Comparison of Instrument Assisted Soft Tissue Mobilization Versus Dynamic Oscillatory Stretch Technique in Females Wearing High Heels
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Behavior, Social
- Sponsor
- Riphah International University
- Enrollment
- 54
- Locations
- 1
- Primary Endpoint
- Ankle Range of Motion
- Status
- Recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
Rationale of this research is to compare the effect of instrument assisted soft tissue mobilization and dynamic oscillatory stretch technique on gastro soleus muscles flexibility with shortened calf muscle-tendon unit (MTU),thicker and stiffer Achilles tendon in individual wearing high heel. This study will observe effect in all range of motion of ankle joint. In Pakistan no previous research is conducted, that compare the effect of IASTM and DOST in females wearing high heel.
Detailed Description
Regular wearing of high heels would lead to shortening of the fascicles of the gastrocnemius muscle together with changes in the mechanical properties of the Achilles' Tendon, by the continuous ankle plantar flexion cause by the heel lift resulting in functional alteration. The purpose of the study is to identify the optimal technique for alleviating the symptoms in patients with high heel syndrome. It is a randomized controlled trial.Sample size is total 54 participants which would be divided into two groups, 27 each.Non-probability Convenience Sampling will be used and participants are randomly assigned into GROUP A(IASTM) and GROUP B (DOST) through sealed envelope methods after baseline assessment. All participants in both groups were evaluated on two occasions: (i) baseline (ii) at 12th session.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Age 20-40 years
- •Duration of wearing heels: minimum 1 year
- •Wearing heels for minimum 3 times a week and 5 hours a day.
- •Heel height: 2" and above
- •Ankle Dorsiflexion ROM: decreased dorsiflexion (about 17 degrees)
- •Pain scale showing more than 3.
Exclusion Criteria
- •Musculoskeletal injury or surgery of lower limb.
- •Acute Cardio-Respiratory or Neurological condition.
- •Medical or surgical co-morbidities
Outcomes
Primary Outcomes
Ankle Range of Motion
Time Frame: 4th week
Goniometer is used to measure ankle dorsiflexion, Plantarflexion, inversion, eversion ROM and it is use to assess and monitor patient's mobility to track progress during rehabilitation.
Lower Extremity Functional Scale (LEFS)
Time Frame: 4th week
The Lower Extremity Functional Scale (LEFS) is a commonly used tool in physical therapy and rehabilitation to assess the functional abilities of patients with lower extremity impairments. It is a self-reported questionnaire that consists of 20 items, each with five response options ranging from 0 (unable to perform) to 4 (able to perform without difficulty). The scores on the LEFS range from 0 to 80, with higher scores indicating better function.
NUMERIC PAIN RATING SCALE
Time Frame: 4th week
The numeric pain rating scale is used to measure pain intensity. It typically ranges from 0 to 10, with 0 indicating no pain and 10 indicating the worst possible pain. Patients are asked to rate their pain on this scale, with the healthcare provider using the rating to help guide treatment decisions. It is a simple and effective way to communicate pain intensity, and can be useful in tracking changes in pain over time.
Secondary Outcomes
- ROM ankle eversion(4th week)
- ROM ankle plantar flexion(4th week)
- ROM ankle dorsi flexion(4th week)
- ROM ankle inversion(4th week)