, Blinding description: I will give each participant a number, e.g 1 to 30, on the basis of these numbers i will make two groups, one will be treatment group in which all even numbers will be allocated, and one will control group in which all odd numbers will be allocated. In this way this way i could not know which participant will be in which group and participant will also not know who will be entered in which group. 2 Plantar fasciitis. Overloading and repetitive micro trauma results plantar fasciitis This is a health condition not a disease.. Intervention 1: It will receive baseline treatment (Therapeutic ultrasound, stretching exercises of calf and plantar fascia, taping ) and Graston technique by Graston tool. treatment will be of 2 sessions per week ( every 3rd day) for 4 weeks. Ultrasaound protocol= Therapeutic ultrasound was given to the patients for 5 minutes(continuous mode, intensity of 1 W/cm2 with frequency of 1 MHz for five minutes in prone lying (Sankhe, et al., 2016). Stretching exercises of calf and plantar fascia= Stretching exercises of plantar fascia muscle and calf muscles, performed 10 stretches holding each for 10 seconds (DiGiovanni et al., 2006, Garret and Neibert, 2019). Taping mechod= low dye taping with calcaneal sling technique will be used. leukotape (type of tape) will be used for this purpose. taping will be apllied on every 3rd day of week, after application patient will will be guided to remove tape after 24 hours (Hyland et al., 2006, Weon, Kim and Jung, 2015). Graston technique= First of all Graston technique lubricant will be applied on plantar surface of foot. For 8 minutes sweeping strokes will applied start from meta-tarsals to calcaneus then from calcaneus to meta-tarsal. For this purpose Graston tool to mobilize the soft tissue will be used. The area where high restriction of the soft tissue will present, aggressive Graston treatment with increase force and shorter strokes on that area will applied. Patients will be monitored if there is an increase in pain or discomfort during whole treatment (Jones et al., 2010). Intervention 2: It will receive only baseline treatment (Therapeutic ultrasound, stretching exercises of calf and plantar fascia, taping ). treatment will be of 2 sessions per week ( every 3rd day) for 4 weeks. Ultrasaound protocol= Therapeutic ultrasound was given to the patients for 5 minutes(continuous mode, intensity of 1 W/cm2 with frequency of 1 MHz for five minutes in prone lying (Sankhe, et al., 2016). Stretching exercises of calf and plantar fascia= Stretching exercises of plantar fascia muscle and calf muscles, performed 10 stretches holding each for 10 seconds (DiGiovanni et al., 2006, Garret and Neibert, 2019). Taping mechod= low dye taping with calcaneal sling technique will be used. leukotape (type of tape) will be used for this purpose. taping will be apllied on every 3rd day of week, after application patient will will be guided to remove tape after 24 hours (Hyland et al., 2006, Weon, Kim and Jung, 2015). No - There is not a plan to make this available Justification or reason for not sharing IPD is Data is confidential
public Noreen kiran
P176, Namat colony no 2, street no 6, near khuram chock, jaranwala road Faisalabad
Faisalabad Pakistan 38000 011925212044 Noreen.kian@tuf.edu.pk The University of Faisalabad scientific Noreen Kiran
Muslim town 3, street number 09, Sargodha road, Faisalabad
Faisalabad Pakistan 38000 +92 41 5212044 Noreen.kiran@tuf.edu.pk The University of Faisalabad Pakistan Patients diagnosed with chronic plantar fasciitis Patients having pain started before more than 6 weeks and less than 6 months Both male and female of age 20 to 45 years were included Patients having pain on first steps of walking out of bed in the morning or after prolonged standing, or sitting Patients having pain located at the anterio- medial surface of heel or mid-foot and presence of an everted calcaneus greater than or equal to 2 20 years 45 years Both Patients having previous history of severe vascular disease, cancer, rheumatoid arthritis, or osteoporosis, neurological disorders related to lower limb of affected side, pathological calcaneal spur Patients having Ankle and foot soft tissue masses/bursitis, tendon pathology or scar, heel fat pad atrophy/hypertrophy Patients having Ankle and foot fracture or surgery before 6 months and stress fracture before 8 months Patients having pain or foot related complications after fracture or surgery Patients having fascia release surgery done within 3 months back Patients having Diabetics and altered skin sensation or foot dermal conditions Who are already taking physical therapy treatment or corticosteroid injections and who were not willing to quit such treatment during 30 days of participation Pregnant female Who refuse to participate in the study Treatment - Other Treatment - Other It will receive baseline treatment (Therapeutic ultrasound, stretching exercises of calf and plantar fascia, taping ) and Graston technique by Graston tool. treatment will be of 2 sessions per week ( every 3rd day) for 4 weeks. Ultrasaound protocol= Therapeutic ultrasound was given to the patients for 5 minutes(continuous mode, intensity of 1 W/cm2 with frequency of 1 MHz for five minutes in prone lying (Sankhe, et al., 2016). Stretching exercises of calf and plantar fascia= Stretching exercises of plantar fascia muscle and calf muscles, performed 10 stretches holding each for 10 seconds (DiGiovanni et al., 2006, Garret and Neibert, 2019). Taping mechod= low dye taping with calcaneal sling technique will be used. leukotape (type of tape) will be used for this purpose. taping will be apllied on every 3rd day of week, after application patient will will be guided to remove tape after 24 hours (Hyland et al., 2006, Weon, Kim and Jung, 2015). Graston technique= First of all Graston technique lubricant will be applied on plantar surface of foot. For 8 minutes sweeping strokes will applied start from meta-tarsals to calcaneus then from calcaneus to meta-tarsal. For this purpose Graston tool to mobilize the soft tissue will be used. The area where high restriction of the soft tissue will present, aggressive Graston treatment with increase force and shorter strokes on that area will applied. Patients will be monitored if there is an increase in pain or discomfort during whole treatment (Jones et al., 2010). It will receive only baseline treatment (Therapeutic ultrasound, stretching exercises of calf and plantar fascia, taping ). treatment will be of 2 sessions per week ( every 3rd day) for 4 weeks. Ultrasaound protocol= Therapeutic ultrasound was given to the patients for 5 minutes(continuous mode, intensity of 1 W/cm2 with frequency of 1 MHz for five minutes in prone lying (Sankhe, et al., 2016). Stretching exercises of calf and plantar fascia= Stretching exercises of plantar fascia muscle and calf muscles, performed 10 stretches holding each for 10 seconds (DiGiovanni et al., 2006, Garret and Neibert, 2019). Taping mechod= low dye taping with calcaneal sling technique will be used. leukotape (type of tape) will be used for this purpose. taping will be apllied on every 3rd day of week, after application patient will will be guided to remove tape after 24 hours (Hyland et al., 2006, Weon, Kim and Jung, 2015) Pain. Timepoint: Before intervention, and 2, 4 weeks after intervention. Method of measurement: by using plantar fasciitis pain scale. General foot health status. Timepoint: before intervention and 2, 4 weeks after intervention. Method of measurement: by The Foot Health Status Questionnaire. The University of Faisalabad Approved 2020-08-03 Ethical committee of The University of Fiasalabad Medina University near kea motors showroom, Sargodha road Faisalabad Faisalabad punjab Pakistan