scholarly journals Efficacy of Percussive Massage versus Calf Stretching on Pain, Range of Motion, Muscle Strength and Functional Outcomes in Patients with Plantar Fasciitis – A Research Protocol

2021 ◽  
pp. 532-539
Author(s):  
Madhu Lakhwani ◽  
Pratik Phansopkar
Keyword(s):  
Muscle Strength ◽  
Range Of Motion ◽  
Functional Outcomes ◽  
Plantar Fasciitis ◽  
Plantar Fascia ◽  
Manual Muscle Testing ◽  
Home Exercise ◽  
Muscle Testing ◽  
Exercise Regimen ◽  
Calf Muscles

Introduction: Plantar fasciitis occurs with the deterioration of the plantar fascia and related surrounding tissues around the heel's medial calcaneal tuberosity. This illness usually causes tightness in the calf muscles. These tight muscles are thought to interfere with the normal biomechanics of ambulation. The invention of percussion massage guns intends to improve the usefulness and efficiency of self-myofascial release, following in the footsteps of vibrating foam rollers. Since there is limited research on muscle gun devices, despite their growing popularity, this study will look into their effects on range of motion, essential physiological or biomechanical factors that contribute to the disease, and their capacity to reduce muscular tightness. Methodology: Subjects with Plantar Fasciitis (n = 48) will be recruited for a single-blind RCT. Participants will be assigned randomly to the experimental or control groups with a one-to-one allocation ratio. Participants in Group A will receive treatment via Theragun, Hot/cold immersion therapy, and a home exercise regimen during a one-week period immediately following baseline evaluations and randomization. Participants in GROUP B would only be subjected to Calf Stretching, a Contrast Bath, and a home exercise regimen. For a week, the calf muscles were treated for 5 minutes every day (7 sessions in all). As 1 week is completed, the efficacy of the approach for both groups is assessed using ankle flexibility tests, VAS, universal goniometers, Active Manual muscle testing, and the (PFPS) as outcome measures. Discussion: The purpose of this study is to compare the benefits of the Hypervolt device vs calf stretching in individuals with plantar fasciitis. The outcomes of the study, which may include a newly designed rehabilitation technique, may assist patients experiencing Plantar +-Fasciitis. Conclusion: Conclusion will be drawn based on the effect of both the techniques on Pain, Range of Motion, Muscle Strength, and Functional Outcomes in Patients with Plantar Fasciitis.

scholarly journals Efficacy of Percussive massage Versus Calf Stretching on Pain, Range of Motion, Muscle Strength and Functional Outcomes in Patients with Plantar Fasciitis – A Randomized Control Trial.

2021 ◽  
Author(s):  
Madhu Lakhwani ◽  
Pratik Phansopkar
Keyword(s):  
Muscle Strength ◽  
Range Of Motion ◽  
Functional Outcomes ◽  
Plantar Fasciitis ◽  
Plantar Fascia ◽  
Outpatient Setting ◽  
Clinical Trial Registry ◽  
Muscle Tightness ◽  
Registration Number ◽  
The Impact

Abstract Background: In the outpatient setting, plantar fasciitis has been the most frequent cause of heel pain. A sharp insidious pain under the heel and along the medial border of the plantar fascia up to its insertion at the calcaneus are signs of plantar fasciitis. The most common cause of biomechanical changes in PF is calf muscle tightness. Percussive Therapy is a relatively new technique that uses a mechanical system, such as the Theragun, to provide percussive massage.(17) Therefore, this Research will explore the current literature regarding the effect of massage gun device on Pain, Range of Motion, Muscle Strength and Functional Outcomes in Patients with Plantar Fasciitis.Methodology:In the study, 48 patients diagnosed with Plantar fasciitis will be enrolled for a week. One group will receive conventional therapy and the other group will receive a percussive therapy treatment via Theragun for a week. Pain, flexibility, ROM and Muscle strength will be evaluated using to standard technique.Discussion:The goal of this Interventional study is to examine the impact of Percussive Massage Therapy in Patients with Plantar Fasciitis. The study findings would help prospective patients with Plantar Fasciitis, which may include a newly designed method of rehabilitation.The clinical trial registry-India(CTRI) registration number for this trial is CTRI/2021/05/033460.

