Instrument Assisted Soft Tissue Mobilization Versus Dynamic Oscillatory Stretch Technique in Females Wearing High Heels

Riphah International University

Status: Enrolling

Conditions: Behavior, Social

Treatments: Other: Dynamic oscillatory stretch technique; Other: Instrument Assisted Soft Tissue Mobilization

Study type: Interventional

Funder types: Other

Identifiers

NCT06086600

RCRAHS-ISB/REC/MS-PT/01610

Details and patient eligibility

About

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.

Full 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.

Enrollment: 54 estimated patients

Sex: Female

Ages: 20 to 40 years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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54 participants in 2 patient groups

Instrument Assisted Soft Tissue Mobilization

Experimental group

Description:

Graston tool on gastrocnemius and soleus muscle. 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)

Treatment:

Other: Instrument Assisted Soft Tissue Mobilization

Dynamic oscillatory stretch technique

Active Comparator group

Description:

Dynamic oscillatory stretch technique on gastrocnemius and soleus muscle10reps x2 second hold oscillation x 3 sets. Conventional treatment will include * Hot pack for 10-15 min (calf muscles) * Stretching exercises of gastro-soleus (10reps x 2 Sets). * Post session : Cold pack for 5 minutes (calf Muscles

Treatment:

Other: Dynamic oscillatory stretch technique