Effect of Ergon IASTM technique on pain, strength and range of motion in plantar fasciitis patients. RCT
More details
Hide details
University Institute of Physical Therapy, University of Lahore, Pakistan
Submission date: 2021-12-23
Acceptance date: 2022-04-21
Publication date: 2023-02-27
Physiother Quart. 2023;31(4):28-32
Plantar fasciitis (PF) is a common foot problem caused by repetitive microtrauma or excessive overload of fascia. Instrument-assisted soft tissue mobilization (IASTM), stretching, and strengthening exercises are more helpful to reduce the pressure of fascia and improve functional activities of the patients. The objective of the study was to compare the efficacy of instrument assisted soft tissue mobilization using the Ergon technique with conservative treatment in plantar fasciitis.

This randomized control trial was conducted at the Department of Physiotherapy of the University of Lahore Teaching Hospital and Citi Hospital Lahore. After assigning, the patients were randomly allocated into treatment and conventional groups. Both groups received therapeutic ultrasound therapy, stretching strengthening exercises, cryotherapy and the experimental group received additional instrument-assisted soft tissue mobilization. Pain, strength, and range of motion were assessed at baseline, 1st, 3rd, and 5th week after treatment.

64 participants were randomly allocated into two groups; the Ergon group (ET = 32) and the conventional group (CT = 32). The mean age in the ET group was 29.1 ± 6.0 and in the CT group was 29.5 ± 6.0 and the gender distribution of the study population was 28.1% were male and 71.9% were females. There was significant improvement (p < 0.05) in pain, strength, and plantarflexion range of motion among all participants in the treatment group. However, no significant improvement was noticed in the dorsiflexion range (p > 0.05). While within-group analysis showed improvement in the dorsiflexion range of both groups (p < 0.05).

This randomized control trial demonstrates that the inclusion of instrument-assisted soft tissue mobilization using the Ergon Technique for plantar fasciitis lasting 5 weeks is an effective treatment intervention in reducing pain and improving strength and ankle range of motion.

Cutts S, Obi N, Pasapula C, Chan W. Plantar fasciitis. Ann R Coll Surg Engl. 2012;94(8):539–542; doi: 10.1308/003588412X1317122159245.
Irving DB, Cook JL, Young MA, Menz HB. Impact of chronic plantar heel pain on health-related quality of life. J Am Podiatr Med Assoc. 2008;98:283–289; doi: 10.7547/0980283.
Irving DB, Cook JL, Menz HB. Factors associated with chronic plantar heel pain: a systematic review. J Sci Med Sport. 2006;9(1–2):11–22; doi: 10.1016/j.jsams.2006.02.004.
Akhtar N, Rasheed P, Ahmad Z. Role of physical medicine and rehabilitation intervention for plantar fasciitis. Pak Armed Forces Med J. 2008;58(3):239–243.
Saini RA, Mishra RK. A comparative study of conventional versus interventional treatment in patients of plantar fascitis. Int J Orthop Sci. 2017;3(4):765–8; doi: 10.22271/ortho.2017.v3.i4k.106.
Thomas JL, Christensen JC, Kravitz SR, Mendicino RW, Schuberth JM, Vanore JV, et al. The diagnosis and treatment of heel pain: a clinical practice guideline – revision 2010. J Foot Ankle Surg. 2010;49(3):1–19; doi: 10.1053/j.jfas.2010.01.001.
Riddle DL, Pulisic M, Pidcoe P, Johnson RE. Risk factors for plantar fasciitis: a matched case-control study [published correction appears in J Bone Joint Surg Am. 2003;85A(7):1338]. J Bone Joint Surg Am. 2003;85A(5):872–877; doi: 10.2106/00004623-200305000-00015.
Van Leeuwen KD, Rogers J, Winzenberg T, van Middel­koop M. Higher body mass index is associated with plantar fasciopathy/‘plantar fasciitis’: systematic review and meta-analysis of various clinical and imaging risk factors. Br J Sports Med. 2016;50(16):972–981; doi: 10.1136/bjsports-2015-094695.
Lim AT, How CH, Tan B. Management of plantar fasciitis in the outpatient setting. Singapore Med J. 2016;57(4):168; doi: 10.11622/smedj.2016069.
Lemont H, Ammirati KM, Usen N. Plantar fasciitis: a degenerative process (fasciosis) without inflammation. J Am Podiatr Med Assoc. 2003;93(3):234–237; doi: 10.7547/87507315-93-3-234.
Miners AL, Bougie TL. Chronic Achilles tendinopathy: a case study of treatment incorporating active and passive tissue warm-up, Graston Technique®, ART®, eccentric exercise, and cryotherapy. J Can Chiropr Assoc. 2011;55(4):269–279.
Hammer WI. The effect of mechanical load on degenerated soft tissue. J Bodyw Mov Ther. 2008;12(3):246–256; doi: 10.1016/j.jbmt.2008.03.007.
Jones ER, Finley MA, Fruth SJ, McPoil TG. Instrument-assisted soft-tissue mobilization for the management of chronic plantar heel pain: a pilot study. J Am Podiatr Med Assoc. 2019;109(3):193–200; doi: 10.7547/16-105.
Harrison K, Carver M, Dietrich W, Mc Devitt J, Vanic K, Rozea G. The use of instrument assisted soft tissue mobilization vs massage and proprioceptive neuromuscular facilitation stretching techniques on improving hamstring flexibility. Int J Orthop Res. 2020;3(1):35–45.
Fousekis K, Kounavi E, Doriadis S, Mylonas K, Kallistratos E. The effectiveness of Instrument-assisted soft tissue mobilization technique (Ergon© Technique), cupping and ischaemic pressure techniques in the treatment of amateur athletes’ myofascial trigger points. J Nov Physiother. 2016;S3:009; doi: 10.4172/2165-7025.S3-009.
Maniatakis A, Mavraganis N, Kallistratos E, Mandalidis D, Mylonas K, Angelopoulos P, et al. The effectiveness of Ergon Instrument-Assisted Soft Tissue Mobilization, foam rolling, and athletic elastic taping in improving volleyball players’ shoulder range of motion and throwing performance: a pilot study on elite athletes. J Phys Ther Sci. 2020;32(10):611–614; doi: 10.1589/jpts.32.611.
Garrett TR, Neibert PJ. Graston Technique® as a treatment for patients with chronic plantar heel pain. Clin Pract Athl Train. 2019;2(3):35–47; https://doi.org/10.31622/2019/....
Prakash S, Misra A. Effect of manual therapy versus conventional therapy in patients with plantar fasciitis – a comparative study. Int J Physiother Res. 2014;2(1):378–382.
Stanek J, Sullivan T, Davis S. Comparison of compressive myofascial release and the Graston Technique for improving ankle-dorsiflexion range of motion. J Athl Train. 2018;53(2):160–167; doi: 10.4085/1062-6050-386-16.
Journals System - logo
Scroll to top