Calf Muscle Pulled
Conditions
Brief summary
Walking is the most familiar form of exercise, the calf muscle plays an important role in the stance phase of the normal gait cycle of gait. The relative contribution of the calf muscle to the total positive work of the lower extremities during walking is approximately 51% and 73% in the elderly and younger people respectively. This study will explore the different types of calf muscle activation during normal gait cycle based on the previous literature and will introduce a new proposition in the biomechanics of calf muscle contraction..Also, this study will address the role of this muscle during gait and the effects of calf muscle weakness on the lumbar spine.
Detailed description
400 patients with a history of calf muscles' weakness throughout the last 3 years will be included in the study. The patients suffered from unresolved CLBP with radiculopathy contralateral to their calf muscle atrophy (i.e., an ipsilateral calf muscle weakness induces contralateral lumbar radiculopathy) that did not respond to physical therapy or any medication for long patients in an out-patient clinic in Egypt (2016 to 2022) are screened for calf muscle weakness secondry to ankle injury. Patients with lumbar disc herniation (confirmed by MRI) and radiculopathy contralateral to the calf muscle weakness are recruited to participate in this study A better understanding of the calf muscle contraction can provide a valuable insight into how the calf muscle works during walking, predict calf muscle injuries and develop specific exercise to enable the patients with calf muscle dysfunction. …………………………………………………………………………………………………………………
Interventions
OTHERphysical therapy
Tens and Hot packs for 20 minutes, ultrasound for 5 minutes on the back and back exercise in form of bridging exercise and core stability exercise
Sponsors
Noha Khaled Shoukry
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
20 Years to 40 Years
Healthy volunteers
Yes
Inclusion criteria
* The patients suffered from unresolved CLBP with radiculopathy contralateral to their calf muscle atrophy (i.e., an ipsilateral calf muscle weakness induces contralateral lumbar radiculopathy) that did not respond to physical therapy or any medication for long
Exclusion criteria
* any spinal deformity or previous spinal surgeries. Spinal tumors or fracture or presence of active infection in the lumbar spine. Cauda equine lesion, the presence of any comorbidities such as hypertension, DM, hyperlipidemia, obesity, and any autoimmune disease, history of patients who suffered from cancer, unexplained weight loss, immunosuppression, prolonged use of steroids, intravenous drug use, urinary tract infection, pain that is increased or unrelieved by rest, fever, significant trauma related to age, bladder or bowel incontinence, urinary retention (with overflow incontinence), saddle anesthesia, loss of anal sphincter tone, major motor weakness in lower extremities, fever, and vertebral tenderness
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| length of the calf muscle | three months | ultrasosnography and EMG are used to detect the length of the calf muscle |
Countries
Egypt
Outcome results
None listed