Additional Effects of Dry Needling With Conventional Physical Therapy Versus Conventional Physical Therapy in Plantar Fasciitis: a Randomized Control Trial

Обзор

This study is a randomized controlled trial and the purpose of this study is to determine the effects of dry needling with conventional physical therapy versus conventional physical therapy on gait parameters in plantar fasciitis: a randomized control trial.

Подробное описание

The purpose of this study is to determine the effects of dry needling with conventional physical therapy versus conventional physical therapy on gait parameters in plantar fasciitis Outcomes variables of Pain , Ankle ROM, gait parameters and activities of daily living in adults (age : 40-60 years ) will be determined using:

1. Numeric pain rating scale 2. Goniometer 3. 30 meter walk test 4. foot and ankle ability measure FAAM Data will be before and after the intervention protocol for each participant. Data collection procedure: Participants of interest would be approached and explained about the research. Informed written consent will be taken. Pre and post intervention scores will be recorded.

Вмешательства

• Процедура Standard treatment
  All participants received up to six treatment sessions at a frequency of twice per week over a 3-week period i.e. ultrasound (0.5 W/cm² of 3 MHz for 5 minutes over plantar aspect of foot), stretching exercises and strengthening exercises. The exercise pro
• Процедура Sham Dry needling
  The sham dry needling group will also receive 6 sessions of sham dry needling on soleus, quadratus plantae, flexor digitorum brevis, and abductor halluces muscles for 5 minutes.Sterilized disposable stainless steel acupuncture needles of 0.25mm x 30mm will be used with depth of 20-55mm.The plantar and medial surface of the foot and ankle will be cleaned with alcohol. The sham dry needling will be performed for 5 minutes.
• Процедура Dry needling
  The dry needling group will receive 6 sessions of dry needling using a standardized trigger point protocol on soleus, quadratus plantae, flexor digitorum brevis, and abductor halluces muscles for 5 minutes. Sterilized disposable stainless steel acupuncture needles of 0.25mm x 30mm will be used with depth of 20-55mm. The calf, plantar and medial surface of the foot and ankle will be cleaned with alcohol. Following insertion, needles will be manipulated bi-directionally to elicit a sensation of ac

Первичные конечные точки

• Pain intensity [Срок оценки: 3 weeks]
• The Foot and Ankle Ability Measure (FAAM) [Срок оценки: 3 weeks]
• Gait speed: [Срок оценки: 3 weeks]
• Cadence [Срок оценки: 3 weeks]
• Cycle length [Срок оценки: 3 weeks]
• Stride length [Срок оценки: 3 weeks]
• Range of motion [Срок оценки: 3 weeks]

Критерии участия

Критерии включения

• Age 40-60 years
• Both genders
• Plantar heel pain for longer than 3 months
• Pain score at least or less than 8 on the numeric pain (NPRS)
• Clinical diagnosis of unilateral PF in accordance with the clinical practice guidelines from the Orthopaedic Section of the American Physical Therapy Association APTA:
• Plantar medial heel pain: most noticeable with initial steps after a period of inactivity but also worse following prolonged weight bearing
• Heel pain precipitated by a recent increase in weight bearing activity
• Pain with palpation of the proximal insertion of the plantar fascia
• Positive windlass test
• Negative tarsal tunnel tests
• Limited active and passive talocrural joint dorsiflexion range of motion
• Abnormal foot posture index score
• High body mass index in nonathletic individuals

Критерии исключения

• Positive ankle drawer tests
• Pregnant womwn, mental illness, immune suppressed patients, thrombocytopenia, anti-coagulant therapy patients and post-mastectomy
• Congenital abnormalities of foot
• A history of surgery to the ankle, foot or lower leg
• Other causes of heel pain (including tarsal tunnel syndrome, calcaneal fracture, ankle or foot instability, arthritis of the foot or ankle, rheumatoid arthritis, spondyloarthropathy, gout,peripheral neuropathy )
• Presented with 2 or more positive neurologic signs consistent with nerve root compression

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Лечение

Центры проведения

Пакистан · 1 центр

• Foundation University College of Physical Therapy — Rawalpindi

Идентификаторы

NCT: NCT06706531 · FUI/CTR/2024/53

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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