Instrument-Assisted Soft Tissue Mobilization Technique versus Static Stretching in Patients with Pronated Dominant Foot: A Comparison in Effectiveness on Flexibility, Foot Posture, Foot Function Index, and Dynamic Balance
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Published:2023-03-07
Issue:6
Volume:11
Page:785
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ISSN:2227-9032
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Container-title:Healthcare
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language:en
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Short-container-title:Healthcare
Author:
Gupta Ujjwal1, Sharma Ankita1, Rizvi Moattar R.2ORCID, Alqahtani Mazen M.34, Ahmad Fuzail3ORCID, Kashoo Faizan Z.4ORCID, Miraj Mohammad4ORCID, Asad Mohammad R.5, Uddin Shadab6, Ahamed Waseem M.6ORCID, Nanjan Saravanakumar6, Hussain Sayed A.3, Ahmad Irshad7ORCID
Affiliation:
1. Department of Physiotherapy, Faculty of Allied Health Sciences, Manav Rachna International Institute and Studies (MRIIRS), Faridabad 121001, India 2. Faculty of Allied Health Sciences, Manav Rachna International Institute and Studies (MRIIRS), Faridabad 121001, India 3. College of Applied Sciences, Almaarefa University, Riyadh 13713, Saudi Arabia 4. Department of Physical Therapy & Health Rehabilitation, College of Applied Medical Sciences, Majmaah University, Almajmaah 15431, Saudi Arabia 5. Department of Basic Medical Sciences, College of Medicine, Majmaah University, Almajmaah 15431, Saudi Arabia 6. Department of Physical Therapy, Faculty of Applied Medical Sciences, Jazan University, Jazan 45142, Saudi Arabia 7. Department of Medical Rehabilitation Sciences, College of Applied Medical Sciences, King Khalid University, Abha 61413, Saudi Arabia
Abstract
Background: Pronated foot is a deformity with various degrees of physical impact. Patients with a pronated foot experience issues such as foot pain, ankle pain, heel pain, shin splints, impaired balance, plantar fasciitis, etc. Objective: The study intended to compare the effectiveness of IASTM (instrument-assisted soft tissue mobilization) and static stretching on ankle flexibility, foot posture, foot function, and balance in patients with a flexible pronated foot. Methods: Seventy-two participants between the ages of 18–25 years with a flexible pronated foot were included and allocated into three groups: Control, stretching, and IASTM group using single-blinded randomization. Range of motion (ROM) measuring ankle flexibility, foot posture index (FPI), foot function index (FFI), and dynamic balance was measured at baseline and after 4 weeks of intervention. Soft tissue mobilization was applied on to the IASTM group, while the stretching group was directed in static stretching of the gastrocnemius-soleus complex, tibialis anterior, and Achilles tendon in addition to the foot exercises. The control group received only foot exercises for 4 weeks. Results: The result shows the significant improvement of the right dominant foot in ROM plantar flexion, (F = 3.94, p = 0.03), dorsiflexion (F = 3.15, p = 0.05), inversion (F = 8.54, p = 0.001) and eversion (F = 5.93, p = 0.005), FFI (control vs. IASTM, mean difference (MD) = 5.9, p < 0.001), FPI (right foot, control vs. IASTM MD = 0.88, p = 0.004), and in dynamic balance of the right-leg stance (anterior, pre vs. post = 88.55 ± 2.28 vs. 94.65 ± 2.28; anteromedial, pre vs. post = 80.65 ± 2.3 vs. 85.55 ± 2.93; posterior, pre vs. post = 83 ± 3.52 vs. 87 ± 2.99 and lateral, pre vs. post = 73.2 ± 5.02 vs. 78.05 ± 4.29) in the IASTM group. The FFI was increased remarkably in the stretching group as compared to the control group. Conclusions: Myofascial release technique, i.e., IASTM with foot exercises, significantly improves flexibility, foot posture, foot function, and dynamic balance as compared to stretching, making it a choice of treatment for patients with a flexible pronated foot.
Funder
Deanship of Scientific Research, King Khalid University
Subject
Health Information Management,Health Informatics,Health Policy,Leadership and Management
Cited by
1 articles.
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