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

NCT ID: NCT06086600

Last Updated: 2023-10-17

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: NA
• Total Enrollment: 54 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-04-10
• Study Completion Date: 2024-01-15

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.

Conditions

Behavior, Social

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: DOUBLE

Study Groups

Instrument Assisted Soft Tissue Mobilization

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)

Group Type: EXPERIMENTAL

Instrument Assisted Soft Tissue Mobilization

Intervention Type: OTHER

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)

Dynamic oscillatory stretch technique

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

Group Type: ACTIVE_COMPARATOR

Dynamic oscillatory stretch technique

Intervention Type: OTHER

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

Interventions

Instrument 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)

Intervention Type: OTHER

Dynamic oscillatory stretch technique

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

Intervention Type: OTHER

Eligibility Criteria

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

• Minimum Eligible Age: 20 Years
• Maximum Eligible Age: 40 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: No

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Ramsha Tariq, MS-OMPT

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

Gulberg green campus of Riphah International University

Islamabad, Punjab Province, Pakistan

Site Status: RECRUITING

Countries

Pakistan

Central Contacts

Ramsha Tariq, MS-OMPT

Role: CONTACT

ramsha.tariq@riphah.edu.pk

03315251422

Facility Contacts

Ramsha Tariq, MSOMPT

Role: primary

ramsha.tariq@riphah.edu.pk

03315251422

References

Chien HL, Lu TW, Liu MW. Effects of long-term wearing of high-heeled shoes on the control of the body's center of mass motion in relation to the center of pressure during walking. Gait Posture. 2014 Apr;39(4):1045-50. doi: 10.1016/j.gaitpost.2014.01.007. Epub 2014 Jan 19.

Reference Type: BACKGROUND

PMID: 24508016 (View on PubMed)

Pannell SL. The postural and biomechanical effects of high heel shoes: a literature review. Journal of Vascular Surgery. 2012.

Reference Type: BACKGROUND

Other Identifiers

RCRAHS-ISB/REC/MS-PT/01610

Identifier Type: -

Identifier Source: org_study_id