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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.

Studieoversikt

Detaljert beskrivelse

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.

Studietype

Intervensjonell

Registrering (Antatt)

52

Fase

  • Ikke aktuelt

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiekontakt

Studer Kontakt Backup

Studiesteder

    • Punjab Province
      • Lahore, Punjab Province, Pakistan
        • Lahore University of Biological and Applied Sciences

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

  • Voksen

Tar imot friske frivillige

Nei

Beskrivelse

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-

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Behandling
  • Tildeling: Randomisert
  • Intervensjonsmodell: Parallell tildeling
  • Masking: Ingen (Open Label)

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Eksperimentell: 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.

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.

Eksperimentell: 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.

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.

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Pain Intensity
Tidsramme: Baseline and at the end of 4-8 weeks of intervention
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.
Baseline and at the end of 4-8 weeks of intervention

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Plantar Pressure Distribution
Tidsramme: Baseline and at the end of 4-8 weeks of intervention
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.
Baseline and at the end of 4-8 weeks of intervention
Foot Function
Tidsramme: Baseline and at the end of 4-8 weeks of intervention
Functional ability will be evaluated using the Foot Function Index (FFI), which assesses pain, disability, and activity limitation related to foot conditions.
Baseline and at the end of 4-8 weeks of intervention

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Etterforskere

  • Studiestol: Nabeela Dawood, Lahore University of Biological and Applied Sciences

Publikasjoner og nyttige lenker

Den som er ansvarlig for å legge inn informasjon om studien leverer frivillig disse publikasjonene. Disse kan handle om alt relatert til studiet.

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Antatt)

28. juli 2026

Primær fullføring (Antatt)

30. oktober 2026

Studiet fullført (Antatt)

20. november 2026

Datoer for studieregistrering

Først innsendt

9. juli 2026

Først innsendt som oppfylte QC-kriteriene

9. juli 2026

Først lagt ut (Faktiske)

14. juli 2026

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

14. juli 2026

Siste oppdatering sendt inn som oppfylte QC-kriteriene

9. juli 2026

Sist bekreftet

1. juli 2026

Mer informasjon

Begreper knyttet til denne studien

Plan for individuelle deltakerdata (IPD)

Planlegger du å dele individuelle deltakerdata (IPD)?

NEI

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Nei

Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .

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