Cognitive Training for Pain , Balance and Foot Function in Plantar Fasciitis (COG-PLANT)
Effect of Cognitive Training on Pain , Foot Function, and Balance in Patients With Planter Fasciitis : A Randomized Controlled Trial
Visão geral do estudo
Status
Condições
Intervenção / Tratamento
Descrição detalhada
and impaired balance. It is characterized by degeneration of the plantar fascia due to repetitive stress, leading to pain, especially during weight-bearing activities. In addition to local tissue pathology, alterations in neuromuscular control and sensorimotor function may contribute to persistent symptoms and functional limitations.
Recent approaches in rehabilitation have highlighted the role of cognitive training in enhancing motor control, attention, and sensorimotor integration. Cognitive training, particularly when combined with movement tasks (dual-task training), may improve postural control and functional performance by optimizing central nervous system processing. However, there is limited evidence regarding its effectiveness in patients with plantar fasciitis.
This randomized controlled trial aims to investigate the effect of cognitive training on pain intensity, functional disability, and static balance in individuals with plantar fasciitis. Participants will be randomly assigned into two groups. The experimental group will receive a cognitive training program incorporating attention-demanding and dual-task exercises integrated with functional movements plus stretching and strengthing exercises . The control group will perform a conventional stretching and strengthing exercise program targeting the plantar fascia and related lower limb musculature.
Outcome measures will include pain intensity, functional disability, and static balance. Assessments will be conducted at baseline and after completion of the intervention period.
The results of this study are expected to provide evidence on the effectiveness of cognitive training as a rehabilitation approach for improving pain, functional outcomes, and balance in patients with plantar fasciitis.
Tipo de estudo
Inscrição (Estimado)
Estágio
- Não aplicável
Contactos e Locais
Contato de estudo
- Nome: Sahar M Abdelmutilibe, PHD
- Número de telefone: N/P 0021027620061
- E-mail: sahar.mowad@pt.bsu.edu.eg
Locais de estudo
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Cairo, Egito
- Recrutamento
- Outpatient clinics of the Faculty of Physical Therapy, Beni Suef University
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Contato:
- Sahar M Abdelmutilibe, PHD
- Número de telefone: N/P 0021027620061
- E-mail: sahar.mowad@pt.bsu.edu.eg
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Contato:
- sahar m abdelmutilibe, PHD
- Número de telefone: N/P 0021110374341
- E-mail: saharmowad04@gmail.com
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Critérios de participação
Critérios de elegibilidade
Idades elegíveis para estudo
- Adulto
Aceita Voluntários Saudáveis
Descrição
Inclusion Criteria:
- Adults aged 18 to 60 years. Clinically diagnosed with plantar fasciitis by a physician or physiotherapist. Experiencing heel pain for at least 4 weeks. Ability to stand and perform basic functional and balance tests. Willingness to participate and provide informed consent. Not currently receiving other structured physical therapy or cognitive training programs during the study period.
Exclusion Criteria:
- History of lower limb surgery or fractures affecting the foot or ankle. Presence of neurological disorders affecting balance or motor control (e.g., stroke, Parkinson's disease).
Systemic inflammatory or rheumatologic conditions (e.g., rheumatoid arthritis). Severe musculoskeletal deformities of the lower limb or foot. Recent corticosteroid injection in the heel region within the last 3 months. Current participation in other structured rehabilitation or exercise programs. Pregnancy (if applicable due to balance and biomechanical changes). Inability to understand or follow instructions related to the intervention.
Plano de estudo
Como o estudo é projetado?
Detalhes do projeto
- Finalidade Principal: Tratamento
- Alocação: Randomizado
- Modelo Intervencional: Atribuição Paralela
- Mascaramento: Solteiro
Armas e Intervenções
Grupo de Participantes / Braço |
Intervenção / Tratamento |
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Experimental: Cognitive Training Group
Participants in this group will receive a structured cognitive training program integrated with functional movement tasks.
The training will focus on improving attention, motor control, and sensorimotor integration through dual-task and task-oriented exercises designed to enhance postural control and functional stability.
Sessions will be conducted over the intervention period with progressive difficulty based on participant performance.
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Participants will receive a structured cognitive training program incorporating dual-task and task-oriented exercises.
The intervention focuses on enhancing attention, motor planning, and sensorimotor integration during functional activities.
Exercises are progressively advanced based on participant performance to improve postural control and functional stability.
Participants will perform a standardized stretching and strengthing program targeting the plantar fascia and associated lower limb muscles.
The intervention consists of static stretching exercises aimed at improving tissue flexibility, reducing muscle tightness, and supporting pain reduction.
Exercises will be performed in a controlled and consistent manner throughout the study period.
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Experimental: stretching and strengthing exercises
Participants in this group will receive a conventional stretching and strengthing exercise program targeting the plantar fascia and related lower limb muscles.
The exercises will focus on improving flexibility and reducing tissue tightness.
Stretching will be performed in a standardized manner over the intervention period.
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Participants will perform a standardized stretching and strengthing program targeting the plantar fascia and associated lower limb muscles.
The intervention consists of static stretching exercises aimed at improving tissue flexibility, reducing muscle tightness, and supporting pain reduction.
Exercises will be performed in a controlled and consistent manner throughout the study period.
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O que o estudo está medindo?
Medidas de resultados primários
Medida de resultado |
Descrição da medida |
Prazo |
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Pain by VAS
Prazo: at baseline and post treatment (4 weeks)
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Pain intensity will be assessed using the Visual Analogue Scale (VAS), a 10 cm scale ranging from 0 (no pain) to 10 (worst imaginable pain).
Participants will be asked to rate their current level of heel pain.
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at baseline and post treatment (4 weeks)
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functional disability
Prazo: at baseline and post treatment (4 weeks)
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Functional disability will be assessed using the Foot Function Index (FFI), which evaluates pain, disability, and activity limitation in individuals with foot disorders.
Higher scores indicate greater disability.
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at baseline and post treatment (4 weeks)
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static balance
Prazo: at baseline and post treatment ( 4 weeks)
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Static balance will be assessed using a standardized balance test (e.g., single-leg stance test).
Participants will be evaluated based on their ability to maintain a stable posture for a specified duration under controlled conditions.
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at baseline and post treatment ( 4 weeks)
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Colaboradores e Investigadores
Patrocinador
Investigadores
- Investigador principal: Sahar M Abdelmutilibe, PHD, Faculty of Physical Therapy, Beni Suef University, Cairo, Egypt
Datas de registro do estudo
Datas Principais do Estudo
Início do estudo (Real)
Conclusão Primária (Estimado)
Conclusão do estudo (Estimado)
Datas de inscrição no estudo
Enviado pela primeira vez
Enviado pela primeira vez que atendeu aos critérios de CQ
Primeira postagem (Real)
Atualizações de registro de estudo
Última Atualização Postada (Real)
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última verificação
Mais Informações
Termos relacionados a este estudo
Palavras-chave
Termos MeSH relevantes adicionais
Outros números de identificação do estudo
- FPTBSURE/0112/15426 (Identificador de registro: faculty of physical therapy , Beni- Suef University)
Plano para dados de participantes individuais (IPD)
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