Effects of Deep Transverse Friction Massage and Instrument Assisted Soft Tissue Mobilization in Plantar Fasciitis.
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: DEEP TRANSVERSE FRICTION MASSAGE, INSTRUMENT ASSISTED SOFT TISSUE MOBILIZATION TECHNIQUES.
- Who it may be relevant to
- Registry conditions: Plantar Fascitis. Basic parameters: 18 years — 40 years · Female.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Pakistan
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Comparative Effects of Deep Transverse Friction Massage and Instrument Assisted Soft Tissue Mobilization Techniques on Pain Intensity, Disability and Functional Capacity in Plantar Fasciitis.
Overview
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.
Detailed description
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.
Interventions
- Other DEEP TRANSVERSE FRICTION MASSAGE
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 - Other INSTRUMENT ASSISTED SOFT TISSUE MOBILIZATION TECHNIQUES
• 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
Primary outcome measures
- Numeric Pain Rating Scale (NPRS) [Time frame: 6th week]
- Foot Function Index (FFI) [Time frame: 6th week]
- 6 min walk test (6MWT) [Time frame: 6th week]
Eligibility criteria
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
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Treatment
Study locations
Pakistan · 1 center
- Riphah medical center — Lahore
Publications
- Sahr ME, Grunebaum A, Positano RC, Nwawka OK, Chervenak FA, Positano RG. Common foot and ankle disorders in pregnancy: the role of diagnostic ultrasound. J Perinat Med. 2024 Aug 27;52(7):674-687. doi: 10.1515/jpm-2024-0276. Print 2024 Sep 25. PMID 39213647
- Foraldy J, Jehosua S, Momole A, Tumewah R, Runtuwene T, Wariki WMV. Plantar Fascia Thickness Difference Between Pregnant and Nulliparous in Indonesia. J Med Ultrasound. 2024 Nov 30;32(4):323-328. doi: 10.4103/jmu.jmu_142_23. eCollection 2024 Oct-Dec. PMID 39801557
- 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, Sayli U, Subasi F. Extracorporeal Shockwave Therapy Versus Graston Instrument-Assisted Soft-Tissue Mobilization in Chronic Plantar Heel Pain: A Randomized Controlled Trial. J Am Podiatr Med Assoc. 2022 Nov-Dec;112(6):21-036. doi: 10.7547/21-036. PMID 36125974
- 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.
Identifiers
NCT: NCT07576192 · REC/RCR & AHS/25/0501