Comparing the Effects of Instrumental Assisted Soft Tissue Mobilization and Muscle Energy Technique on Improving Range of Motion and Reducing Pain in Patients with Gastrocnemius and Soleus Muscle Tightness A Randomized Clinical Trail
To check and compare the effects of Instrument-Assisted Soft Tissue Mobilization and METS(post isometric relaxation)on Gastrocnemius, soleus muscle tightness.
Design
It will be single blinded randomized clinical trail.A total of 20 participants will be recruited according to criteria. Teaching Experience more than 2 years.teachers who stand for prolonged period at least 3-5 hours per day. Lottery method will be used for recruitment of patients in 2 equal groups.
Settings and conduct
Study Setting:Progressive Science Girls High School, American Lyceum School and Islamic Science Foundation School.
City:faisalabad, Pakistan;study population:patients will be school teachers. Experience more than 2 years who stand for 3-5 hours per day;blinding:it will be single blinded study and lottery method will be used for the recruitment of patients in two equal groups.
Participants/Inclusion and exclusion criteria
Inclusion criteria:Both genders male and female.
Age range 25-40 year
Teaching Experience more than 2 years.
Teachers who stand for prolonged period at least 3-5 hours per day
Positive Knee to wall test/ Silfverskiold Test.
Pain mild to moderate
If ankle dorsiflexion and plantarflexion ranges limited.
Exclusion criteria:Patients with history of any recent traumatic lower limb injury
History of Bursitis, fasciitis, ligamentous injury or tendinopathy
Patients with symptoms of sensory loss in lower extremities
History of diabetes
Patients with visible foot deformities (Cavus, flat feet, hammer toe, hallux valgus)
Patients with planter cones , foot warts , calluses
Patient had history of surgery
Not willing to participate in study
Intervention groups
Intervention Group A=baseline treatment and instrument-assisted soft-tissue mobilization, intervention group B=baseline treatment and post isometric relaxation of METS
Main outcome variables
Pain,Rom,functional status
General information
Reason for update
Acronym
IRCT registration information
IRCT registration number:IRCT20250106064292N1
Registration date:2025-02-11, 1403/11/23
Registration timing:prospective
Last update:2025-02-11, 1403/11/23
Update count:0
Registration date
2025-02-11, 1403/11/23
Registrant information
Name
Hania Mahmood
Name of organization / entity
The University of Faisalabad
Country
Pakistan
Phone
+92 41 8750971
Email address
haniamahmood08@gmail.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2025-02-20, 1403/12/02
Expected recruitment end date
2025-06-20, 1404/03/30
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Comparing the Effects of Instrumental Assisted Soft Tissue Mobilization and Muscle Energy Technique on Improving Range of Motion and Reducing Pain in Patients with Gastrocnemius and Soleus Muscle Tightness A Randomized Clinical Trail
Public title
Effects of Instrumental Assisted Soft Tissues Mobilization and MET( post isometric relaxation)on Gastrocnemius and Soleus muscle tightness
Purpose
Health service research
Inclusion/Exclusion criteria
Inclusion criteria:
Teaching Experience more than 2 years.Teachers who stand for prolonged period at least 3-5 hours per day .Positive Knee to wall test/ Silfverskiold Test.Pain mild to moderate.If ankle dorsiflexion and plantarflexion ranges limited.
Both genders male and female.Age range 25-40 year.
All participants must be currently employed as primary and secondary school teachers.
Exclusion criteria:
Patients with history of any recent traumatic lower limb injury.History of Bursitis, fasciitis, ligamentous injury or tendinopathy.Patients with symptoms of sensory loss in lower extremities .History of diabetes .Patients with visible foot deformities (Cavus, flat feet, hammer toe, hallux valgus)
Patients with planter cones , foot warts , calluses.Patient had history of surgery.Not willing to participate in study
Age
From 25 years old to 40 years old
Gender
Both
Phase
N/A
Groups that have been masked
Participant
Sample size
Target sample size:
24
Randomization (investigator's opinion)
Randomized
Randomization description
Participants will be screened according to criteria and 24 Participants who met the inclusion criteria of study will be selected. Participants will be divided randomly into 2 treatment groups.12 each ,by using lottery method.each participants will be asked to choose between 2 pieces of paper,with group A and group B written on them participants will be allocated into treatment groups according to piece of paper they will choose.after completing 12 participants in one group,all other participants will be assigned to the other treatment group.so that both treatment groups have equal participants.
Blinding (investigator's opinion)
Single blinded
Blinding description
Each participants will be asked to choose between two pieces of paper,with group A and group B written on them participants will be allocated into treatment groups according to the piece of paper they choose.the patients will not know in which Group he/she is enrolled to avoid bias.
Placebo
Not used
Assignment
Other
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Ethics committee of The University of Faisalabad
Street address
West canal ,faisalabad
City
Faisalabad
Postal code
38000
Approval date
2025-01-06, 1403/10/17
Ethics committee reference number
TUF/Reg/SB/BASR/054
Health conditions studied
1
Description of health condition studied
Gastrocnemius and Soleus Muscles Tightness
ICD-10 code
M62.9
ICD-10 code description
Disorder of muscle, unspecified
Primary outcomes
1
Description
Gastrocnemius and Soleus Muscles pain
Timepoint
Gastrocnemius and soleus muscle tightness measured three times.before the start of 1st session,after 3 weeks and third time after 6 weeks.
Method of measurement
Numeric Pain Rating Scale
2
Description
Gastrocnemius and soleus muscle range of motion
Timepoint
Gastrocnemius and soleus muscle tightness measured three times.before the start of 1st session,after 3 weeks and third time after 6 weeks.
Method of measurement
Universal goniometer
3
Description
Functional Scale
Timepoint
Gastrocnemius and soleus muscle tightness measured three times.before the start of 1st session,after 3 weeks and third time after 6 weeks.
Method of measurement
Lower Extremity Functional Scale
Secondary outcomes
empty
Intervention groups
1
Description
Intervention group: group A will receive instrument-assisted soft-tissue mobilization 2 sessions per week for 6 weeks.in one session 10 minutes apply Instrumental Assisted Soft Tissues Mobilization on Gastrocnemius and Soleus Muscles
Category
Treatment - Other
2
Description
Intervention group: group B will receive 2 sessions of post isometric relaxation techniques per week.this apply on Gastrocnemius and Soleus Muscles .in one session 3 repetitions will be performed