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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.
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:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Standard treatment + Sham Dry needling | Active Comparator | Participants will receive standard treatment of plantar facitis along with sham dry needling |
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| Standard treatment + Dry needling | Experimental | Participants will receive standard treatment of plantar facitis along with dry needling |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Standard treatment | Procedure | 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 |
| Measure | Description | Time Frame |
|---|---|---|
| Pain intensity | Pain will be measured on Numerical Pain rating scale. The 11-point numeric scale ranges from '0' representing one pain extreme (e.g. "no pain") to '10' representing the other pain extreme (e.g. "pain as bad as you can imagine" or "worst pain imaginable"). | 3 weeks |
| The Foot and Ankle Ability Measure (FAAM) | It is a self-report outcome instrument developed to assess physical function for individuals with foot and ankle related impairments .The response to each item on the ADL subscale is scored from 4 to 0, with 4 being 'no difficulty' and 0 being 'unable to do' | 3 weeks |
| Gait speed: | Gait speed = Distance (m) / time (s) | 3 weeks |
| Cadence | Cadence (steps/min) = steps counted x 60 / time (s) | 3 weeks |
| Cycle length | Cycle time (s) = time (s) x 2/steps counted | 3 weeks |
| Stride length | SL (m) = speed (m/s) x cycle time (s) | 3 weeks |
| Range of motion | Ankle range will be measured with goniometer | 3 weeks |
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Inclusion criteria:
Exclusion criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Areeba Michelle, MS-MSKPT* | Contact | 0334-8546616 | aribaa.michelle@gmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Foundation University College of Physical Therapy | Recruiting | Rawalpindi | Punjab Province | 46000 | Pakistan |
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Randomized control trial
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| Sham Dry needling | Procedure | 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. |
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| Dry needling | Procedure | 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 aching, tingling, deep pressure, heaviness or warmth. The needles will then left in situ for 5 minutes. |
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| ID | Term |
|---|---|
| D000079245 | Dry Needling |
| ID | Term |
|---|---|
| D000529 | Complementary Therapies |
| D013812 | Therapeutics |
| D026741 | Physical Therapy Modalities |
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