Comparison of Ergon Instruments-Assisted Soft Tissue Mobilization With Compressive Myofascial Release

Riphah International University

Status: Completed

Conditions: Plantar Fasciitis

Treatments: Other: Instrument-assisted Soft Tissue Mobilization; Other: Compressive Myofascial Release Technique

Study type: Interventional

Funder types: Other

Identifiers

NCT05258188

REC-FSD-00266

Details and patient eligibility

About

The objective of this study is to investigate the effects of Virtual Reality and Motor Imagery along with Routine Physical Therapy in motor function and balance in patients with Parkinson disease.

Full description

This randomized control trial is the single blinded, single centered study. Standard Protocol Items: Recommendations for Interventional Trials guidelines are used as study protocol. Sixty three patients of Parkinson Disease (Modified Hoehn and Yahr stages I-III) will randomly allocate into three groups.

Group A will be given a 60 min session of Virtual Reality along with Routine Physical Therapy.

Group B will be given a 60 min session of Motor Imagery along with Routine Physical Therapy.

Group C will be given a 40 min session of Routine Physical Therapy and after a short period of rest,20 min for walking and cycling.

These treatment sessions will be given to each group at every alternative day (3 days per week) for 12 weeks.

Outcome measures are

1. Berg Balance Scale
2. Activities Specific Balance Confidence Scale
3. The Unified Parkinson Disease Rating Scale (part III) The Assessments will be recorded at baseline, at 6th and 12th weeks of therapy, and after one month of discontinuation of therapy.

Enrollment: 60 patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

• Inability to achieve 20 degrees of active dorsiflexion,
• Heel pain,
• Mid foot pain,
• Heal swelling,
• Mid foot swelling,
• Achilles' tendon tightness diagnosed on the base of Windlass test

Exclusion criteria

• Recent foot injury,
• Fracture,
• Infections,
• Surgical procedures,
• Tendon injury,
• Hypermobility,
• Neuromuscular disorders,
• Impaired sensation,
• Open sores,
• Skin disease,
• Active deep vein thrombosis or thrombophlebitis,
• Bruises,
• Varicose veins,
• Burn scars

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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60 participants in 2 patient groups

Instrument-assisted Soft Tissue Mobilization

Experimental group

Description:

1. Warm-up will be performed for 10 to 15 minutes by light jogging, elliptical machine, stationary cycle or an upper body ergometer 2. Instrument-assisted Soft Tissue Mobilization , will be applied at 30 to 60 degrees angle for 40 to 120 seconds 3. Stretching, for 30 seconds (3 rep) 4. Strengthening exercises, high repetitions with low intensity exercise 5. Cryotherapy for 10 to 20 min

Treatment:

Other: Instrument-assisted Soft Tissue Mobilization

Compressive Myofascial Release Technique

Experimental group

Description:

Compressive myofascial release technique will be applied 5 minutes, after a warmup of 10 to 15 minutes.

Treatment:

Other: Compressive Myofascial Release Technique