Muscle Tightness Clinical Trial
Official title:
Does the Addition of Manual Therapy Techniques Increase Gastrocnemius/Soleus Length More Than Stretching Alone?
Verified date | June 2014 |
Source | Nationwide Children's Hospital |
Contact | n/a |
Is FDA regulated | No |
Health authority | United States: Institutional Review Board |
Study type | Interventional |
This study will examine the short term effects of adding manual therapy techniques to static
stretching in Dorsiflexion (DF) Range of Motion (ROM). The investigators will be studying 2
forms of manual therapy, a rear-foot thrust joint mobilization (TJM), and Instrument
assisted soft tissue mobilization (IASTM). By comparing 3 groups: TJM+static stretching
versus IASTM + static stretching versus static stretching alone the investigators wish to
see if there are any short term benefits in DF ROM by adding either of these interventions
to static stretching.
The manual therapy treatment will occur over 2 sessions and DF ROM measurements will be
taken 4 times over a 2 week period.
The population that the investigators wish to examine are subjects with healthy feet and
ankles, but with limited DF ROM.
The primary objective of this study is to see if subjects with decreased dorsiflexion motion
will experience greater increases in dorsiflexion motion with the addition of manual therapy
of static stretching alone.
Our hypothesis is subjects who receive manual therapy therapy and static stretching will
experience a significant increase in DF ROM as compared to subjects who receive static
stretching alone. More specifically subjects who are treated with the IASTM will experience
greater results than subjects who are treated with the rear-foot thrust mobilization.
Status | Completed |
Enrollment | 20 |
Est. completion date | June 2014 |
Est. primary completion date | June 2014 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | Both |
Age group | 12 Years and older |
Eligibility |
Inclusion Criteria: healthy feet and ankles must have limited dorsiflexion ROM. Limited dorsiflexion will be judged by patient having <12 degrees of DF PROM with knee extended, or <50 degrees of weight bearing DF ROM with the knee flexed. Exclusion Criteria: - inability to fully weight bear through their lower extremities - have <0-90 degrees of ROM in their knees - inability to follow directions - presence of a Lower Extremity fracture - pregnant or nursing |
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
United States | Nationwide Children's Hospital Sports and Orthopedic PT East Broad St location | Columbus | Ohio |
Lead Sponsor | Collaborator |
---|---|
Nationwide Children's Hospital |
United States,
Bozymski EM, Isaacs KL. Special diagnostic and therapeutic considerations in elderly patients with upper gastrointestinal disease. J Clin Gastroenterol. 1991;13 Suppl 2:S65-75. Review. — View Citation
Fong CM, Blackburn JT, Norcross MF, McGrath M, Padua DA. Ankle-dorsiflexion range of motion and landing biomechanics. J Athl Train. 2011 Jan-Feb;46(1):5-10. doi: 10.4085/1062-6050-46.1.5. — View Citation
Fryer GA, Mudge JM, McLaughlin PA. The effect of talocrural joint manipulation on range of motion at the ankle. J Manipulative Physiol Ther. 2002 Jul-Aug;25(6):384-90. — View Citation
Hammer WI. The effect of mechanical load on degenerated soft tissue. J Bodyw Mov Ther. 2008 Jul;12(3):246-56. doi: 10.1016/j.jbmt.2008.03.007. Epub 2008 Jun 3. — View Citation
Konor MM, Morton S, Eckerson JM, Grindstaff TL. Reliability of three measures of ankle dorsiflexion range of motion. Int J Sports Phys Ther. 2012 Jun;7(3):279-87. — View Citation
Piva SR, Fitzgerald GK, Wisniewski S, Delitto A. Predictors of pain and function outcome after rehabilitation in patients with patellofemoral pain syndrome. J Rehabil Med. 2009 Jul;41(8):604-12. doi: 10.2340/16501977-0372. — View Citation
Radford JA, Burns J, Buchbinder R, Landorf KB, Cook C. Does stretching increase ankle dorsiflexion range of motion? A systematic review. Br J Sports Med. 2006 Oct;40(10):870-5; discussion 875. Epub 2006 Aug 22. Review. — View Citation
Schaefer JL, Sandrey MA. Effects of a 4-week dynamic-balance-training program supplemented with Graston instrument-assisted soft-tissue mobilization for chronic ankle instability. J Sport Rehabil. 2012 Nov;21(4):313-26. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Change in Weight bearing dorsiflexion Range of Motion | Subjects will perform 3 practice range of motion (ROM) before the first measurement is taken. Subjects will then be measured for Dorsiflexion range of motion with knee in full extension and then with knee flexed 3 times each. With each measurement subjects will be instructed to bend the ankle forward as far as possible without their heel leaving the ground. The average value for these 3 measurements will be calculated and that will be the subjects DF ROM measurement. The change in ROM at each measurement will be the outcome we are measuring | Immediately prior to treatment, Immediately following treatment (same day), 2 day follow up visit,and at 2 weeks (12-16 days after initial session) | No |
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