Comparing the Effects of Integrated Neuromuscular Inhibition Technique versus Percussive Massage along with Stretching in Plantar Fasciitis: A Randomized Clinical Trial
Assessing the comparative effect of integrated neuromuscular inhibition technique and percussive massage with stretching on pain, function and balance of patients with plantar fasciitis.
Design
Randomized clinical trial
Settings and conduct
THQ hospital Jaranwala and Khidmat e Insani hospital Jaranwala
Participants/Inclusion and exclusion criteria
Inclusion: Age of 25 to 40 Y, Heel pain untreated for less than 6 months, Subjects with plantar fasciitis diagnosed by Windlass test, Pain on medial tubercle of calcaneus.
Exclusion: Recent lower limb fractures and arthrosis, congenital deformity of foot, ankle sprain, calcaneal spurs on medial side of calcaneum, fibromyalgia syndrome, Rheumatoid arthritis, pregnant and tarsal tunnel syndrome
Intervention groups
Group A will receive Percussive Massage with Stretching Group B will receive Integrated Neuromuscular Inhibition Technique
Comparing the Effects of Integrated Neuromuscular Inhibition Technique versus Percussive Massage along with Stretching in Plantar Fasciitis: A Randomized Clinical Trial
Public title
Comparing the Effects of Integrated NeuromuscularInhibition Technique versus Percussive Massage alongwith Stretching in Plantar Fasciitis: A RandomizedClinical Trial
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Heel pain untreated for less than 6 months as a result of irritated plantar fasci withtrigger point in calf muscles.
Subjects with plantar fasciitis diagnosed by Windlass test and those with positive testwere included
Those who have a history of experiencing heel pain when taking their first few steps inthe morning or after prolonged non-weight bearing activities
Pain on medial tubercle of calcaneus
Subjects ranging between the age of 25 to 40 y
Exclusion criteria:
History of recent foot and ankle and lower limb fractures
Arthrosis of the ankle, knee, and hip
Patients with referred pain like sciatica or any other neurological cause will also beexcluded
Patients with any congenital deformity of foot
Patient with any degree of ankle sprain
Patient with calcaneal spurs on medial side of calcaneum
Patients with fibromyalgia syndrome or Rheumatoid arthritis
Patients who were pregnant
Patients with tarsal tunnel syndrome
Age
From 25 years old to 40 years old
Gender
Both
Phase
N/A
Groups that have been masked
Outcome assessor
Data analyser
Sample size
Target sample size:
34
Randomization (investigator's opinion)
Randomized
Randomization description
Randomization through lottery method
Blinding (investigator's opinion)
Single blinded
Blinding description
Outcome assessor will be blind in this clinical tria
Placebo
Not used
Assignment
Other
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
The University of Faisalabad
Street address
west canal, Faisalabad
City
Faisalabad
Postal code
38000
Approval date
2025-12-20, 1404/09/29
Ethics committee reference number
TUF/EIRB/147/25
Health conditions studied
1
Description of health condition studied
Plantar Fasciitis
ICD-10 code
M72.2
ICD-10 code description
Plantar Fasciitis
Primary outcomes
1
Description
Foot Pain
Timepoint
pain will be measured three times. Before the start of 1st session, after 2 weeks and third time after 4 weeks
Method of measurement
Numeric Pain Rate Scale
2
Description
Foot and and ankle disability
Timepoint
Foot and and ankle disability will be measured three times. Before the start of 1st session, after 2 weeks and third time after 4 weeks
Method of measurement
Foot and Ankle disability index
3
Description
Dynamic balance
Timepoint
Dynamic balance will be measured three times. Before the start of 1st session, after 2 weeks and third time after 4 weeks
Method of measurement
Star Excursion Balance Test
Secondary outcomes
empty
Intervention groups
1
Description
Intervention group: percussive massage with massage gun and stretching.