Effects of Foot-Core Strengthening and Sensorimotor Re-training With Routine Physical Therapy on Pain, Function, and Plantar Pressure in Patients With Plantar Fasciitis.
This study aims to compare the effects of foot core strengthening and sensorimotor re-training, each combined with routine physical therapy, on pain, functional ability, and plantar pressure in patients with Plantar Fasciitis.
Participants will be divided into two groups: one receiving foot core strengthening with routine physical therapy and the other receiving sensorimotor re-training with routine physical therapy. The study will evaluate which intervention is more effective in reducing pain, improving function, and normalizing plantar pressure distribution.
연구 개요
상태
상태
정황
정황
개입 / 치료
개입 / 치료
상세 설명
Plantar Fasciitis is a common musculoskeletal disorder characterized by heel pain, reduced functional capacity, and altered plantar pressure distribution. It is often associated with overuse, poor biomechanics, and weakness of intrinsic foot muscles.
Routine physical therapy management includes stretching exercises ( plantar fascia and calf stretching), strengthening, manual therapy, and physical modalities. However, recent rehabilitation approaches emphasize the importance of intrinsic muscle strengthening and sensorimotor control.
This study is designed to compare two active rehabilitation approaches combined with routine physical therapy:
Group A: Foot Core Strengthening + Routine Physical Therapy
Participants in this group will receive:
Intrinsic foot muscle strengthening exercises ( short foot exercise, toe curls) Routine physical therapy (stretching, manual therapy, modalities) This approach aims to improve medial longitudinal arch support, enhance foot stability, and reduce mechanical stress on the plantar fascia.
Group B: Sensorimotor Re-training + Routine Physical Therapy
Participants in this group will receive:
Sensorimotor and proprioceptive training ( balance exercises, unstable surface training) Routine physical therapy (stretching, manual therapy, modalities) This approach focuses on improving neuromuscular control, proprioception, and dynamic stability of the foot and ankle.
연구 유형
연구 유형
등록 (추정된)
등록
단계
단계
- 해당 없음
연락처 및 위치
연구 연락처
연구 연락처
- 이름: Muqaddas Muqadds
- 전화번호: +92 306 5821079
- 이메일: mmuqadas614@gmail.com
연구 연락처 백업
- 이름: Nabeela Dawood
- 전화번호: +92 331 5337445
- 이메일: nabeela.dawood@ubas.edu.pk
연구 장소
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Punjab Province
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Lahore, Punjab Province, 파키스탄
- Lahore University of Biological and Applied Sciences
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참여기준
자격 기준
자격 기준
공부할 수 있는 나이
- 성인
건강한 자원 봉사자를 받아들입니다
설명
Inclusion Criteria:
Age 35-60 Years Sharp and worsen pain with the first few steps out of bed in morning. Clinical diagnosis of plantar fasciitis of at least three months duration -
Exclusion Criteria:
History of ankle and foot surgery Diagnosis for Peripheral neuropathy, Tarsal tunnel syndrome Corticosteroid injection into heel within the last three months. Diagnosed neurological and rheumatological disease calcaneal fractures Pregnant Women-
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 없음(오픈 라벨)
팔의 수
무기와 개입
참가자 그룹 / 팔참가자 그룹 / 팔 |
개입 / 치료개입 / 치료 |
|---|---|
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실험적: Group A: Foot Core Strengthening with Routine Physical Therapy
Participants in this group will receive foot core strengthening exercises targeting intrinsic foot muscles along with routine physical therapy including stretching, manual therapy, and physical modalities for management of Plantar Fasciitis.
