Comparing Instrument Assisted Soft Tissue Mobilization With Positional Release Technique for Plantar Fasciitis Pain and Range of Motion

NCT07070245 — Not applicable, Enrolling by invitation, 60 participants, Doaa Said Mohamed Ibrahim

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Registry	NCT07070245
Status	Enrolling by invitation
Phase	Not applicable
Study type	Interventional; randomized, parallel, masking: single, treatment
Enrollment	60 (Estimated)
Sponsor	Doaa Said Mohamed Ibrahim (Other)
Conditions	Chronic Plantar Fasciitis, Heel Pain, Plantar Fascia Inflammation
Interventions	Instrument assisted soft tissue mobilization, Positional release, Exercises (Procedure)
Dates	start 2025-06-22, primary completion 2025-09-22 (estimated), completion 2025-10-01 (estimated), first posted 2025-07-17, last updated 2025-07-17
Locations	1 site in Egypt

-Summary

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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+Arms and interventions

Arm	Type	Interventions	Description
Positional release technique	Experimental	Procedure: Positional release	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.
Traditional exercises (control group)	Experimental	Procedure: Exercises	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.
Instrument assisted soft tissue mobilization	Experimental	Procedure: Instrument assisted soft tissue mobilization	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

Instrument assisted soft tissue mobilization (Procedure): The treatment protocol will be two sessions. given per week for 4 weeks.
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.

+Outcome measures

Primary outcomes

Pain intensity level assessed by Numeric Pain Rating Scale (NPRS) [Baseline and after 8 sessions (approximately 4 weeks)]: 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.
Range of motion [Baseline and after 8 sessions (approximately 4 weeks)]: A digital goniometer is used for the assessment of ankle dorsiflexion, plantar flexion range of motion, and knee flexion range of motion.

+Eligibility

Sex: All, ages: 30 Years to 50 Years

Inclusion Criteria:

1. Clinically diagnosed cases of plantar fasciitis not less than 3 months.
2. Heel pain felt maximally over plantar aspect of heel.
3. Pain in the heel on the first step in the morning.
4. Their age ranging from 30 to 50 years

Exclusion Criteria:

1. Subjects can't tolerate close physical contact (Kotwalkar et al., 2019).
2. Athletes.
3. Subjects with skin infections (Kotwalkar et al., 2019).
4. Subjects with recent fracture with incomplete bony union (Rowlett et al., 2018).
5. Subjects with acute inflammatory or infectious process (Rowlett et al., 2018).
6. Subjects with hematoma (Rowlett et al., 2018).
7. Subjects with osteoporosis (Looney et al., 2011).
8. Subjects with foot deformity (Kotwalkar et al., 2019).
9. Subjects that take medications that may increase blood clotting (Kotwalkar et al., 2019).
10. Surgery to the ankle or foot (Looney et al., 2011).

+Locations (1)

Facility	City	Country	Status
Faculty of Physical Therapy	Port Said, Port Said Governorate	Egypt

+Publications

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. PMID 18524985