scholarly journals Pengaruh Latihan Range Of Motion (ROM) Menggenggam Bola Terhadap Kekuatan Otot Ekstremitas Atas Pasien Stroke Iskemik

2019 ◽  
Vol 14 (2) ◽  
pp. 79-86
Author(s):  
Hendri Budi ◽  
Netti Netti ◽  
Yossi Suryarinilsih
Keyword(s):  
Ischemic Stroke ◽  
Muscle Strength ◽  
Range Of Motion ◽  
Design Research ◽  
Nursing Intervention ◽  
Wilcoxon Test ◽  
Manual Muscle Testing ◽  
P Value ◽  
Stroke Patients ◽  
Muscle Testing

Stroke causes motor hemiparise disorders or weakness. Nursing intervention to overcome this is by doing range of motion (ROM) exercises grasping the ball. The purpose of the study was to identify the effect of ROM-grasping ball exercises on the strength of limb muscles for ischemic stroke patients. Quasi-experimental research type, one group pre-post test design. Research in the Neuro Ward Dr. M. Djamil Padang Hospital. The time of the research is October to December 2017. The intervention is ROM gripping ball exercises, namely rubber balls for 3 days followed by tennis balls for 2 days. Hold the ball firmly for 5 seconds then relax 10 seconds, practice repeated 10 times, frequency 3 times a day. The study population were all stroke patients in the Neuro Ward Dr. M. Djamil Padang Hospital. A sample of 10 people was obtained by purposive sampling that met the inclusion criteria. Data collection by measurement of muscle strength using Manual Muscle Testing (MMT). Data were computerized, analyzed by descriptive statistics and Wilcoxon test. The results of the study showed differences in upper limb muscle strength before and after the ROM exercise held the ball on the patient's shoulder (p value = 0.004), on the elbow of the patient (p value = 0.000), on the patient's hand (p value = 0.000), and on the patient's finger (p value = 0.000). It is recommended to nurses to implement the practice of grasping the ball to increase muscle strength of ischemic stroke patients and make it as a procedure for nursing intervention to patients to muscle strength.      

scholarly journals Performance of the lower limb musculoskeletal system in patients with different degree of diabetic ulcer risk

2020 ◽  
Author(s):  
Snježana Novaković Bursać ◽  
Goran Talić ◽  
Nataša Tomić ◽  
Slavica Jandrić
Keyword(s):  
Muscle Strength ◽  
Range Of Motion ◽  
Statistical Significance ◽  
Metatarsophalangeal Joint ◽  
Manual Muscle Testing ◽  
Diabetic Patients ◽  
Cross Sectional ◽  
First Metatarsophalangeal Joint ◽  
Diabetic Ulcer ◽  
Muscle Testing

Abstract BackgroundThe objective of the study was to determine the correlation between the biomechanical parameters: ankle and foot muscle strength, range of motion (ROM) at ankle joint (AJ), subtalar joint (SJ) and first metatarsophalangeal joint (I MTP) in patients with different diabetic ulcer risk assessed by IWGDF 2019 Guidance risk stratification system.MethodA cross-sectional study included 100 diabetic patients. The patients were classified into 4 risk categories of development of diabetic foot ulcer (DFU) applying IWGDF Guidelines 2019 stratification risk system. The function of ten foot and ankle muscles was evaluated by manual muscle testing and application of the Michigan Diabetic Neuropathy Score (MDNS) system. The range of motion ROM at the ankle, subtalar and first metatarsophalangeal joint was measured with a goniometer. The risk assessment was done applying IWGDF Guidelines 2019 stratification risk system. To test the statistical significance the ANOVA test was applied.ResultsAverage muscle strength in specified categories was category 0:9.2; category 1:13.9; category 2:13.3; category 3:15.2. Average ROM at AJ in specified categories was: category 0:49.3°; category 1:48.8°; category 2:45.5°; category 3:44.6°. Average ROM at SJ in specified categories was: category 0:37.8°; category 1:31.3°; category 2:35°; category 3:28.7°. Average ROM at I MTP in specified categories was: category 0:78.6°; category 1:74.4°; category 2:65.5°; category 3:57.9°. ConclusionThe risk for DFU significantly correlates with foot muscle strength and ROM at SJ, and I MTP, but does not with ROM at AJ.

