Behavior, Social
Conditions
Keywords
instrument assisted soft tissue mobilization, dynamic oscillatory stretch technique, high heel users
Brief summary
Rationale of this research is to compare the effect of instrument assisted soft tissue mobilization and dynamic oscillatory stretch technique on gastro soleus muscles flexibility with shortened calf muscle-tendon unit (MTU),thicker and stiffer Achilles tendon in individual wearing high heel. This study will observe effect in all range of motion of ankle joint. In Pakistan no previous research is conducted, that compare the effect of IASTM and DOST in females wearing high heel.
Detailed description
Regular wearing of high heels would lead to shortening of the fascicles of the gastrocnemius muscle together with changes in the mechanical properties of the Achilles' Tendon, by the continuous ankle plantar flexion cause by the heel lift resulting in functional alteration. The purpose of the study is to identify the optimal technique for alleviating the symptoms in patients with high heel syndrome. It is a randomized controlled trial.Sample size is total 54 participants which would be divided into two groups, 27 each.Non-probability Convenience Sampling will be used and participants are randomly assigned into GROUP A(IASTM) and GROUP B (DOST) through sealed envelope methods after baseline assessment. All participants in both groups were evaluated on two occasions: (i) baseline (ii) at 12th session.
Interventions
OTHERInstrument Assisted Soft Tissue Mobilization
give gentle strokes from proximal to distal to check for trigger point or taut band. After knowing the exact location, give gentle strokes with minimal pressure in all directions by keeping the instrument in 30 to 60 degree angle. Application time will be between 40- 120 seconds. Conventional treatment will include * Hot pack for 10-15 min (calf muscles) * Stretching exercises of gastro-soleus (10reps x 2Sets). * Post session : Cold pack for 5 minutes (calf muscles)
Passively dorsiflexe the ankle to a point of the first stretch sensation. The next component to DOS, 2- second, passive stretch with slow oscillations at end range was applied. This procedure is repeated 10 times in each set with total of 3 sets .Therefore,10reps x2 second hold oscillation x 3 sets are given.Conventional treatment will include * Hot pack for 10-15 min (calf muscles) * Stretching exercises of gastro-soleus (10reps x 2Sets). * Post session : Cold pack for 5 minutes (calf muscles
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)
Eligibility
Sex/Gender
FEMALE
Age
20 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
* Age 20-40 years * Duration of wearing heels: minimum 1 year * Wearing heels for minimum 3 times a week and 5 hours a day. * Heel height: 2 and above * Ankle Dorsiflexion ROM: decreased dorsiflexion (about 17 degrees) * Pain scale showing more than 3.
Exclusion criteria
* DVT * Musculoskeletal injury or surgery of lower limb. * Acute Cardio-Respiratory or Neurological condition. * Medical or surgical co-morbidities
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Ankle Range of Motion | 4th week | Goniometer is used to measure ankle dorsiflexion, Plantarflexion, inversion, eversion ROM and it is use to assess and monitor patient's mobility to track progress during rehabilitation. |
| Lower Extremity Functional Scale (LEFS) | 4th week | The Lower Extremity Functional Scale (LEFS) is a commonly used tool in physical therapy and rehabilitation to assess the functional abilities of patients with lower extremity impairments. It is a self-reported questionnaire that consists of 20 items, each with five response options ranging from 0 (unable to perform) to 4 (able to perform without difficulty). The scores on the LEFS range from 0 to 80, with higher scores indicating better function. |
| NUMERIC PAIN RATING SCALE | 4th week | The numeric pain rating scale is used to measure pain intensity. It typically ranges from 0 to 10, with 0 indicating no pain and 10 indicating the worst possible pain. Patients are asked to rate their pain on this scale, with the healthcare provider using the rating to help guide treatment decisions. It is a simple and effective way to communicate pain intensity, and can be useful in tracking changes in pain over time. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| ROM ankle dorsi flexion | 4th week | changes from baseline to final session |
| ROM ankle eversion | 4th week | changes from baseline to final session |
| ROM ankle plantar flexion | 4th week | changes from baseline to final session |
| ROM ankle inversion | 4th week | changes from baseline to final session |
Countries
Pakistan
Contacts
Primary ContactRamsha Tariq, MS-OMPT
Outcome results
None listed