Effects of Deep Transverse Friction Massage and Instrument Assisted Soft Tissue Mobilization in Plantar Fasciitis.
4 maj 2026 uppdaterad av: Riphah International University
Comparative Effects of Deep Transverse Friction Massage and Instrument Assisted Soft Tissue Mobilization Techniques on Pain Intensity, Disability and Functional Capacity in Plantar Fasciitis.
The objective of study is to compare the pain intensity, disability and functional capacity by Deep Transverse Friction Massage and Instrument Assisted Soft Tissue Mobilization Techniques in patients with plantar fasciitis.
Studieöversikt
Status
Rekrytering
Betingelser
Intervention / Behandling
Detaljerad beskrivning
This randomized clinical trial will be conducted at Ghurki Trust and Teaching Hospital and Jinnah Hospital, Lahore.
The study will target pregnant females aged 18 to 40 years who are clinically diagnosed with plantar fasciitis using the Windlass test.
Exclusion criteria include a history of ankle or foot fracture or surgery within the past six months, as well as any neurological deficits.
A total of 52 participants will be recruited using the non-probability convenience sampling technique and randomly assigned into two equal groups.
Participants in both groups will receive the same baseline treatment.
Group A will receive Deep Transverse Friction Massage (DTFM), while Group B will receive Instrument Assisted Soft Tissue Mobilization Techniques (IASTMT).
The study aims to compare the effectiveness of these two manual therapy techniques on pain intensity, disability, and functional capacity.
The Numeric Pain Rating Scale (NPRS) will be used to assess pain levels.
Disability will be evaluated using the Foot Function Index (FFI), and the 6-Minute Walk Test (6MWT) will be employed to measure functional capacity.
Data collected from participants will be entered and statistically analyzed using SPSS version 21 to determine the comparative effectiveness of the two treatment approaches in managing plantar fasciitis during pregnancy.
Studietyp
Interventionell
Inskrivning (Beräknad)
52
Fas
- Inte tillämpbar
Kontakter och platser
Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.
Studiekontakt
- Namn: Imran Amjad
- Telefonnummer: 03324390125
- E-post: Imran.amjad@riphah.edu.pk
Studieorter
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Punjab Province
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Lahore, Punjab Province, Pakistan, 6400
- Rekrytering
- Riphah medical center
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Kontakt:
- sobia ghafoor, MSPT-OM
- Telefonnummer: 03214979172
- E-post: Sobia.physio@gmail.com
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Huvudutredare:
- Barera Fatima, MSPT(WH)
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-
Deltagandekriterier
Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.
Urvalskriterier
Åldrar som är berättigade till studier
- Vuxen
Tar emot friska volontärer
Ja
Beskrivning
Inclusion Criteria:
- Pregnant females Second trimester 12th to 34th week
- Multiparous
- Plantar fasciitis diagnoses with Windlass test
- NPRS pain level 3 to 7
Exclusion Criteria:
- History of ankle and foot fractures
Surgery in previous 6 months
- Neurologic deficit High risk pregnancy
- Previous manual therapy interventions for the foot region
- Those who previously received systemic or local steroid injection within 3 months or locally injected with any other material
- Dermatological disease i.e; injury, trauma, foot ulcer over the foot
Studieplan
Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Behandling
- Tilldelning: Randomiserad
- Interventionsmodell: Parallellt uppdrag
- Maskning: Enda
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
|---|---|
|
Experimentell: DEEP TRANSVERSE FRICTION MASSAGE
Deep friction massage (DFM), also known as cross friction massage, is a specific connective tissue massage
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12 sessions total (approx.1 and half month) and 2 sessions per week with mild to moderate manual pressure.
15 - 20 min per session will be given to patient for 6 weeks
|
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Experimentell: INSTRUMENT ASSISTED SOFT TISSUE MOBILIZATION TECHNIQUES
ASTM techniques involve the use of specialized instruments to manipulate soft tissue structures.
