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IRCT20231103059934N1 IRCT 2023-11-12 Riphah International University, Lahore Effects of Periosteal pecking and shock absorbing insoles in Medial Tibial Stress syndrome in Atletes MTSS Effects of Shock Absorbing Insoles with and without Periosteal Pecking on Pain and Functional Mobility in Athletes with Medial Tibial Stress Syndrome 2023-12-04 anticipated 36 Complete https://irct.ir/trial/73531 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Other design features: This study will be a Randomized Controlled Trial, Randomization description: Sealed Envelop. N/A Medial Tibial Stress syndrome. Intervention 1: Intervention Group 1 : 18 participants will be randomly allocated to Group A. Participants will be given shock absorbing insoles and Kinesthetic awareness exercises will be used as baseline treatment and will be given to all participants irrespective of their group allocation. In addition Group A participants will receive periosteal pecking i.e. using dry needling technique, in which dry needle of 30mm will be inserted at tendon osseous (T-O) junction and when it comes into contact with periosteum of tibia at distal posteromedial border, needle will be removed after 20 taps , it will promote growth and repair by stimulating inflammatory activity. Pre and post measures for NPRS, HOP Test and FMS will be taken. 3 follow ups for this session will be done on 0, and 6th week respectively. Intervention 2: Control Group: 18 Participants after allocation to Group B will be given shock absorbing insoles of a standard height of 1.5 cm for a period of 6 weeks and pre and post reading of measuring tools NPRS, HOP Test and FMS will be taken on 0, and 6th week respectively. Kinesthetic awareness exercises will be used as baseline treatment and will be given to all participants irrespective of their group allocation. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is I haven't decided yet
public Laila Niaz Khan
Riphah International University, Gulberg III Campus, Lahore 25 Raza Saeed Rd, Bhabra Block M Gulberg III, Lahore, Punjab 25-M Block, Lahore,
Lahore Pakistan 54660 +9234510055934 lailaniaz321@gmail.com Riphah International University, Lahore scientific Laila Niaz Khan
Riphah International University, Gulberg III Campus, Lahore 25 Raza Saeed Rd, Bhabra Block M Gulberg III, Lahore, Punjab 25-M Block, Lahore,
Lahore Pakistan 54660 +92 345 1055934 lailaniaz321@gmail.com Riphah International University, Lahore Pakistan Pain along the posteromedial border of tibia that triggers with activity and relieves with rest Tenderness at Tendo Achilles Positive single leg Hop test Positive 6 meters timed run Test local Tenderness < 5cm at distal postero medial border of tibia Pain on resisted plantar flexion 18 years 35 years Both Compartment syndrome Popliteal artery entrapment Bilateral lower limb injuries Lumbar radiculopathy Athletes with Tibial stress fracture M70.8 Tibialis Posterior tendon overuse injury Treatment - Other Treatment - Other Intervention Group 1 : 18 participants will be randomly allocated to Group A. Participants will be given shock absorbing insoles and Kinesthetic awareness exercises will be used as baseline treatment and will be given to all participants irrespective of their group allocation. In addition Group A participants will receive periosteal pecking i.e. using dry needling technique, in which dry needle of 30mm will be inserted at tendon osseous (T-O) junction and when it comes into contact with periosteum of tibia at distal posteromedial border, needle will be removed after 20 taps , it will promote growth and repair by stimulating inflammatory activity. Pre and post measures for NPRS, HOP Test and FMS will be taken. 3 follow ups for this session will be done on 0, and 6th week respectively. Control Group: 18 Participants after allocation to Group B will be given shock absorbing insoles of a standard height of 1.5 cm for a period of 6 weeks and pre and post reading of measuring tools NPRS, HOP Test and FMS will be taken on 0, and 6th week respectively. Kinesthetic awareness exercises will be used as baseline treatment and will be given to all participants irrespective of their group allocation. Functional movement screening scale. Timepoint: Before intervention and 6th week after intervention. Method of measurement: Functional Movement Screening Scale. Pain Reduction. Timepoint: Before intervention and 6th week after intervention. Method of measurement: Numerical Pain Rating Scale. Riphah International University, Lahore Approved 2023-08-03 Research & Ethics Committee Riphah International University, Gullberg Campus, Lahore, Pakistan Lahore Punjab Pakistan