The objective of study is to compare the pain intensity, disability and functional capacity by Deep Transverse Friction Massage and Instrument Assisted Soft Tissue Mobilization Techniques in patients with plantar fasciitis.
Pregnant females Second trimester 12th to 34th week
Multiparous
Plantar fasciitis diagnoses with Windlass test
NPRS pain level 3 to 7
History of ankle and foot fractures
Surgery in previous 6 months
Neurologic deficit High risk pregnancy
Previous manual therapy interventions for the foot region
Parallel
DEEP TRANSVERSE FRICTION MASSAGE
Other intervention12 sessions total (approx.1 and half month) and 2 sessions per week with mild to moderate manual pressure. 15 - 20 min per session will be given to patient for 6 weeks
INSTRUMENT ASSISTED SOFT TISSUE MOBILIZATION TECHNIQUES
Other intervention• 12 sessions total, (approximately 1 and half month) and 2 sessions per week. Low to moderate pressure with tool will applied for 15 - 20 min per session for 6 weeks
Numeric Pain Rating Scale (NPRS)
The Numeric Pain Rating Scale (NPRS) was employed to evaluate pain intensity for all participants in both groups prior to and following the 8-week intervention program. This is 11-point (0-10) self-reporting tool is presented as a 10-cm horizontal line where 0 indicates no pain, 1-3 signifies mild pain, 4-6 represents moderate pain, and 7-10 denotes severe pain. The maximum value corresponds to the worst pain, while the minimum value indicates the absence of pain.
Foot Function Index (FFI)
A Foot Function Index (FFI) was developed to measure the impact of foot pathology on function in terms of pain, disability and activity restriction. The FFI is a self-administered index consisting of 23 items divided into 3 sub-scales. Both total and sub-scale scores are produced.
6 min walk test (6MWT)
used to determine functional ability. The individual walked swiftly for six minutes along a 100-foot hallway, recording the distance travelled in total. If a person with plantar fasciitis has pain or discomfort in the foot during the test, it can suggest the presence of the condition. During the 6-minute walk test, look for indicators of plantar fasciitis as follows.
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