These instruments are designed to provide an efficient detection of soft tissue dysfunction and accurate application of force during treatment.
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• 12 sessions total, (approximately 1 and half month) and 2 sessions per week.
Low to moderate pressure with tool will applied for 15 - 20 min per session for 6 weeks
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Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Numeric Pain Rating Scale (NPRS)
Tidsram: 6th week
|
The Numeric Pain Rating Scale (NPRS) was employed to evaluate pain intensity for all participants in both groups prior to and following the 8-week intervention program.
This is 11-point (0-10) self-reporting tool is presented as a 10-cm horizontal line where 0 indicates no pain, 1-3 signifies mild pain, 4-6 represents moderate pain, and 7-10 denotes severe pain.
The maximum value corresponds to the worst pain, while the minimum value indicates the absence of pain.
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6th week
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Foot Function Index (FFI)
Tidsram: 6th week
|
A Foot Function Index (FFI) was developed to measure the impact of foot pathology on function in terms of pain, disability and activity restriction.
The FFI is a self-administered index consisting of 23 items divided into 3 sub-scales.
Both total and sub-scale scores are produced.
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6th week
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6 min walk test (6MWT)
Tidsram: 6th week
|
used to determine functional ability.
The individual walked swiftly for six minutes along a 100-foot hallway, recording the distance travelled in total.
If a person with plantar fasciitis has pain or discomfort in the foot during the test, it can suggest the presence of the condition.
During the 6-minute walk test, look for indicators of plantar fasciitis as follows.
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6th week
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Samarbetspartners och utredare
Det är här du hittar personer och organisationer som är involverade i denna studie.
Sponsor
Utredare
- Huvudutredare: sobia ghafoor, MSPT-OM, Riphah International University
Publikationer och användbara länkar
Den som ansvarar för att lägga in information om studien tillhandahåller frivilligt dessa publikationer. Dessa kan handla om allt som har med studien att göra.
Allmänna publikationer
- Sahr ME, Grünebaum A, Positano RC, Nwawka OK, Chervenak FA, Positano RG. Common foot and ankle disorders in pregnancy: the role of diagnostic ultrasound. Journal of perinatal medicine. 2024;52(7):674-87
- Foraldy J, Jehosua S, Momole A, Tumewah R, Runtuwene T, Wariki WMV. Plantar Fascia Thickness Difference Between Pregnant and Nulliparous in Indonesia. Journal of Medical Ultrasound. 2024;32(4):323-8.
- Khairy E, Esmail A, Amin FS, Qudahh MA, Zahran MR. Integrated Neuromuscular Inhibition Technique versus Instrument Assisted Soft Tissue Mobilization in Patients with Chronic Plantar Fasciitis. Egyptian Journal of Hospital Medicine. 2024;96(1):2570-7.
- Pisirici P, Cil ET, Coskunsu DK, Saylı U, Subasi F. Extracorporeal shockwave therapy versus graston instrument-assisted soft-tissue mobilization in chronic plantar heel pain: a randomized controlled trial. Journal of the American Podiatric Medical Association. 2022;112(6).
- Gala M, Kulkarni P, Kumar A. Comparison of immediate effect of plantar fascia release by roller massager and transverse friction massage on hamstring flexibility in desk job workers. Int J Physiother Res. 2021;9:3954-9.
Studieavstämningsdatum
Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.
Studera stora datum
Studiestart (Faktisk)
1 oktober 2025
Primärt slutförande (Beräknad)
1 juni 2026
Avslutad studie (Beräknad)
1 juli 2026
Studieregistreringsdatum
Först inskickad
4 maj 2026
Först inskickad som uppfyllde QC-kriterierna
4 maj 2026
Första postat (Faktisk)
8 maj 2026
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
8 maj 2026
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
4 maj 2026
Senast verifierad
1 maj 2026
Mer information
Termer relaterade till denna studie
Nyckelord
Andra studie-ID-nummer
- REC/RCR & AHS/25/0501
Plan för individuella deltagardata (IPD)
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NEJ
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