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Chronic plantar fasciitis (CPF) is the most common cause of chronic heel pain in adults, affecting both young active patients and older, more sedentary individuals. It results from chronic overload of the plantar fascia. This overload may be due to overuse, as seen in runners and military personnel, or due to excessive loading in individuals with obesity (body mass index >30), sedentary lifestyles, or occupations that require prolonged standing.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Positional release technique | Experimental | Positional release technique in addition to exercises in form of stretching exercises for plantar fascia, gastrocnemius, soleus muscles, and short foot exercise (study group) The treatment protocol will be two sessions. given per week for 4 weeks. |
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| Traditional exercises (control group) | Experimental | Traditional exercises (control group), traditional exercises in form of stretching exercises for plantar fascia, gastrocnemius, soleus muscles, and short foot exercise The treatment protocol will be two sessions. given per week for 4 weeks. |
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| Instrument assisted soft tissue mobilization | Experimental | Instrument-assisted soft tissue mobilization in addition to exercises (study group) in form of stretching exercises for plantar fascia, gastrocnemius, soleus muscles, and short foot exercise |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Instrument assisted soft tissue mobilization | Procedure | The treatment protocol will be two sessions. given per week for 4 weeks. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Pain intensity level assessed by Numeric Pain Rating Scale (NPRS) | Pain intensity level assessed by Numeric Pain Rating Scale. A scale ranging from 0 (no pain) to 10 (worst imaginable pain). Higher scores indicate greater pain intensity. | Baseline and after 8 sessions (approximately 4 weeks) |
| Range of motion | A digital goniometer is used for the assessment of ankle dorsiflexion, plantar flexion range of motion, and knee flexion range of motion. | Baseline and after 8 sessions (approximately 4 weeks) |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Physical Therapy | Port Said | Port Said Governorate | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 18524985 | Background | Neufeld SK, Cerrato R. Plantar fasciitis: evaluation and treatment. J Am Acad Orthop Surg. 2008 Jun;16(6):338-46. doi: 10.5435/00124635-200806000-00006. |
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Individual participant data (IPD) will not be shared due to privacy concerns and limitations in data-sharing agreements.
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| Positional release | Procedure | The treatment protocol will be two sessions. given per week for 4 weeks. |
|
| Exercises | Procedure | The treatment protocol will be two sessions. given per week for 4 weeks. |
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| ID | Term |
|---|---|
| D036981 | Fasciitis, Plantar |
| ID | Term |
|---|---|
| D005208 | Fasciitis |
| D009140 | Musculoskeletal Diseases |
| D005534 | Foot Diseases |
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| ID | Term |
|---|---|
| D015444 | Exercise |
| ID | Term |
|---|---|
| D009043 | Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
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