Progressive Loading Exercises and Conditioning Exercises on Calf Strain

Not Applicable

Completed

• Conditions: Range of Motion, Pain, Sports Injuries, Stretching, Triceps Surae
• Interventions: Procedure: Progressive Loading Exercises

• Registration Number: NCT06302153
• Lead Sponsor: Riphah International University

Brief Summary

Calf pain is a common complaint among runners of all ages but is most frequent in masters athletes. The most common calf injury is a tear of the medial gastrocnemius muscle (Tennis Leg) but other structures including the lateral gastrocnemius, plantaris and soleus also may be the cause of muscular pain.There are multiple techniques for the management that involves loading the strained calf musculature through rest, taping techniques, and appropriate soft tissue massage techniques, modalities such as dry needling or western acupuncture can be popular amongst runners and may also be useful. Progressive loading is a principle of resistance training exercise program design that typically relies on increasing load to increase neuromuscular demand to facilitate further adaptations whereas Athletic performance is based on a number of skills that can be developed through a sports conditioning program. This particular program focuses on improving both muscular strength and power using a technique called post-activation potentiation (PAP), also commonly referred to as complex training.

Detailed Description

Calf pain is a common complaint among runners of all ages but is most frequent in masters athletes. Calf pain in runners usually results from musculotendinous origins, with the gastrocnemius among the most common of all muscle injuries. The most common calf injury is a tear of the medial gastrocnemius muscle (Tennis Leg) but other structures including the lateral gastrocnemius, plantaris and soleus also may be the cause of muscular pain.There are multiple techniques for the management that involves loading the strained calf musculature through rest, taping techniques, and appropriate soft tissue massage techniques, modalities such as dry needling or western acupuncture can be popular amongst runners and may also be useful. Progressive loading is a principle of resistance training exercise program design that typically relies on increasing load to increase neuromuscular demand to facilitate further adaptations whereas Athletic performance is based on a number of skills that can be developed through a sports conditioning program. This particular program focuses on improving both muscular strength and power using a technique called post-activation potentiation (PAP), also commonly referred to as complex training.

A randomized clinical trial will be conducted at Pakistan sports board, Lahore . Non probability convenience sampling technique will be applied on 40 patients who will be allocated through simple random sampling into group A \& group B to collect data. Group A will be given progressive loading exercises and group B will be given conditioning exercises along with stretching. The study will be completed within the time duration of six months. Primary Outcome measures of the research will be pain, range of motion, and functions. Data will be analyzed using SPSS software version 25. After assessing normality of data by Shapiro-wilk test, it will be decided either parametric or non-parametric test will be used within a group or between two groups.

Study Timeline

• Study Start: 2023-06-01
• Primary Completion: 2024-02-10
• Study Completion: 2024-02-10
• Status Verified: 2024-03
• Study First Submitted: 2024-03-04
• Study First Submitted QC: 2024-03-04
• Last Update Submitted: 2024-03-04
• Study First Posted: 2024-03-08
• Last Update Posted: 2024-03-08

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

• Athletes aged 18 years or above
• Pain and tenderness at the back of the lower leg
• self-reported pain ,spasm at back of thigh presenting during sport or at rest (unilateral or bilateral)

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Exclusion Criteria

• Radiating pain or pain with neurogenic and systemic origin
• History of lower limb fracture and surgery
• History of instability at knee or ankle
• Knee or ankle ligamentous or meniscal injury

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
progressive loading exercises	Progressive Loading Exercises	progressive loading exercises Progressive loading exercises \& stretching protocol will be given. The exercises included are as follows * Standing calf raise double leg * Standing calf raise single leg 4 sets with 8 repetitions will be given. Session will be given thrice a week for 40 minutes. * Soleus wall sits double leg * Toe taps * Toe walks forward hops double
Conditioning Exercises	Progressive Loading Exercises	conditioning exercises Conditioning exercises \& stretching protocol will be given. (31) * Standing calf raise * Seated calf raise * Calf press hold * Loaded plant walk * Single leg step hops up 4 sets with 8 repetitions will be given. Session will be given thrice a week for 40 minutes.

Primary Outcome Measures

Name	Time	Method
pain , range of motion, functions	10 months	these three variables will be measured during the study

Trial Locations

Locations (2)

Jawad club, Alfatah sports complex; 🇵🇰 Faisalābad, Punjab, Pakistan

Riphah International University, Raiwind Campus; 🇵🇰 Faisalābad, Punjab, Pakistan