Graston Technique vs Dynamic Oscillation Stretching Technique For High Heel Users And Its Impact On Body Posture

Riphah International University

Status: Completed

Conditions: Hyperlordosis

Treatments: Other: Graston Technique; Other: Dynamic Oscillatory Stretch Technique

Study type: Interventional

Funder types: Other

Identifiers

NCT07138924

RCRAHS-ISB/REC/MS-PT/02012

Details and patient eligibility

About

In high heel users, most of the previous work has focused on the lower limb. However, we did not find any study that specifically targeted the lumbar region. The novelty of this study lies in raising awareness that high heel users experience a full-body postural disturbance. While studies had involved the lower limb, but it is crucial to also include the lumbar region. This is because high heel users often feel more pain in the lower limb, which may be leading us to focus solely on lower limb and neglect the lumbar region. However, the mechanics of the lumbar region are also deteriorating along with the lower limb, which may lead to musculoskeletal related issues to high heel users in future. In Pakistan, no previous research is conducted, That compare the effect of Graston Technique Versus DOST in female wearing high heels and its impact on posture.

Full description

The consequences of wearing high heels included increased bending of the hips and knees, anterior pelvic tilting, and increased lumbar lordosis in the spine. Wearers of high heels reported reduced dorsiflexion. The aim of this study is to compare the effectiveness of Graston technique and Dynamic Oscillatory Stretch (DOST) technique in improving lumbar lordosis, anterior pelvic tilting and function status in high heel users. This study is randamized control trial. The sample size of this study is 30 participants which would be divided into two group, 15 each. Non-probability Convenience sampling will be used and participants are randomly assigned into Group A (Graston Technique) Group B (DOST) through envelope sealed method after baseline assessment . The participants of both group were evaluated on three occasions; (i) baseline, (ii) 5th session and (iii) 12th session.

Enrollment: 30 patients

Sex: Female

Ages: 20 to 40 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• • Only female were included

  • Age group 20 to 40 years.
  • Duration of wearing HH: >1 yr.
  • Wearing HH for > 3 times a wk. and 5 hrs/ day.
  • Heel height: 2 inch and above
  • Decreased ankle Dorsiflexion (less than 17 degrees)
  • Lumber lordosis increased (> 40).
  • Muscle tightness (Paraspinal, hamstring, gastrocnemius and soleus).

Exclusion criteria

• • DVT, malignancy, infection.

  • Eczema or other skin diseases.
  • MSK injury or surgery of LL.
  • Sciatica or other Neuropathy/ Neurological disorder
  • Acute Cardio-Respiratory disorder

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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30 participants in 2 patient groups

Graston Technique

Experimental group

Description:

Experimental Group A: Graston technique on calf and Paraspinal (erector spinae) muscles with conservative physiotherapy treatment plan i.e. hot pack for 10-15 min (calf muscles) calf stretches (10 reps x 2 sets) and post session cold pack for 5 min.

Treatment:

Other: Graston Technique

Dynamic Oscillatory Stretch Technique (DOST)

Active Comparator group

Description:

Experimental Group B: Dynamic oscillation stretching technique on gastrocnemius, soleus, and hamstring with conservative physiotherapy treatment plan i.e. hot pack for 10-15 min (calf muscles) calf stretches (10 reps x 2 sets) and post session cold pack for 5 min.

Treatment:

Other: Dynamic Oscillatory Stretch Technique