Comparative Effects Of Post Isometric Relaxation And Positional Release Therapy On Pain, Range Of Motion And Cadence In Patient With Plantar Fasciitis.

Primary purpose of this research to evaluate the efficacy of Positional Release Therapy versus Post Isometric Relaxation in treating Plantar fasciitis symptoms such pain, ROM , and cadence.

A randomized double blinded clinical trial and parallel-group design of 36 patients.

Study 'll be conduct in Different Government schools.

Inclusion Criteria: School teachers,Male and female both , with unilateral PF & pain that persist more than 3 weeks .Windlass test positive , Age between 30 to 60 Exclusion Criteria: Patient with traumatic , nerve related issue ,NSAIDS user ,with any other musculoskeletal disorder of hip knee foot or fracture , with congenital deformities & using assistive devices

Both group 'll receive protocol along theragun on baseline. Group A PIR subject in supine position keeping knee extended and therapist on affected side in walking position. The subject's ankle joint will be dorsiflexed until a resistance feel and will ask to hold this position and exert 20% of force towards plantar flexion for a period of 5 to 7 seconds. Resistance will be released and relaxation of 5 seconds will be given during which the ankle will passively dorsiflexed to a new barrier. 5 repetitions. Group B PRT: Therapist places thumb on tender point at plantar fascia insertion while patient in supine position with ipsilateral knee flexed. Plantar flex the toes and ankle while monitoring sore site with thumb, curling around tender point until monitoring thumb feels relief. Supination/pronation of foot will be added if necessary. position of ease is maintained for 90 sec until the tissues soften. After returning the foot to a neutral position the tender spot is re-evaluated. process is repeated three times with 30-sec resting intervals between each repetition.

Pain ROM Cadence

As per the inclusion and exclusion criteria of the study , patients will be divided into two groups randomly by Random lottary method. The randomization process in this study followed a simple randomization method at the individual level. The unit of randomization was the individual participant, meaning that each participant was randomly assigned to either the PRT group or the PIR group. To ensure balance and control for potential confounding factors, randomization strata were used. These strata may have included factors such as age, gender, or severity of Plantar Fasciitis. By stratifying the randomization process, the goal was to create comparable groups with similar characteristics to minimize the influence of potential confounders on the study outcomes. To build the random sequence, patient divided into two groups randomly by Random lottary method. This random sequence helps to ensure that the allocation is unbiased and independent of any potential influence or bias from the researchers. Allocation concealment, a crucial component of randomization, involves preventing the researchers from knowing the group assignment before the randomization process takes place. This ensures that the allocation is concealed and not influenced by subjective factors or biases. Techniques such as sealed envelopes or secure online systems may have been used to achieve allocation concealment, ensuring that the researchers remain unaware of the group assignment until the randomization process is completed. By employing randomization, allocation concealment, and potentially stratified randomization, this study aimed to reduce bias and ensure the groups were comparable at baseline. These methods enhance the internal validity of the study, strengthening the validity of the comparative analysis between the PRT and PIR groups.

The patients taking part in the study would be blinded, they would not be able to know the group they have been allocated to, either Post -Isometric Relaxation Techniques or Positional Release Therapy. Principal investigator, who is responsible for the overall conduct and supervision of the study, is also blinded in a double-blind trial. In investigator-initiated trials, the principal investigator may have a vested interest in the study outcomes. By blinding the principal investigator, the risk of conscious or unconscious bias in data interpretation and analysis is minimized.

Comparative effects of Post Isometric Relaxation and Positional Release therapy on Pain, Range of motion and Cadence in patient with plantar fasciitis. All collected identified IPD

Data will be available after the completion of study and will remain available till 6 months

Data will be available for other people almost 6 months after the completion of study

The data/document could be used by communicating with the principle investigator Rabia Khan gmail : rabisandhu4549@gmail.com

Rabia Khan rabisandhu4549@gmail.com

The data/document could be used by communicating with the principle investigator Rabia Khan rabisandhu4549@gmail.com