Comparison of Ergon Instruments-Assisted Soft Tissue Mobilization With Compressive Myofascial Release

Study Comparing the Effectiveness of Ergon Instruments-Assisted Soft Tissue Mobilization Techniques With Compressive Myofascial Release for Plantar Fasciitis: A Randomised Clinical Trial

The objective of this study is to investigate the effects of Virtual Reality and Motor Imagery along with Routine Physical Therapy in motor function and balance in patients with Parkinson disease.

This randomized control trial is the single blinded, single centered study. Standard Protocol Items: Recommendations for Interventional Trials guidelines are used as study protocol. Sixty three patients of Parkinson Disease (Modified Hoehn and Yahr stages I-III) will randomly allocate into three groups.

Group A will be given a 60 min session of Virtual Reality along with Routine Physical Therapy.

Group B will be given a 60 min session of Motor Imagery along with Routine Physical Therapy.

Group C will be given a 40 min session of Routine Physical Therapy and after a short period of rest,20 min for walking and cycling.

These treatment sessions will be given to each group at every alternative day (3 days per week) for 12 weeks.

Outcome measures are

1. Berg Balance Scale
2. Activities Specific Balance Confidence Scale
3. The Unified Parkinson Disease Rating Scale (part III) The Assessments will be recorded at baseline, at 6th and 12th weeks of therapy, and after one month of discontinuation of therapy.

Inclusion Criteria:

• Inability to achieve 20 degrees of active dorsiflexion,
• Heel pain,
• Mid foot pain,
• Heal swelling,
• Mid foot swelling,
• Achilles' tendon tightness diagnosed on the base of Windlass test

Exclusion Criteria:

• Recent foot injury,
• Fracture,
• Infections,
• Surgical procedures,
• Tendon injury,
• Hypermobility,
• Neuromuscular disorders,
• Impaired sensation,
• Open sores,
• Skin disease,
• Active deep vein thrombosis or thrombophlebitis,
• Bruises,
• Varicose veins,
• Burn scars