Comparative Effect of Myofacial Release With and Without Eccentric Resistance on Pain, Range of Motion and Functional Disability in Patients With Achilles Tendonitis
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 72
- 试验地点
- 1
- 主要终点
- pain intensity
研究概览
简要总结
Achilles tendinitis is a common condition that cause pain along back of leg near the heal. It is an overuse injury of the Achilles tendon, the band of tissue that connect calf muscles at the back of the lower leg to heel bone. There are number of treatment approaches to relieve pain in Achilles tendonitis . Insufficient literature has discuss the combine effect of myofascial release with eccentric resistance. So the aim of the study is to compare the effect of myofascial release with eccentric resistance and without eccentric resistance on pain , range of motion and functional disability in patient with Achilles tendinitis
详细描述
Tendonitis refers to inflammation of a tendon in response to injury or disease. It causes pain, irritation, and swelling, especially following periods of activity. Achilles tendinitis (AT) is a prevalent condition across the lifespan in both active and sedentary people, and can occur in the mid tendon, tendon insertion to the calcaneus and peritendon.
Achilles tendinitis is caused by overuse of the ankle and is closely related to an individuals activity level. In the adult population (21-60 yrs old), the incidence rate is 2.35 persons per 1000. It has been reported in approximately 7%-9% of professional athletes and 6%-18% of regular runners.
People with Achilles tendinitis typically report symptoms of pain and stiffness upon weight bearing after prolonged rest and at the start of physical activity, which reduces as the activity continues . These symptoms lead to impaired performance. In more severe cases, pain and disability can be persistent with functional activities such as walking.
Physical therapists have used different methods to maintain and also to increase joint motion, and prevent deformity and dysfunction resulting from the muscle shortening. The intension of the physical therapist is to lengthen the musculo-tendinous unit, supporting connective tissue and increase the range of motion.
Soft tissue treatments are widely used for AT, but strong scientific evidence to support those treatments is lacking. The literature provides some evidence that heavy pressure and deep massage might have some positive effect on chronic tendonitis by promoting healing.
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
- 25 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Both male and female.
- •Age limit 25-50 year.
- •Diagnosed patients by orthopedic surgeon.
- •Achilles tendon symptoms (pain) present in one limb for a minimum of two months.
- •Report having pain rated at least 3 out of 10 on a numerical rating scale (NRS-11).
- •Be able to walk household distances (more than 50 m) without the aid of a walker, crutches or can
排除标准
- •History of Pregnanc.
- •Having history of rheumatoid arthritis or generalized polyarthritis.
- •Pervious history of Achilles tendon rupture or surgery i.e arthrodesis , club foot surgery
- •History of hind foot fracture, or leg-length discrepancy of more than one-half inch.
- •Taken any manual therapy in last 3 month.
- •Contraindication to myofacial releas i.e skin burn or disease
研究组 & 干预措施
Myofascial release
Group A:
This group will receive routine physiotherapy with myofascial release. This protocol will be given for 3 alternative days per week. Each session will be of 45 minutes. Data will be collected at baseline, at 2nd week and at 4th week.
干预措施: myofascial release (Other)
eccentric resistance exercise
Group B:
This group will receive routine physiotherapy and myofascial release with eccentric resistance exercise . This protocol will be given for 3 alternative days per week. Each session will be of 60 minutes. Data will be collected at baseline, at 2nd week and at 4th week.
干预措施: eccentric resistance exercise (Other)
结局指标
主要结局
pain intensity
时间窗: change in pain intensity score will be measured at baseline , at 2nd week , at 4th week
pain intensity will be measured by Numeric Pain Rating Scale
Range of motion
时间窗: Change in range of motion score will be measured at baseline , at 2nd week , at 4th week
Range of motion will be measured by goniometer
Functional disability
时间窗: change in Function disability score will be measured at baseline, at 2nd week , at 4th week
Functional disability will be measured by ankle foot disability index
次要结局
未报告次要终点
研究者
Ayesha Jamil
Dr. Ayesha Jamil
University of Lahore