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Participants will receive a structured foot core strengthening program targeting intrinsic foot muscles, including exercises such as short foot exercise, toe curls, toe spreading, and marble pickup. These exercises aim to improve medial longitudinal arch stability and reduce stress on the plantar fascia. In addition, routine physical therapy will be provided, including plantar fascia stretching, gastrocnemius-soleus stretching, manual therapy techniques, and appropriate physical modalities. Sessions will be conducted 3-5 times per week for a duration of 4-8 weeks, along with a prescribed home exercise program. |
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실험적: Group B: Sensorimotor Re-training with Routine Physical Therapy
Participants in this group will receive sensorimotor and proprioceptive training along with routine physical therapy including stretching, manual therapy, and physical modalities for management of Plantar Fasciitis.
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Participants will receive a structured sensorimotor re-training program focusing on proprioception, balance, and neuromuscular control. Exercises will include single-leg stance, balance training on stable and unstable surfaces, wobble board exercises, and gait training. Routine physical therapy will also be provided, including plantar fascia stretching, gastrocnemius-soleus stretching, manual therapy techniques, and appropriate physical modalities. Sessions will be conducted 3-5 times per week for a duration of 4-8 weeks, along with a prescribed home exercise program. |
연구는 무엇을 측정합니까?
주요 결과 측정
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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Pain Intensity
기간: Baseline and at the end of 4-8 weeks of intervention
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Pain intensity will be assessed using the Visual Analog Scale (VAS), where participants rate their heel pain during first steps in the morning and during activity.
It is a reliable tool to measure pain severity in patients with Plantar Fasciitis.
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Baseline and at the end of 4-8 weeks of intervention
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2차 결과 측정
2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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Plantar Pressure Distribution
기간: Baseline and at the end of 4-8 weeks of intervention
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Plantar pressure will be measured using a pressure analysis system to evaluate changes in load distribution across different regions of the foot during standing and walking.
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Baseline and at the end of 4-8 weeks of intervention
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Foot Function
기간: Baseline and at the end of 4-8 weeks of intervention
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Functional ability will be evaluated using the Foot Function Index (FFI), which assesses pain, disability, and activity limitation related to foot conditions.
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Baseline and at the end of 4-8 weeks of intervention
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공동 작업자 및 조사자
수사관
수사관
- 연구 의자: Nabeela Dawood, Lahore University of Biological and Applied Sciences
간행물 및 유용한 링크
일반 간행물
- Kamonseki DH, Goncalves GA, Yi LC, Junior IL. Effect of stretching with and without muscle strengthening exercises for the foot and hip in patients with plantar fasciitis: A randomized controlled single-blind clinical trial. Man Ther. 2016 Jun;23:76-82. doi: 10.1016/j.math.2015.10.006. Epub 2015 Oct 30.
- Hamstra-Wright KL, Huxel Bliven KC, Bay RC, Aydemir B. Risk Factors for Plantar Fasciitis in Physically Active Individuals: A Systematic Review and Meta-analysis. Sports Health. 2021 May-Jun;13(3):296-303. doi: 10.1177/1941738120970976. Epub 2021 Feb 3.
- Scherger JE. Consider Muscle Strengthening for Plantar Fasciitis. Am Fam Physician. 2018 Oct 1;98(7):407. No abstract available.
- Tahririan MA, Motififard M, Tahmasebi MN, Siavashi B. Plantar fasciitis. J Res Med Sci. 2012 Aug;17(8):799-804.
연구 기록 날짜
연구 주요 날짜
연구 시작 (추정된)
연구 시작
기본 완료 (추정된)
기본 완료
연구 완료 (추정된)
연구 완료
연구 등록 날짜
최초 제출
최초 제출
QC 기준을 충족하는 최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
처음 게시됨
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
마지막 업데이트 게시됨
QC 기준을 충족하는 마지막 업데이트 제출
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
기타 연구 ID 번호
기타 연구 ID 번호
- UBS/ERB/26/04/029
개별 참가자 데이터(IPD) 계획
개별 참가자 데이터(IPD)를 공유할 계획입니까?
약물 및 장치 정보, 연구 문서
미국 FDA 규제 의약품 연구
미국 FDA 규제 기기 제품 연구
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