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Outcomes of the Proprioception and Strengthening Exercise Program in Chronic Plantar Fasciitis

RecruitingNA

Sponsor: Karamanoğlu Mehmetbey University

Conditions: Plantar Fasciitis, Chronic

Interventions: Stretching, Proprioception and Stretching Exercises, Knee Strengthening and Stretching Exercises

Countries: Turkey (Türkiye)

Plantar fasciitis is a common cause of heel pain, and although stretching exercises are a standard first-line treatment, current evidence on adding proprioception or knee-strengthening exercises remains limited. This study investigates whether adding knee strengthening or proprioception exercises to a standard stretching program improves pain, function, and disability in patients with chronic plantar fasciitis, and whether these interventions produce measurable changes in the biomechanical and kinesiological properties of the foot, ankle, and knee.

Eligibility overview

Sex: ALL

Age: 18 Years to 65 Years

Healthy volunteers: No

Study type: INTERVENTIONAL

Eligibility criteria

Inclusion Criteria:

* Age between 18 and 65 years.
* Formal diagnosis of plantar fasciitis, characterized by sharp pain during the first steps in the morning, pain that increases with prolonged activity, localized tenderness on palpation of the medial calcaneal tubercle or proximal fascia, and a positive Windlass test.
* Symptom duration of at least 3 months.
* Heel pain intensity score of Visual Analog Scale (VAS) \> 3.
* Voluntary agreement to participate, evidenced by signing the written informed consent form.

Exclusion Criteria:

* History of acute lower-extremity trauma.
* History of prior foot or ankle surgery.
* Corticosteroid injection to the affected heel within the preceding 6 months.
* Presence of systemic inflammatory or rheumatologic disease.
* Uncontrolled systemic disease (e.g., uncontrolled hypertension, uncontrolled diabetes mellitus).
* Current or past history of malignancy.
* Current pregnancy.
* Body mass index (BMI) ≥ 30 kg/m².
* Any musculoskeletal, neuromuscular, ocular, or vestibular disorder that could impair balance or limit the ability to stand unsupported.
* Neurocognitive or psychiatric conditions precluding adherence to the exercise protocols or outcome assessments.

Locations (1)

Karaman, Karaman, Turkey (Türkiye)