This randomized controlled trial compares the effectiveness of Active Release Technique (ART) and Strain-Counterstrain (SCS) in treating plantar fasciitis. Forty participants will be divided into two groups receiving either ART or SCS over a four-week period. The study aims to identify the more effective manual therapy technique for reducing pain and improving function in patients with plantar fasciitis.
This randomized controlled trial investigates the comparative effectiveness of Active Release Technique (ART) and Strain-Counterstrain (SCS) in managing plantar fasciitis, a common cause of heel pain and functional limitation. Forty participants will be randomly assigned to two intervention groups, each receiving either ART or SCS over a four-week period, with sessions conducted three times per week. ART involves targeted pressure with active tissue movement to release adhesions, while SCS uses passive positioning to relieve muscle tension. The study will be conducted at Bacha Khan Medical Complex, Swabi. Data will be analyzed using appropriate statistical methods to determine the superior technique. The findings aim to support evidence-based manual therapy approaches in clinical physiotherapy practice.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
20
Active Release Technique (ART) is a hands-on manual therapy that targets soft tissue restrictions by combining precise pressure with patient-assisted movement. It helps break down adhesions, improve mobility, and reduce pain by restoring normal tissue function.
Strain-Counterstrain is a gentle, passive manual therapy that relieves muscle tension by positioning the body in a pain-free, comfortable posture. The therapist holds this position for about 90 seconds while applying light pressure to tender points, allowing the muscle and fascia to relax and reset.
Riphah international University Malakand Campus
Chakdara, KPK, Pakistan
RECRUITINGNPRS
The Numeric Pain Rating Scale (NPRS) is a 0 to 10 self-reported scale used to assess pain intensity, where 0 = no pain and 10 = worst possible pain. It is a simple, reliable tool commonly used in clinical trials to measure pain levels before and after interventions.
Time frame: four weeks
Foot Function Index (FFI)
Functional mobility will be assessed using the Foot Function Index (FFI), a validated self-reported questionnaire designed to measure the impact of foot pathology on pain, disability, and activity limitation in daily life.
Time frame: Four weeks
Goniometer
a reliable and widely used clinical tool that measures joint angles in degrees. It helps quantify movement limitations and improvements in specific planes, such as flexion, extension, abduction, and rotation.
Time frame: Four weeks
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