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Comparative effects of muscle energy technique and counter strain technique on pain, function status and satisfaction level in plantar fasciitis patients
Sandhu TB, Jamil A, Arslan SA
Journal of Medical Sciences (Peshawar) 2023 Nov;31(4):270-275
clinical trial
6/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVES: To compare the effects of muscle energy technique and counterstrain technique on pain, functional status, and satisfaction level in patients with plantar fasciitis. MATERIALS AND METHODS: This randomized clinical trial was conducted from May to November 2022. A total of 66 patients were recruited using the purposive sampling technique. Clinically diagnosed patients of plantar fasciitis of age 20 to 50 years, both gender and history of pain >= 4 weeks were randomly allocated into two groups. The muscle energy technique was applied to Group A and the Counterstrain technique was given to Group B with routine physiotherapy. Outcomes measured were Visual Analog Scales for pain, Foot and Ankle Ability Measure for functional level, and Patient Satisfaction Questionnaire-18 for satisfaction level. The assessment was conducted at baseline, 1st, and 2nd week. Independent t-test and Repeated Measure ANOVA were used for between and within-group differences respectively with p <= 0.05 was significant. RESULTS: The results showed no significant difference between Group A and Group B in pain (p = 0.245), functional status (ADL p = 0.862, Sport p = 0.092), and satisfaction level (p = 0.108). However, significant within-group difference was ob-served with pain (p = 0.000), functional status (p = 0.000), and general satisfaction level (p = 0.000). CONCLUSIONS: Muscle Energy and Counterstrain Technique are equally beneficial in decreasing pain, and enhancing the functional status and patient satisfaction levels in plantar fasciitis patients.

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