scholarly journals Effect of Isometric and Isotonic Exercise Program on Increased Strength of Quardriceps Muscles in Osteoarthritis Patients in Singgasana Rama Physiotherapy Clinic Blitar

2021 ◽  
Vol 5 (1) ◽  
pp. 42-48
Author(s):  
Irwan Syahputra ◽  
Nurwijayanti Nurwijayanti
Keyword(s):  
Muscle Strength ◽  
Exercise Program ◽  
Quadriceps Strength ◽  
Manual Muscle Testing ◽  
Moderate Intensity ◽  
Rank Test ◽  
Control Group ◽  
Isometric Training ◽  
Muscle Testing ◽  
Isotonic Exercise

Background: Osteoarthritis is a disease of the joints that can cause disability and is progressive in the joints which cause changes in the water content, proteoglycin content, and collagen in the joints. One of the ways to improve functional ability in osteoarthritis cases is to use isotonic and isometric training exercise. Pain is a clinical symptom of knee osteoarthritis, limiting movement due to pain over time will cause rehabilitation problems such as impaired flexibility and stability, reduction of muscle mass (atrophy). Mild and moderate intensity quadriceps strength training is effective at achieving optimal muscle strength and function without causing significant muscle damage. Destination: The purpose of this study was to analyze the effect of isotonic and isometric exercises on muscle strength. Research methods: This study uses a pre-experimental research type using "One Group Pre - test and Post - Test". This research has carried out the first observation (pretest) so that researchers can test the changes that occur after the treatment, and the control group. Result: with the Wilcoxon signed rank test test the isometric and isotonic groups had p = 0.000 while the control group had a significance value of p = 1,000; and the 3 groups test has different values, namely: isotonic exercise has a value of 27.67; isometric; 28.60; and control 12.73. The conclusion that can be concluded that the value of isometric training has the highest value, namely 28.60 which means it is the most effective exercise to increase the value of Manual Muscle Testing. Conclusion: There is an effect of giving isometric and isotonic exercises in strengthening the quadriceps muscles.

The Effect of Dry Needling on Pain, Range of Motion of Ankle Joint, and Ultrasonographic Changes of Plantar Fascia in Patients With Plantar Fasciitis

2021 ◽  
pp. 1-6
Author(s):  
Afsaneh Moosaei Saein ◽  
Ziaeddin Safavi-Farokhi ◽  
Atefeh Aminianfar ◽  
Marzieh Mortezanejad
Keyword(s):  
Range Of Motion ◽  
Ankle Joint ◽  
Visual Analog Scale ◽  
Plantar Fasciitis ◽  
Plantar Flexion ◽  
Plantar Fascia ◽  
Trigger Points ◽  
Dry Needling ◽  
Analog Scale ◽  
Significant Difference

Context: Plantar fasciitis (PF) is a common and devastating disease. Despite different treatments, there is no clear evidence for the effect of these treatments on PF. One of the therapy methods used in physiotherapy is dry needling (DN). So the purpose of this study is to investigate the effect of DN on the pain and range of motion of the ankle joint and plantar fascia thickness in subjects with PF who are suffering from the trigger points of the gastrocnemius and soleus muscles. Methods: In this study, 20 volunteer females with PF were randomly assigned into DN treatment and control groups. Measurements were range of motion in dorsiflexion and plantar flexion, plantar fascia thickness, and visual analog scale measured before, immediately, and 1 month after the end of the intervention in both groups. Results: There were significant differences in the plantar fascia thickness and visual analog scale between the 2 groups. Plantar fascia thickness (P = .016) and visual analog scale (P = .03) significantly decreased in the treatment group. However, there was no significant difference in plantar flexion (P = .582) and dorsiflexion range of motion (P = .173) between groups. Conclusion: The result of this study showed that DN can reduce pain and plantar fascia thickness in women with PF who are suffering from trigger points of the gastrocnemius and soleus muscles. Level of evidence: Level 1, randomized controlled trial.

