Efficiency of Different Gastrocnemius Stretching Exercises

NCT ID: NCT06371547

Last Updated: 2024-04-17

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

48 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-05-15

Study Completion Date

2024-12-15

Brief Summary

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The primary aim of this study is to investigate the effects of different types and durations of gastrocnemius stretching on the viscoelastic properties of the gastrocnemius muscle, Achilles tendon, and plantar fascia.In addition, pain threshold of the gastrocnemius muscle and plantar fascia, as well as on hamstring tightness will be measured.

Detailed Description

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The study will include a total of at least 48 individuals who meet the inclusion and exclusion criteria. Subsequently, participants will be randomly assigned to one of four groups for gastrocnemius stretching exercises of different durations and types. Participants in Group I will perform sustained stretching with a towel, those in Group II will perform intermittent stretching with a towel, those in Group III will perform sustained stretching against the wall, and those in Group IV will perform intermittent stretching against the wall. The stretching exercises will be performed under the supervision of one of the researcher. Compliance with the stretching exercise will be evaluated by keeping a daily log.

Conditions

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Muscle Tightness

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors
Interventions and assessment will be performed by separate researchers.

Study Groups

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Sustained stretching of the gastrocnemius muscle with a towel

The participant will place a towel under the plantar surface of the foot and, using both hands, pull the towel towards themselves until they feel a stretch in the calf muscle. Subsequently, they will be asked to maintain this position for 3 minutes. The stretching exercise will be performed in 3 sets per day.

Group Type EXPERIMENTAL

Stretching Exercise

Intervention Type OTHER

Participants will perform different types and durations of gastrocnemius muscle stretching exercises according to their assigned groups for two weeks.

Intermittent stretching of the gastrocnemius muscle with a towel

In intermittent stretching with a towel, the individual will place a towel under the plantar surface of the foot and, using both hands, pull the towel towards themselves until they feel a stretch in the calf muscle. Subsequently, they will be instructed to maintain this position for 20 seconds. The stretching exercise will be performed in 2 sets per day, with 5 repetitions in each set.

Group Type EXPERIMENTAL

Stretching Exercise

Intervention Type OTHER

Participants will perform different types and durations of gastrocnemius muscle stretching exercises according to their assigned groups for two weeks.

Sustained stretching against the wall

In sustained stretching against the wall, individuals will be asked to place their hands on the wall at shoulder width apart. One leg will be positioned behind the other. Then, the front knee will be bent while keeping the back knee in extension and the heel in contact with the ground. Individuals will be instructed to bend their knees until they feel a stretch in the calf muscle. Subsequently, they will be asked to maintain this position for 3 minutes. The stretching exercise will be performed in 3 sets per day.

Group Type EXPERIMENTAL

Stretching Exercise

Intervention Type OTHER

Participants will perform different types and durations of gastrocnemius muscle stretching exercises according to their assigned groups for two weeks.

Intermittent stretching against the wall

During intermittent stretching against the wall, individuals will be instructed to place their hands on the wall at shoulder width apart. One leg will be positioned behind the other. Then, the knee of the front leg will be bent while the knee of the back leg continues to stay in extension, and the heel remains in contact with the ground. Individuals will be asked to bend their knee until they feel a stretch in the calf muscle. Subsequently, they will be instructed to maintain this position for 20 seconds. The stretching exercise will be performed in 2 sets per day, with 5 repetitions in each set.

Group Type EXPERIMENTAL

Stretching Exercise

Intervention Type OTHER

Participants will perform different types and durations of gastrocnemius muscle stretching exercises according to their assigned groups for two weeks.

Interventions

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Stretching Exercise

Participants will perform different types and durations of gastrocnemius muscle stretching exercises according to their assigned groups for two weeks.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Age of 18 to 25 years
* Having a gastrocnemius muscle tightness in the dominant side

Exclusion Criteria

* History of lower extremity surgery or trauma
* Diagnosis of fibromyalgia, neurological disease, achilles tendinopathy, metatarsalgia, acute ankle sprain, tarsal tunnel syndrome, or heel pad syndrome
* Having received physiotherapy related to the lower extremities within the last six months
* A body mass index (BMI) above 30 kg/m2
* Having received a local steroid injection within the last six weeks
* The presence of a local infection
* The presence of rheumatic or other systemic inflammatory diseases
* Diabetes or other metabolic diseases
* Nerve compression syndrome
* Currently using painkillers
* Diagnosis of neurological heel pain
* A positive navicular drop test result
* Having engaged in strenuous exercise within the last 24 hours
* Not being fully compliant with the exercise program
Minimum Eligible Age

18 Years

Maximum Eligible Age

25 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Bitlis Eren University

OTHER

Sponsor Role lead

Responsible Party

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Omer Dursun

Asst. Prof.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Ömer Dursun, Asst. Prof.

Role: PRINCIPAL_INVESTIGATOR

Bitlis Eren University

Erhan Dincer, M.Sc.

Role: PRINCIPAL_INVESTIGATOR

Bitlis Eren University

Cihan Önen, Asst. Prof.

Role: PRINCIPAL_INVESTIGATOR

Bitlis Eren University

Abdurrahman Tanhan, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Bitlis Eren University

Locations

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Bitlis Eren University

Bitlis, Merkez, Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Central Contacts

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Ömer Dursun, Asst. Prof.

Role: CONTACT

5426088687 ext. +90

Erhan Dincer, M.Sc.

