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Plantar FascitisNCT05856019

Effects of J Stroke Myofascial Release in Patients With Planter Fasciitis

A study testing J Stroke Myofascial Release and Ischemic Release on Gastrocnemius through Dry Cupping in people with Plantar Fascitis, run by Riphah International University at 1 site in Pakistan.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of the study is to compare the effects of j stroke myofascial release on planter fascia versus ischemic release on gastrocnemius in patients with planter fasciitis. Read more about this study

Who is it for?
Ages 18 to 60 years
Conditions the study is for
Plantar Fascitis
What is being tested?
J Stroke Myofascial Release and Ischemic Release on Gastrocnemius through Dry Cupping
Could I receive a placebo?
No, everyone receives an active treatment
How many people
40 participants
Where
1 sitePakistan
Study dates
1 May 2023to 1 Aug 2023
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 60 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Age 18-60years
  • Both Genders
  • Chronic pain
  • Heel pain with current and previous diagnosis of planter faucitis
  • Unilateral planter fascia involvement
  • Mild to moderate heel pain with NPRS pain score value between 2-6

Who cannot join

  • Recent surgery to ankle joint
  • Impaired sensations
  • Open wound
  • Peripheral vascular disease
  • Recent fractures (<6 months)

Trial locations and contacts

1 site in 1 country.

Pakistan1 site

  • Ortho-Med Clinic

    Lahore, Punjab Province

Other trials in Pakistan

About this study

Official title: Effects of J Stroke Myofascial Release on Plantar Fascia Versus Ischemic Release on Gastrocnemius in Patients With Planter Fasciitis

The purpose of the study is to compare the effects of j stroke myofascial release on planter fascia versus ischemic release on gastrocnemius in patients with planter fasciitis.

Read the detailed description

Planter fasciitis is commonly occur in athletes and females who wear flat shoes. It is caused by the loss of planter fascia flexibility that leads to mechanical overloading of fascial structures. There are some risk factors that are important to consider include age, leg length difference, inadequate footwear, inappropriate walking and running patterns and increased planter fascia thickness. Planter fascia thickness more than 4mm can be considered as an indicative of planter fasciitis.

Myofascial soft tissue mobilization is a low load, long duration stretch to the myofascial complex technique that is given in both acute and chronic conditions which in caused by tightness and soft tissue restriction in the patients with planter fasciitis to restore length, decrease pain and to improve function.

Cupping therapy on gastrocnemius is a medical technique that applies negative pressure over pain areas and pressure points that alleviates pain and improve blood circulation. it could be low-cost and convenient alternative technique to treat planter fasciitis.

Being tested
J Stroke Myofascial Release, Ischemic Release on Gastrocnemius through Dry Cupping
Keywords
planter fascitis, J stroke myofascial release, Ischemic release on gastrocnemius

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • J Stroke Myofascial ReleaseOther

    Group A will receive J stroke myofascial release on planter fascia (with hot pack for 10-15 minutes on calf) 3 sessions per week for 4 weeks.

  • Ischemic Release on Gastrocnemius through Dry CuppingOther

    Group B will ischemic release on gastrocnemius (with hot pack for 10-15 minutes on calf) 3 sessions per week for 4 weeks.

Study groups in NCT05856019
Study groupRoleWhat they receive
J Stroke Myofascial ReleaseExperimentalPatient is in prone lying position with foot supported. Pressure is applied with the heel of the opposite hand, while a stroke in the shape of the letter J is applied in the direction of the restriction, with two or three fingers, which creates some torque at the end. Myofascial Release techniques will be performed for 20 repetitions.
Receives: Other: J Stroke Myofascial Release
Ischemic Release on Gastrocnemius through Dry CuppingActive comparatorDry cupping will provided to the subjects thrice a week for 4 weeks in the dry cupping therapy group, a plastic cupping bell will be used. Cups will applied to the painful site for 10 minutes in each session. A manual hand pump was used to create the vacuum for suction. The intensity of the vacuum will based on subject tolerance.
Receives: Other: Ischemic Release on Gastrocnemius through Dry Cupping

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. NPRS

    Numeric Rating Scale (NPRS) is most frequently used instruments to measure the intensity of ankle pain with an 11-point numerical pain rating scale (NPRS), where 0 is the absence of pain and 10 represents maximum pain. 1-3 representing Mild Pain (nagging, annoying, interfering little with ADLs), 4-6 representing Moderate Pains (interferes significantly with ADLs), 7-10 representing Sever Pain (disabling, unable to perform ADLs).

