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

NCT ID: NCT07138924

Last Updated: 2025-08-24

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 30 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-11-01
• Study Completion Date: 2025-07-30

Brief Summary

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.

Detailed 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.

Conditions

Hyperlordosis

Study Design

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

Study Groups

Graston Technique

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.

Group Type: EXPERIMENTAL

Graston Technique

Intervention Type: OTHER

Firstly, apply a moisturizer or gel to affected part. Then gentle strokes are applied from proximal to distal direction to assess trigger point or taut band. After knowing the exact area, apply strokes gently with minimum force in all directions by keeping tool in 30- 60-degree angle. Total Application time will be between 40-120 seconds. conservative physiotherapy treatment plan is hot pack for 10-15 min, calf stetches 10 reps x 2 sets and post session cold pack for 5 min. Home exercise plan is william training i.e. single knee to chest, double knee to chest, pelvic tilts, iliospoas stretch, hamstring stretch and squat (10reps x1 set)

Dynamic Oscillatory Stretch Technique (DOST)

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.

Group Type: ACTIVE_COMPARATOR

Dynamic Oscillatory Stretch Technique

Intervention Type: OTHER

Passively stretch that is at the first point of stretch sensation. The next component to DOS, 2-sec, passive stretch with slow oscillation. Total 10 reps x 2 sec hold oscillations x 3 sets.conservative physiotherapy treatment plan is hot pack for 10-15 min, calf stetches 10 reps x 2 sets and post session cold pack for 5 min. Home exercise plan is william training i.e. single knee to chest, double knee to chest, pelvic tilts, iliospoas stretch, hamstring stretch and squat (10reps x1 set)

Interventions

Graston Technique

Firstly, apply a moisturizer or gel to affected part. Then gentle strokes are applied from proximal to distal direction to assess trigger point or taut band. After knowing the exact area, apply strokes gently with minimum force in all directions by keeping tool in 30- 60-degree angle. Total Application time will be between 40-120 seconds. conservative physiotherapy treatment plan is hot pack for 10-15 min, calf stetches 10 reps x 2 sets and post session cold pack for 5 min. Home exercise plan is william training i.e. single knee to chest, double knee to chest, pelvic tilts, iliospoas stretch, hamstring stretch and squat (10reps x1 set)

Intervention Type: OTHER

Dynamic Oscillatory Stretch Technique

Passively stretch that is at the first point of stretch sensation. The next component to DOS, 2-sec, passive stretch with slow oscillation. Total 10 reps x 2 sec hold oscillations x 3 sets.conservative physiotherapy treatment plan is hot pack for 10-15 min, calf stetches 10 reps x 2 sets and post session cold pack for 5 min. Home exercise plan is william training i.e. single knee to chest, double knee to chest, pelvic tilts, iliospoas stretch, hamstring stretch and squat (10reps x1 set)

Intervention Type: OTHER

Eligibility Criteria

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

• 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

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

Gulberg Green Campus of Riphah International University, Islamabad

Islamabad, Punjab Province, Pakistan

Countries

Pakistan

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)

Other Identifiers

RCRAHS-ISB/REC/MS-PT/02012

Identifier Type: -

Identifier Source: org_study_id