Effect of Eccentric Streching vs IASTM of Gastrocnemius and Soleus Muscles in Athletes With Ankle Sprain

NCT ID: NCT06241001

Last Updated: 2024-02-05

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 128 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-01-22
• Study Completion Date: 2024-05-31

Brief Summary

The primary objective within the current study is to compare the acute and chronic effects of eccentric training and IASTM on the dorsiflexion ROM. To reduce the risk of Achilles tendinopathy, stretching and eccentric (lengthening) exercises are postulated to improve ankle dorsiflexion. An eccentric exercise lengthens an active muscle while it is under load. Consequently, eccentric calf muscle exercises can also increase ankle dorsiflexion through an increase in calf muscle strength. For the above mentioned reasons, a combination of stretching exercises and eccentric (lengthening) exercises are suggested as preventive intervention to increase ankle dorsiflexion. The biggest goal of IASTM is to remove scar tissues and facilitate a return to normal function following soft tissue recovery. These Techniques, eccentric stretching and IASTM works towards bringing back the normal range of motion and strength, allowing individuals to regain mobility and return to their usual activities and we will find out the better option from these.

Detailed Description

Ankle sprain is a traumatic injury that occurs to one or more of lateral ankle ligaments: anterior talofibular ligament, posterior talofibular ligament and calcaneofibular ligament. Ankle sprains are one of the most common musculoskeletal injuries. The ankle is the second most commonly injured body part during sports, with ankle sprains being the most common ankle injury. Instrument-Assisted Soft Tissue Mobilization (IASTM) is a type of soft tissue mobilization that uses rigid devices to increase the examination and treatment of soft tissues. According to recent studies, Instrument-Assisted Soft Tissue Mobilization (IASTM) is a new and highly trained myofascial technique that has gained favor in modern decades for treating soft-tissue ailments. To reduce the risk of Achilles tendinopathy, stretching and eccentric (lengthening) exercises are postulated to improve ankle dorsiflexion. An eccentric exercise lengthens an active muscle while it is under load.

Consequently, eccentric calf muscle exercises can also increase ankle dorsiflexion through an increase in calf muscle strength. For the above mentioned reasons, a combination of stretching exercises and eccentric (lengthening) exercises are suggested as preventive intervention to increase ankle dorsiflexion. Eccentric training is an alternative modality that also shows promise for inducing chronic improvement in ROM. In past years there has been different protocols to treat ankle sprain but this study will contribute to more effective method of treating ankle sprain, improving their recovery and also reducing the risk of re-injury. This study will potentially reduce healthcare costs associated with rehabilitation or the need of additional interventions. This study will have fast and more effective rehabilitation method which can boost the athlete performance, making it the treatment of choice for both athletes and sports teams.

Conditions

Ankle Sprains

Study Design

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

Study Groups

Eccentric streching

Group A will receive eccentric stretching for ankle sprain

Group Type: EXPERIMENTAL

eccentric streching

Intervention Type: OTHER

The player will lift up one leg from starting position so he stands on his to-be-trained leg. For performing eccentric exercises of the gastrocnemius muscles, the player will lower his heel until he will feel a slight stretch, while keeping his knee extended

IASTM

Group B will only receive IASTM.

Group Type: ACTIVE_COMPARATOR

IASTM

Intervention Type: OTHER

Specially designed tools are used to apply longitudinal pressure along muscle fibers, and treatment usually includes applying to more than the tissues in the isolated location of the pain

Interventions

eccentric streching

The player will lift up one leg from starting position so he stands on his to-be-trained leg. For performing eccentric exercises of the gastrocnemius muscles, the player will lower his heel until he will feel a slight stretch, while keeping his knee extended

Intervention Type: OTHER

IASTM

Specially designed tools are used to apply longitudinal pressure along muscle fibers, and treatment usually includes applying to more than the tissues in the isolated location of the pain

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

Age 18 and above Both genders Ankle sprain acute and Sub acute

Exclusion Criteria

Acute fracture to lower extremity Arthritis patients Any other trauma or injury to the lower extremity

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 50 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Abdul Wasay Nafe, MS-SPT

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

Railway General Hospital

Rawalpindi, , Pakistan

Site Status: RECRUITING

Countries

Pakistan

Central Contacts

Imran Amjad, PHD

Role: CONTACT

imran.amjad@riphah.edu.pk

03324390125

Facility Contacts

Abdul Wasay, MS-SPT

Role: primary

Other Identifiers

RiphahIU Asim

Identifier Type: -

Identifier Source: org_study_id