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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.

Studieöversikt

Detaljerad beskrivning

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.

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

Studera Kontakt Backup

Studieorter

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

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

Nej

Beskrivning

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

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: Ingen (Open Label)

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Experimentell: 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.

Experimentell: 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.

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Pain Intensity
Tidsram: 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

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Plantar Pressure Distribution
Tidsram: 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
Tidsram: 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

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Utredare

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

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.

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 (Beräknad)

28 juli 2026

Primärt slutförande (Beräknad)

30 oktober 2026

Avslutad studie (Beräknad)

20 november 2026

Studieregistreringsdatum

Först inskickad

9 juli 2026

Först inskickad som uppfyllde QC-kriterierna

9 juli 2026

Första postat (Faktisk)

14 juli 2026

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

14 juli 2026

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

9 juli 2026

Senast verifierad

1 juli 2026

Mer information

Termer relaterade till denna studie

Plan för individuella deltagardata (IPD)

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NEJ

Läkemedels- och apparatinformation, studiedokument

Studerar en amerikansk FDA-reglerad läkemedelsprodukt

Nej

Studerar en amerikansk FDA-reglerad produktprodukt

Nej

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