Hand-held dynamometry for assessment of muscle strength in patients with inflammatory myopathies

Rheumatology ◽  
2020 ◽  
Author(s):  
Didem Saygin ◽  
Chester V Oddis ◽  
Siamak Moghadam-Kia ◽  
Bonny Rockette-Wagner ◽  
Nicole Neiman ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Disease Activity ◽  
Neuromuscular Disorders ◽  
Strong Association ◽  
External Validation ◽  
Manual Muscle Testing ◽  
Inflammatory Myopathies ◽  
University Of Pittsburgh ◽  
Muscle Testing ◽  
The University

Abstract Objectives Muscle weakness in idiopathic inflammatory myopathies (IIMs) is conventionally assessed using manual muscle testing (MMT). However, more objective tools must be developed to accurately and reliably quantify muscle strength in myositis patients. Hand-held dynamometry (HHD) is a quantitative, portable device with reported reliability in neuromuscular disorders. Our aim was to assess the reliability, validity and responsiveness of HHD in myositis. Methods Myositis patients [DM, necrotizing myopathy (NM), PM and anti-synthetase syndrome] evaluated at the University of Pittsburgh myositis centre were prospectively enrolled. Each patient was assessed at 0, 3 and 6 months for validated outcome measures of myositis disease activity and physical function. At each visit, muscle strength was assessed using both MMT and HHD (Micro FET2, Hoggan Health Industries, Draper, UT, USA). The reliability, validity and responsiveness of the HHD was assessed using standard statistical methods. Results Fifty IIM patients (60% female; mean age 51.6 years; 6 PM, 9 NM, 24 DM and 11 anti-synthetase syndrome) were enrolled. HHD showed strong test–retest intrarater reliability (r = 0.96) and interrater reliability (r = 0.98). HHD correlated significantly with the MMT score (r = 0.48, P = 0.0006) and myositis disease activity and functional measures. Longitudinal analysis showed a significant and strong association between the HHD and MMT as well as 2016 ACR/EULAR myositis response criteria (r = 0.8, P < 0.0001) demonstrating responsiveness. The mean effect size and standardized response mean of HHD was large: 0.95 and 1.03, respectively. MMT had a high ceiling effect compared with HHD. Conclusion HHD demonstrated strong reliability, construct validity and responsiveness in myositis patients. External validation studies are required to confirm these findings.

scholarly journals Large variation in effects during 10 years of enzyme therapy in adults with Pompe disease

Neurology ◽  
2019 ◽  
Vol 93 (19) ◽  
pp. e1756-e1767 ◽  
Author(s):  
Laurike Harlaar ◽  
Jean-Yves Hogrel ◽  
Barbara Perniconi ◽  
Michelle E. Kruijshaar ◽  
Dimitris Rizopoulos ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Pulmonary Function ◽  
Pompe Disease ◽  
Manual Muscle Testing ◽  
Controlled Clinical Trial ◽  
Walking Ability ◽  
Enzyme Replacement ◽  
Link Type ◽  
Muscle Testing

