To Compare the Effect of Myofacial Release With and Without Eccentric Resistance on Pain , Range of Motion and Functional Disability in Patients With Achilles Tendonitis.

  • STATUS
    Recruiting
  • days left to enroll
    31
  • participants needed
    90
  • sponsor
    University of Lahore
Updated on 27 October 2022

Summary

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

Description

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.

Eccentric training can be effective in the rehabilitation of patients with Achilles tendonitis. The mechanism behind these results is not clear. However, there is evidence that tendons are able to respond to repeated forces by altering their structure and composition, and, thus, their mechanical properties change

Details
Condition Achilles Tendonitis
Treatment Myofascial release, eccentric resistance exercise
Clinical Study IdentifierNCT05550857
SponsorUniversity of Lahore
Last Modified on27 October 2022

Eligibility

Yes No Not Sure

Inclusion Criteria

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

Exclusion Criteria

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
Clear my responses

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