    Measured: 1st day, 2nd week, 4th week

Secondary outcomes (2)

  1. FFI

    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. The FFI should prove useful for both clinical and research purposes

    Measured: 1st day, 2nd week, 4th week

  2. Goniometer

    Goniometers are commonly used to determine ROM of the ankle joint. Goniometers are considered valid and reliable clinical tools for assessing range of motion of joints of the extremities

    Measured: 1st day, 2nd week, 4th week

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted12 May 2023
  2. Study start1 May 2023
  3. Primary completion1 Aug 2023
  4. Study completion1 Aug 2023

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Participant
Enrolment
40 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05856019
Sponsor's protocol ID
REC/RCR & AHS/23/0122
Status last verified
Dec 2023
First submitted
4 May 2023
Last updated
29 Dec 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Akter S, Hossain MS, Hossain KMA, Uddin Z, Hossain MA, Alom F, Kabir MF, Walton LM, Raigangar V. Comparison of Structural Diagnosis and Management (SDM) approach and MyoFascial Release (MFR) for improving plantar heel pain, ankle range of motion and disability: A randomized clinical trial. J Man Manip Ther. 2024 Aug;32(4):368-377. doi: 10.1080/10669817.2023.2214020. Epub 2023 May 24.

    PubMed 37222021

  • Karagounis P, Tsironi M, Prionas G, Tsiganos G, Baltopoulos P. Treatment of plantar fasciitis in recreational athletes: two different therapeutic protocols. Foot Ankle Spec. 2011 Aug;4(4):226-34. doi: 10.1177/1938640011407320.

    PubMed 21868796

  • Malik S, Anand P, Bhati P, Hussain ME. Effects of dry cupping therapy on pain, dynamic balance and functional performance in young female with recreational runners chronic plantar fasciitis. Sports Orthopaedics and Traumatology. 2022;38(2):159-70.

  • Tamboli U, Patil C. Effect of myofascial release with lower limb strengthening on plantar fasciitis. International Journal of Physical Education, Sports and Health. 2021;8(1):27-31.

  • Vijayakumar M, Jaideep A, Khankal R, Gazbare P, Abraham B. Effectiveness of compressive myofascial release vs instrument assisted soft tissue mobilization in subjects with active trigger points of the calf muscle limiting ankle dorsiflexion. Int J Health Sci Res. 2019;9(4):98-106.

  • Farooq N, Aslam S, Bashir N, Awan WA, Shah M, Irshad A. Effectiveness of transverse friction massage of Flexor digitorum brevis and Calf muscle stretching in Plantar fasciitis on foot function index scale: A randomized control trial. Isra Med J. 2019;1(4):305-9.

  • Prakash S, Misra A. Effect of manual therapy versus conventional therapy in patients with plantar fasciitis-a comparative study. Int J Physiother Res. 2014;2(1):378-82.

  • Armagan Alpturker K, Cerrahoglu ABL, Orguc IS. Evaluation Effects of Laser Therapy and Extracorporeal Shock Wave Therapy with Clinical Parameters and Magnetic Resonance Imaging for Treatment of Plantar Fasciitis in Patients with Spondyloarthritis: A Randomized Controlled Trial. Int J Rheumatol. 2020 Aug 27;2020:4386361. doi: 10.1155/2020/4386361. eCollection 2020.

    PubMed 32908536

Questions about this trial

What is this clinical trial studying?

A study testing J Stroke Myofascial Release and Ischemic Release on Gastrocnemius through Dry Cupping in people with Plantar Fascitis, run by Riphah International University at 1 site in Pakistan.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 29 Dec 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Pakistan. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

NPRS (time frame: 1st day, 2nd week, 4th week). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05856019, which also lists 8 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Dec 2023.

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