Role: CONTACT

5442543857 ext. +90

References

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Cullen NP, Singh D. Plantar fasciitis: a review. Br J Hosp Med (Lond). 2006 Feb;67(2):72-6. doi: 10.12968/hmed.2006.67.2.20465. No abstract available.

Reference Type BACKGROUND
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Schwartz EN, Su J. Plantar fasciitis: a concise review. Perm J. 2014 Winter;18(1):e105-7. doi: 10.7812/TPP/13-113.

Reference Type BACKGROUND
PMID: 24626080 (View on PubMed)

Porter D, Barrill E, Oneacre K, May BD. The effects of duration and frequency of Achilles tendon stretching on dorsiflexion and outcome in painful heel syndrome: a randomized, blinded, control study. Foot Ankle Int. 2002 Jul;23(7):619-24. doi: 10.1177/107110070202300706.

Reference Type BACKGROUND
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Liu CL, Li YP, Wang XQ, Zhang ZJ. Quantifying the Stiffness of Achilles Tendon: Intra- and Inter-Operator Reliability and the Effect of Ankle Joint Motion. Med Sci Monit. 2018 Jul 14;24:4876-4881. doi: 10.12659/MSM.909531.

Reference Type BACKGROUND
PMID: 30006997 (View on PubMed)

Park G, Kim CW, Park SB, Kim MJ, Jang SH. Reliability and usefulness of the pressure pain threshold measurement in patients with myofascial pain. Ann Rehabil Med. 2011 Jun;35(3):412-7. doi: 10.5535/arm.2011.35.3.412. Epub 2011 Jun 30.

Reference Type BACKGROUND
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Weerasinghe TW, Goonetilleke RS, Reischl U. Pressure thresholds and stiffness on the plantar surface of the human foot. Ergonomics. 2017 Jul;60(7):985-996. doi: 10.1080/00140139.2016.1229042. Epub 2016 Sep 26.

Reference Type BACKGROUND
PMID: 27609429 (View on PubMed)

Ajimsha MS, Binsu D, Chithra S. Effectiveness of myofascial release in the management of plantar heel pain: a randomized controlled trial. Foot (Edinb). 2014 Jun;24(2):66-71. doi: 10.1016/j.foot.2014.03.005. Epub 2014 Mar 21.

Reference Type BACKGROUND
PMID: 24703512 (View on PubMed)

Bolivar YA, Munuera PV, Padillo JP. Relationship between tightness of the posterior muscles of the lower limb and plantar fasciitis. Foot Ankle Int. 2013 Jan;34(1):42-8. doi: 10.1177/1071100712459173.

Reference Type BACKGROUND
PMID: 23386760 (View on PubMed)

McPoil TG, Cornwall MW. The relationship between static lower extremity measurements and rearfoot motion during walking. J Orthop Sports Phys Ther. 1996 Nov;24(5):309-14. doi: 10.2519/jospt.1996.24.5.309.

Reference Type BACKGROUND
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Naruseviciute D, Kubilius R. The effect of high-intensity versus low-level laser therapy in the management of plantar fasciitis: randomized participant blind controlled trial. Clin Rehabil. 2020 Aug;34(8):1072-1082. doi: 10.1177/0269215520929073. Epub 2020 Jun 8.

Reference Type BACKGROUND
PMID: 32513018 (View on PubMed)

Monteagudo M, de Albornoz PM, Gutierrez B, Tabuenca J, Alvarez I. Plantar fasciopathy: A current concepts review. EFORT Open Rev. 2018 Aug 29;3(8):485-493. doi: 10.1302/2058-5241.3.170080. eCollection 2018 Aug.

Reference Type BACKGROUND
PMID: 30237906 (View on PubMed)

Hirata K, Kanehisa H, Miyamoto N. Acute effect of static stretching on passive stiffness of the human gastrocnemius fascicle measured by ultrasound shear wave elastography. Eur J Appl Physiol. 2017 Mar;117(3):493-499. doi: 10.1007/s00421-017-3550-z. Epub 2017 Feb 4.

Reference Type BACKGROUND
PMID: 28161870 (View on PubMed)

Kanehisa H, Ikegawa S, Tsunoda N, Fukunaga T. Cross-sectional areas of fat and muscle in limbs during growth and middle age. Int J Sports Med. 1994 Oct;15(7):420-5. doi: 10.1055/s-2007-1021081.

Reference Type BACKGROUND
PMID: 8002122 (View on PubMed)

Masood T, Bojsen-Moller J, Kalliokoski KK, Kirjavainen A, Aarimaa V, Peter Magnusson S, Finni T. Differential contributions of ankle plantarflexors during submaximal isometric muscle action: a PET and EMG study. J Electromyogr Kinesiol. 2014 Jun;24(3):367-74. doi: 10.1016/j.jelekin.2014.03.002. Epub 2014 Mar 20.

Reference Type BACKGROUND
PMID: 24717406 (View on PubMed)

Kamonseki DH, Goncalves GA, Yi LC, Junior IL. Effect of stretching with and without muscle strengthening exercises for the foot and hip in patients with plantar fasciitis: A randomized controlled single-blind clinical trial. Man Ther. 2016 Jun;23:76-82. doi: 10.1016/j.math.2015.10.006. Epub 2015 Oct 30.

Reference Type BACKGROUND
PMID: 26654252 (View on PubMed)

Other Identifiers

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BEUFTR-3

Identifier Type: -

Identifier Source: org_study_id

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