Comparison of Tissue Flossing and Myofascial Release on Calf Muscles in Patients With Pes Planus
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 44
- 试验地点
- 1
- 主要终点
- Numeric Pain Rating Scale (NPRS)
研究概览
简要总结
Pes planus, commonly known as flat feet, is a condition characterized by a reduced or absent arch in the foot, which often leads to pain and functional limitations. This study aims to evaluate the effectiveness of two therapeutic interventions-tissue flossing and myofascial release-in improving balance, arch height, and range of motion (ROM) in patients with flexible flatfoot. The research will be conducted at the Margalla Rehabilitation Center over a duration of six months, involving a total of 44 participants divided into two equal groups. One group will receive tissue flossing as the intervention, while the other group will undergo myofascial release. Participants will be selected using non-probability convenience sampling. Eligible individuals will be adults aged 18-25 years with flexible pes planus and limited ankle dorsiflexion. The study seeks to provide valuable insights into the comparative effectiveness of these interventions for managing symptoms associated with flat feet. Data was be analyzed through SPSS version 25.
详细描述
Pes planus, or flat feet, is characterized by a reduced or absent arch, causing the entire sole to contact the ground. It is categorized into flexible and rigid types, with flexible pes planus being more common. In this form, the arch is visible in non-weight-bearing positions but flattens during standing or walking, while rigid pes planus remains flat irrespective of weight-bearing. The condition often results in foot instability, excessive eversion, and midfoot abduction, leading to pain, fatigue, and reduced shock absorption during activities.
Flexible flatfoot is prevalent in children but can persist into adulthood, affecting 2% to 23% of adults in the U.S. and 13.6% in India. It disrupts gait mechanics, shifting weight medially, impairing balance, and increasing injury risk. Management ranges from conservative treatments like physical therapy to surgical interventions in severe cases.
Emerging therapies include tissue flossing and myofascial release (MFR). Tissue flossing uses compression bands to improve blood flow, reduce pain, and enhance range of motion (ROM). In contrast, MFR applies sustained pressure to relieve fascial tension, promoting flexibility and reducing discomfort. Both techniques show promise for addressing the biomechanical and functional impairments associated with pes planus.
Literature review: According to literature, Galis et al. (2022) performed a study that aimed to examine the effects of applying tissue flossing band at different pressure levels on ankle ROM, strength and power performance in university students. The results showed an increase in dorsiflexion ROM and power. Furthermore, the author concluded that this can aid injury prevention, performance enhancement, and functional ability.
In another study, Driller et al. (2016) conducted a study on the effects of tissue flossing on ankle ROM and jump performance in recreational athletes. The study concluded that applying floss bands to the ankle effectively increased both dorsiflexion and plantarflexion ROM and enhances single-leg jump performance in recreational athletes.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 25 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age 18-25 years.
- •Having normal BMI ranging from 18.5 to 24.9 kg/m²
- •Having flexible flat feet, defined as a navicular drop test value of ≥10 mm
- •Must have pain in the calf muscles or ankle joint, with a NPRS score of ≥3
- •Must have limited ankle dorsiflexion ROM, defined as ≤10° of dorsiflexion
排除标准
- •Patients with rigid flatfoot
- •History of ankle or calf muscle injury or surgery within the last 6 months
- •Individuals with latex allergy
- •Individuals having any lumbo-pelvic, hip, knee and ankle pathologies such as fractures, dislocations, degenerative diseases etc.
- •Any neurological disease
- •Pregnant females
- •Individuals with BMI greater than or equal to 25.0 kg/m²
- •Ongoing use of medications such as muscle relaxants or anti-inflammatory drugs
- •Involved in athletic training
研究组 & 干预措施
Tissue flossing
- Tissue flossing involves wrapping a latex band around the calf muscles with 50-75% elongation, followed by active ankle movements (dorsiflexion, plantarflexion, circles, heel raises).
- Protocol: 4 sets of 8 repetitions, 10-second rest between sets
- Performed twice weekly for 3 weeks.
Conventional Treatment
干预措施: Tissue flossing (Other)
Myofascial release
- Myofascial release is a manual therapy applying sustained pressure on the calf muscles to release fascial restrictions.
- Protocol: 3 sets of 2-minute pressure applications with a 1-minute break between sets
- Performed twice weekly for 3 weeks
Conventional Treatment
干预措施: Myofascial release (Other)
Tissue flossing
- Tissue flossing involves wrapping a latex band around the calf muscles with 50-75% elongation, followed by active ankle movements (dorsiflexion, plantarflexion, circles, heel raises).
- Protocol: 4 sets of 8 repetitions, 10-second rest between sets
- Performed twice weekly for 3 weeks.
Conventional Treatment
干预措施: Conventional treatment (Other)
Myofascial release
- Myofascial release is a manual therapy applying sustained pressure on the calf muscles to release fascial restrictions.
- Protocol: 3 sets of 2-minute pressure applications with a 1-minute break between sets
- Performed twice weekly for 3 weeks
Conventional Treatment
干预措施: Conventional treatment (Other)
结局指标
主要结局
Numeric Pain Rating Scale (NPRS)
时间窗: 3 weeks
This tool will be used to assess pain intensity, at baseline, 2nd week and 3rd week post treatment
次要结局
- Digital Goniometer(3 weeks)
- Brody's Navicular Drop Test(3 weeks)
- Single-Leg Stance Test(3 weeks)
- Y-Balance test(3 weeks)