ObjectiveTo determine the effects of 10 years of enzyme replacement therapy (ERT) in adult patients with Pompe disease, focusing on individual variability in treatment response.MethodsIn this prospective, multicenter cohort study, we studied 30 patients from the Netherlands and France who had started ERT during the only randomized placebo-controlled clinical trial with ERT in late-onset Pompe disease (NCT00158600) or its extension (NCT00455195) in 2005 to 2008. Main outcomes were walking ability (6-minute walk test [6MWT]), muscle strength (manual muscle testing using Medical Research Council [MRC] grading), and pulmonary function (forced vital capacity [FVC] in the upright and supine positions), assessed at 3- to 6-month intervals before and after the start of ERT. Data were analyzed with linear mixed-effects models for repeated measurements.ResultsMedian follow-up duration on ERT was 9.8 years (interquartile range [IQR] 8.3–10.2 years). At the group level, baseline 6MWT was 49% of predicted (IQR 41%–60%) and had deteriorated by 22.2 percentage points (pp) at the 10-year treatment point (p < 0.001). Baseline FVC upright was 54% of predicted (IQR 47%–68%) and decreased by 11 pp over 10 years (p < 0.001). Effects of ERT on MRC sum score and FVC supine were similar. At the individual level, 93% of patients had initial benefit of ERT. Depending on the outcome measured, 35% to 63% of patients had a secondary decline after ≈3 to 5 years. Still, at 10 years of ERT, 52% had equal or better 6MWT and/or FVC upright compared to baseline.ConclusionsThe majority of patients with Pompe disease benefit from long-term ERT, but many patients experience some secondary decline after ≈3 to 5 years. Individual variation, however, is considerable.Classification of evidenceThis study provides Class IV evidence that for the majority of adults with Pompe disease, long-term ERT positively affects, or slows deterioration in, muscle strength, walking ability, and/or pulmonary function.

scholarly journals Assessing the Validity and Reliability of A Low-Cost Microcontroller-Based Load Cell Amplifier for Measuring Lower Limb and Upper Limb Muscular Force

Sensors ◽  
2020 ◽  
Vol 20 (17) ◽  
pp. 4999
Author(s):  
Julie Gaudet ◽  
Grant Handrigan
Keyword(s):  
Muscle Strength ◽  
Upper Limb ◽  
Low Cost ◽  
Load Cell ◽  
Manual Muscle Testing ◽  
Muscular Force ◽  
Validity And Reliability ◽  
Important Indicator ◽  
Muscle Testing ◽  
Isometric Muscle

Lower and upper limb maximum muscular force development is an important indicator of physical capacity. Manual muscle testing, load cell coupled with a signal conditioner, and handheld dynamometry are three widely used techniques for measuring isometric muscle strength. Recently, there is a proliferation of low-cost tools that have potential to be used to measure muscle strength. This study examined both the criterion validity, inter-day reliability and intra-day reliability of a microcontroller-based load cell amplifier for quantifying muscle strength. To do so, a low-cost microcontroller-based load cell amplifier for measuring lower and upper limb maximal voluntary isometric muscular force was compared to a commercial grade signal conditioner and to a handheld dynamometer. The results showed that the microcontroller-based load cell amplifier correlated nearly perfectly (Pearson's R-values between 0.947 to 0.992) with the commercial signal conditioner and the handheld dynamometer, and showed good to excellent association when calculating ICC scores, with values of 0.9582 [95% C.I.: 0.9297–0.9752] for inter-day reliability and of 0.9269 [95% C.I.: 0.8909–0.9533] for session one, intra-day reliability. Such results may have implications for how the evaluation of muscle strength measurement is conducted in the future, particularly for offering a commercial-like grade quality, low cost, portable and flexible option.

scholarly journals Relationship between Grade 3 Muscle Strength and the Maximum Muscle Strength in Manual Muscle Testing of Legs: Assessment of Flexion and Extension of the Hip and Knee Joints

2014 ◽  
Vol 29 (6) ◽  
pp. 861-865 ◽  
Author(s):  
Hideyuki USA ◽  
Masashi MATSUMURA ◽  
Daisuke OGAWA ◽  
Masafumi HATA ◽  
Kazuna ICHIKAWA ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Knee Joints ◽  
Manual Muscle Testing ◽  
Muscle Testing ◽  
Grade 3 ◽  
Flexion And Extension
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