Instrument-Assisted Soft Tissue Mobilization on Gastrocnemius and Achilles Tendon in Plantar Fasciitis

Effects of Instrument-Assisted Soft Tissue Mobilization on Gastrocnemius and Achilles Tendon in Plantar Fasciitis

Aim of this study is to compare the effects of instrument assisted soft tissue mobilization on gastrocnemius and Achilles tendon on pain,range of motion and foot disability.A randomized control trial that will include total 32 participants and divided into two groups.Patients in Group A will receive instrument assisted soft tissue mobilization of gastrocnemius and Group B will receive instrument assisted soft tissue mobilization of Achilles tendon. While conventional therapy will be given to both groups.Data collected will be analyzed through SPSS 25.

Study Overview

• Status: Completed
• Conditions: Plantar Fascitis
• Intervention / Treatment: Other: IASTM of Gastrocnemius + Conventional therapy; Other: IASTM of AchillesTendon + Conventional Therapy

Detailed Description

Plantar fasciitis is typical condition that produces pain in the medial longitudinal arch of the foot.Repetitive traction stresses on the plantar fascia at its origin over the distal calcaneus obesity, the makeup of the feet, and lifestyle choices are all factors that might contribute to the development of PF.

Physiotherapy interventions includes stretching the gastrocnemius and soleus,dry needling, IASTM (instrument assisted soft tissue mobilisation), exercise therapy, ultrasound therapy, iontophoresis, laser therapy, splints, and taping.Use of Instrument-Assisted Soft Tissue Massage has increased in popularity, and the plantar fascia is a superficial tissue that may benefit from this treatment.The Graston Technique Instrument-assisted Soft Tissue Mobilisation not only increases blood flow and tissue healing to the area as well as breaking up soft tissue restrictions along with increase fibroblasts, mast cell production and phagocytes.

Previous literature were limited in sample size, and only immediate effects of these techniques were studied But this study opted for the long term use of graston technique on gastrocnemius in comparison on Achilles tendon. So the purpose of this study is to compare the effects of Graston technique instrument assisted soft tissue mobilization at gastrocnemius and Achilles tendon in patients with planter fascitis. It will add to the growing body of knowledge that if same technique on different soft tissues will yield comparable outcomes,which should be the alternate choice of therapy

• Study Type: Interventional
• Enrollment (Actual): 32
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Madiha Ali, MSOPMT; Phone Number: 0331-3360064; Email: madiha.ali@riphah.edu.pk

Study Locations

• Pakistan
  • Punjab
    • Rawalpindi, Punjab, Pakistan, 43600
      • Adam Life Care
      • Contact: Madiha Ali, MSOMPT; Phone Number: 0331-3360064; Email: madiha.ali@riphah.edu.pk
      • Principal Investigator: Parwasha Shoukat, MSOMPT*
    • Rawalpindi, Punjab, Pakistan, 43600
      • Attock Hospital
      • Contact: Madiha Ali, MSOMPT; Phone Number: 0331-3360064; Email: madiha.ali@riphah.edu.pk
      • Principal Investigator: Parwasha Shoukat, MSOMPT*

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 25 years to 50 years (Adult)
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Both male and female
• Participants between age of 25 and 50 years
• Patients with maximal pain located at the antero-medial aspect of the plantar surface of the calcaneus
• Pain aggravated by passive dorsiflexion or standing/ walking on the big toe
• Patients with pain on taking first step in the morning(18)
• Patient volunteer to participate in the study and signed informed consent.

Exclusion Criteria:

• Patient with history of musculoskeletal disorders.
• Patient with any previous history of ankle or foot surgery.
• Patient with history of ankle or foot fracture.
• Patient with severe bone disorder (osteoporosis)
• Patient with history of Venous insufficiency.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: IASTM Gastrocnemius; Instrument assisted soft tissue mobilization on gastrocnemius Conventional therapy: Cryotherapy for 10 min stretching of calf and plantar fascia strengthning of intrinsic foot muscle	Other: IASTM of Gastrocnemius + Conventional therapy; The SWEEP technique will be performed downwards from the popliteal region to the Achilles tendon for 60 seconds, 30 times 12 sessions over a time frame of 4 weeks at a frequency of 3 sessions per week.
Active Comparator: IASTM Achillies Tendon; Instrument assisted soft tissue mobilization Achillies Tendon Conventional therapy: Cryotherapy for 10 min stretching of calf and plantar fascia strengthning of intrinsic foot muscle	Other: IASTM of AchillesTendon + Conventional Therapy; Participants will receive a maximum of 60 seconds<30 times 12 sessions over a time frame of 4 weeks at a frequency of 3 sessions per week.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Visual Analogue Scale	Visual analogue scale id used to measures pain intensity. It consists of a 10cm line, with two end points representing 0 ('no pain') and 10 (pain as bad as it could possibly be)	4 weeks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Goniometer	Goniometer is used to measure the ROM of joints	4 weeks
Foot and ankle disability index	Foot and Ankle Disability Index is a 34-item questionnaire divided into two subscales.	4 weeks

Collaborators and Investigators

• Sponsor: Riphah International University
• Investigators: Principal Investigator: Madiha Ali, MSOMPT, Riphah International University

Study record dates

Study Major Dates

• Study Start (Actual): March 15, 2023
• Primary Completion (Actual): August 15, 2023
• Study Completion (Actual): September 15, 2023

Study Registration Dates

• First Submitted: March 7, 2023
• First Submitted That Met QC Criteria: March 7, 2023
• First Posted (Actual): March 20, 2023

Study Record Updates

• Last Update Posted (Actual): March 13, 2024
• Last Update Submitted That Met QC Criteria: March 12, 2024
• Last Verified: March 1, 2024

More Information

Terms related to this study

• Keywords: Disability; Joint Range of Motion; plantar Fascitis; Ache
• Additional Relevant MeSH Terms: Foot Diseases; Musculoskeletal Diseases; Fasciitis; Fasciitis, Plantar
• Other Study ID Numbers: Parwasha Shoukat

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No