Comparasion of the Immediate Effect of Myofascial Relaxation Technique and Kinesiology Taping

Not Applicable

Completed

• Conditions: Plantar Fascia; Diabetes Mellitus
• Interventions: Other: Kinesiology Taping Appliying; Other: Myofascial Release Technique Appliying

• Registration Number: NCT04637841
• Lead Sponsor: Sultan Abdulhamid Han Training and Research Hospital, Istanbul, Turkey

Brief Summary

As a result of glycation of collagen fibers in diabetes mellitus, an increase in thickness and stiffness is observed in the plantar fascia, which is a connective tissue. These changes in the plantar fascia affect the windlass mechanism of the foot, normal range of motion and foot plantar pressure distribution. These biomechanical effects may cause the development of diabetic foot ulcers in the later stages of the disease. We hypothesis that myofascial release technique and kinesiology taping methods have an effect on plantar fascia stiffness and plantar pressure distribution in diabetic patients. The aim of this study is to investigate the immediate effects of the two methods on the stiffness of the plantar fascia and foot sole pressure distribution in diabetic patients.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2020-11-08
• Study First Submitted QC: 2020-11-19
• Study First Posted: 2020-11-20
• Study Start: 2021-02-01
• Primary Completion: 2021-05-03
• Study Completion: 2021-05-27
• Status Verified: 2023-11
• Last Update Submitted: 2023-11-28
• Last Update Posted: 2023-11-29

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 26

Inclusion Criteria

• Those with diabetic foot ulcer development risk groups 1 and 2 according to the International Working Group on the Diabetic Foot (IWGDF)
• Those who have diabetes for at least 5 years
• Ambulation independently without using an assistive device

Exclusion Criteria

• Those with foot posture deformity
• Having another disease that will affect connective tissue properties
• Presence of orthopedic or neurological disorders that will affect plantar load distribution
• History of surgery and fractures from the ankle-foot in the last 6 months

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Kinesiology Taping Control Group	Kinesiology Taping Appliying	Kinesiology tape will be applied to the left foot of the healthy participants in the control group.
Diabetes Mellitus Kinesiology Taping Group	Kinesiology Taping Appliying	Kinesiology tape will be applied to the left foot of the participants in diabetes mellitus group.
Diabetes Mellitus Myofascial Release Group	Myofascial Release Technique Appliying	Myofascial Release Technique will be applied to the right foot of the participants in diabetes mellitus group.
Myofascial Release Control Group	Myofascial Release Technique Appliying	Myofascial Release Technique taping will be applied to the right foot of the healthy participants in the control group.

Primary Outcome Measures

Name	Time	Method
Evaluation of foot plantar pressure distribution	Change from baseline plantar presure distrubution at following kinesiologic tape appliying and at 30min.	Plantar pressure distrubution (gr/ cm²) on the force platform will be measured.
Evaluation of decrement	Change from baseline decrement properties of the plantar fascia at following kinesiologic tape appliying and at 30min.	Decrement of the plantar fascia will be mesured using a digital handheld myometer (MyotonPro, Myoton AS, Tallinn, Estonia).
Evaluation of stiffness	Change from baseline stiffness of the plantar fascia at following kinesiologic tape appliying and at 30min.	Stiffness (N/m) of the plantar fascia will be mesured using a digital handheld myometer (MyotonPro, Myoton AS, Tallinn, Estonia).
Evaluation of creep	Change from baseline creep properties of the plantar fascia at following kinesiologic tape appliying and at 30min.	Creep of the plantar fascia will be mesured using a digital handheld myometer (MyotonPro, Myoton AS, Tallinn, Estonia).
Evaluation of relaxation time	Change from baseline relaxation time properties of the plantar fascia at following kinesiologic tape appliying and at 30min.	Relaxation time of the plantar fascia will be mesured using a digital handheld myometer (MyotonPro, Myoton AS, Tallinn, Estonia).

Secondary Outcome Measures

Name	Time	Method
Evaluation of range of motion of ankle	Change from baseline range of motion at following kinesiologic tape appliying and at 30min.	Range of motion of ankle was measured with goniometer
Evaluation of skin temperature	Change from baseline foot sole temperature at following kinesiologic tape appliying and at 30min.	Plantar skin temperature will be measured by thermal imaging machine (Flir Sistem, ThermaCAM, Sweden)
Evaluation of foot sole pain	Change from baseline foot sole pain at following kinesiologic tape appliying and at 30min.	Pain was evaluated by Visual Analog Scale between 0 (no pain) and 10 (the most severe pain).

Trial Locations

Locations (2)

İstanbul Medeniyet City; 🇹🇷 İstanbul, Turkey

İstanbul Medeniyet University; 🇹🇷 Istanbul, Turkey