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NCT Number: NCT05424341

Effects Of Muscle Energy Versus Counter Strain Technique on Pain, Function and Satisfaction Level in Planter Fasciitis

Previous studies has discussed the effects of muscle energy technique and counterstrain technique in upper trapezius and low back pain but no comparative study is found on planter fasciitis patients. In this study we are going to compare the effects of muscle energy technique and counterstrain technique with routine physical therapy in relation with pain, functional status and satisfaction level in planter fasciitis patients

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Key information

Conditions

Plantar Fasciitis Behavior Fasciitis Fasciitis, Plantar Foot Diseases Musculoskeletal Diseases Neurologic Manifestations Pain Pathological Conditions, Signs and Symptoms Personal Satisfaction Signs and Symptoms

Age range

20 year–68 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

The University of Lahore

Lahore, Punjab Province, 54000, Pakistan

About this study

Heel pain is one of the most prevalent musculoskeletal diseases of the lower limb, affecting both physically active and sedentary people. Amongst the possible causes, planter fasciitis is one of the most common cause of heel pain.

Planter fasciitis is a degenerative syndrome resulting from the repeated injury at its origin on the calcaneus. Its most common symptom is discomfort in the plantar area of the foot and, more specifically, in the inferior part of the heel. It is frequently more intense while taking your first steps in the morning or after a period of physical inactivity, and it worsens with prolonged standing or weight-lifting activities. It is not frequently linked to nocturnal discomfort or paresthesia.

Different physiotherapy treatment conventions help in pain relieving for example, rest, taping, stretching, orthosis-night brace, Silicon heel cups and myofascial release. This study will compare the effects of Muscle Energy Technique versus Counterstrain Technique in patients with plantar Fasciitis.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Age 20 to 68 years.
  • Both male and female.
  • Patients are clinical diagnosed by the orthopedic surgeon.
  • Patients present with pain that persist for more than 4 weeks in heel and planter surface of foot.
  • Pain with the first steps after inactivity

Exclusion criteria

  • • Patients with history of ankle and foot fracture.
  • Congenital or acquired deformity of ankle and foot.
  • Patients with arthritis.
  • Pervious history of surgery for planter fasciitis.
  • Patients use an assistive device for walking.
  • Patients use corticosteroid injection in heel.

Treatment and study plan

Muscle Energy Technique

Other

For Gastrocnemius muscle, subject will be in supine position keeping knee fully extended and therapist on affected side in walking position. The subject's ankle joint will be dorsiflexed until a resistance feel and will ask to hold this position and exert 20% of force towards plantar flexion for a period of 5 to 7 seconds. Resistance will be released and relaxation of 5 seconds will be given during which the ankle will was passively dorsiflexed to a new barrier. 5 repetitions will be given.

Counterstrain technique

Other

Therapist places thumb on tender point at plantar fascia insertion while patient in supine position with ipsilateral knee flexed. Plantar flex the toes and ankle while monitoring sore site with thumb, curling around tender point until monitoring thumb feels symptomatic relief. Supination/pronation of foot will be added if necessary. The position of ease will be maintained for 90 secs until tissues beneath monitoring thumb softens. Tender spot is re-evaluated once the foot is returned to neutral without moving the thumb. It will be repeated 3 times for 30 secs resting interval in-between

Other names: Spontaneous Release by Positioning

Primary outcomes

  1. Pain Intensity

    Time frame: Change in pain intensity will be measured at baseline, at end of first week, at end of second week

    Pain intensity will be measured by Visual Analogue Scale (VAS)

  2. Function

    Time frame: Change in Functional Status will be measured at baseline, at end of first week, at end of second week

    Functional status will be measured by Foot and Ankle Ability Measure (FAAM)

  3. Satisfaction Level

    Time frame: Level of satisfaction will be observed at end of First Session, at end of first week, at end of second week

    Satisfaction level will be measured by Short-Form Patient Satisfaction Questionnaire (PSQ-18)

Sponsors and collaborators

Lead sponsor

University of Lahore

Other

Registry information

Official study title

Comparative Effects Of Muscle Energy Technique And Counter Strain Technique On Pain, Functional Status And Satisfaction Level In Planter Fasciitis Patients

Important dates

Study start
2022
Primary completion
2022
Study completion
2022
First posted
Jun 21, 2022
Registry last updated
Apr 7, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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