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In high heel users, most of the previous work has focused on the lower limb. However, we did not find any study that specifically targeted the lumbar region. The novelty of this study lies in raising awareness that high heel users experience a full-body postural disturbance. While studies had involved the lower limb, but it is crucial to also include the lumbar region. This is because high heel users often feel more pain in the lower limb, which may be leading us to focus solely on lower limb and neglect the lumbar region. However, the mechanics of the lumbar region are also deteriorating along with the lower limb, which may lead to musculoskeletal related issues to high heel users in future. In Pakistan, no previous research is conducted, That compare the effect of Graston Technique Versus DOST in female wearing high heels and its impact on posture.
The consequences of wearing high heels included increased bending of the hips and knees, anterior pelvic tilting, and increased lumbar lordosis in the spine. Wearers of high heels reported reduced dorsiflexion. The aim of this study is to compare the effectiveness of Graston technique and Dynamic Oscillatory Stretch (DOST) technique in improving lumbar lordosis, anterior pelvic tilting and function status in high heel users. This study is randamized control trial. The sample size of this study is 30 participants which would be divided into two group, 15 each. Non-probability Convenience sampling will be used and participants are randomly assigned into Group A (Graston Technique) Group B (DOST) through envelope sealed method after baseline assessment . The participants of both group were evaluated on three occasions; (i) baseline, (ii) 5th session and (iii) 12th session.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Graston Technique | Experimental | Experimental Group A: Graston technique on calf and Paraspinal (erector spinae) muscles with conservative physiotherapy treatment plan i.e. hot pack for 10-15 min (calf muscles) calf stretches (10 reps x 2 sets) and post session cold pack for 5 min. |
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| Dynamic Oscillatory Stretch Technique (DOST) | Active Comparator | Experimental Group B: Dynamic oscillation stretching technique on gastrocnemius, soleus, and hamstring with conservative physiotherapy treatment plan i.e. hot pack for 10-15 min (calf muscles) calf stretches (10 reps x 2 sets) and post session cold pack for 5 min. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Graston Technique | Other | Firstly, apply a moisturizer or gel to affected part. Then gentle strokes are applied from proximal to distal direction to assess trigger point or taut band. After knowing the exact area, apply strokes gently with minimum force in all directions by keeping tool in 30- 60-degree angle. Total Application time will be between 40-120 seconds. conservative physiotherapy treatment plan is hot pack for 10-15 min, calf stetches 10 reps x 2 sets and post session cold pack for 5 min. Home exercise plan is william training i.e. single knee to chest, double knee to chest, pelvic tilts, iliospoas stretch, hamstring stretch and squat (10reps x1 set) |
| Measure | Description | Time Frame |
|---|---|---|
| Flexicurve Ruler | The Flexicurve ruler allows us to measure the curves of your spine. The Flexicurve is a strip of flexible metal covered in plastic. It will place at the top of the back then gently bend it so it reflects the shape of the backbone. | 3 week |
| Inclinometer | Inclinometer is a specialized tool used to measure angles and range of motion of joints. It is used to measure pelvic tilt. | 3 week |
| Measure | Description | Time Frame |
|---|---|---|
| Gonimeter | A device that measures an angle or allows an object to be rotated to a certain position. In orthopedics, the former description is more accurate. Goniometry is the art and science of measuring joint ranges in each plane of the joint | 3 week |
| Lower Extremity Functional Scale |
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Inclusion Criteria:
• Only female were included
Exclusion Criteria:
• DVT, malignancy, infection.
Female
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| Name | Affiliation | Role |
|---|---|---|
| Ramsha Tariq | Riphah International University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Gulberg Green Campus of Riphah International University, Islamabad | Islamabad | Punjab Province | Pakistan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24508016 | Background | Chien HL, Lu TW, Liu MW. Effects of long-term wearing of high-heeled shoes on the control of the body's center of mass motion in relation to the center of pressure during walking. Gait Posture. 2014 Apr;39(4):1045-50. doi: 10.1016/j.gaitpost.2014.01.007. Epub 2014 Jan 19. |
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| ID | Term |
|---|---|
| D013540 | Swayback |
| ID | Term |
|---|---|
| D003677 | Deficiency Diseases |
| D044342 | Malnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
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| Dynamic Oscillatory Stretch Technique | Other | Passively stretch that is at the first point of stretch sensation. The next component to DOS, 2-sec, passive stretch with slow oscillation. Total 10 reps x 2 sec hold oscillations x 3 sets.conservative physiotherapy treatment plan is hot pack for 10-15 min, calf stetches 10 reps x 2 sets and post session cold pack for 5 min. Home exercise plan is william training i.e. single knee to chest, double knee to chest, pelvic tilts, iliospoas stretch, hamstring stretch and squat (10reps x1 set) |
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The LEFS can be used to evaluate the functional impairment of a patient with a disorder of one or both lower extremities. It can be used to monitor the patient over time and to evaluate the effectiveness of an intervention. |
| 3 week |
| D012757 | Sheep Diseases |
| D000820 | Animal Diseases |