Gopinath, G (2018) A Comparitive study between Myofascial Trigger Point Release and Self Stretching with Intermittent Icing in Improving the Foot and Ankle Function of Hockey Players with Plantar Heel Pain. Masters thesis, Cherraan's College of Physiotherapy, Coimbatore.
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Abstract
NEED FOR THE STUDY: Plantar heel pain not only cause pain and discomfort but also affects the physical foot and ankle functions of the hockey players and their results in deconditioning. Previous studies have reported that stretching of the calf musculature and the plantar fascia are effective management strategies for plantar heel pain. Few studies are available to analyse the effect of soft tissue therapy for plantar heel pain in athletic population. So this study was conducted in order to compare either Myofascial trigger point release or self-stretching with intermittent icing as a useful intervention in the management to improve foot and ankle function for plantar heel pain in hockey players. OBJECTIVES: 1. To determine the efficacy of physiotherapeutic techniques in improving foot and ankle function of hockey players with plantar heel pain. 2. To systematically compare the efficacy of myofascial trigger point and self stretching with intermittent icing in improving foot and ankle functions of hockey players with plantar heel pain. 3. To systematically assess the literature and present the best available evidence for improving the foot and ankle function in hockey players with plantar heel pain. METHODOLOGY: STUDY DESIGN: Pre test-post test study comparative in nature. STUDY SETTING: Study was conducted at Nehru stadium - Hockey team Coimbatore, Tamilnadu, under the guidance of Shasti Sports Institute. STUDY DURATION: Total duration was six months. Individuals received the treatment for duration of one week. SUBJECTS: 30 hockey players with clinical diagnosis of plantar heel pain, who fulfill the predetermined inclusive and exclusive criteria were selected and divided into 2 groups by simple random sampling method. Each group consists of 15 patients. Groups are named as group A, and B. CRITERIA FOR SELECTION: INCLUSIVE CRITERIA: Male hockey players, Age group between 18 and 25 years, Minimum one years of continuous performance, Clinical diagnosis of unilateral plantar heel pain, Specific controls for subjects included the time of testing, activities of daily living, nutritional factors, and psychological status can be controlled during the study. EXCLUSIVE CRITERIA: Subjects with Neurological problems, Any recent injuries to lower limbs, Any recent surgery in lower limbs, Psychologically unstable players. Red flags to manual therapies; Tumour in lower limb, Fractures in lower limb, Rheumatoid arthritis, Osteoporosis, Severe vascular disease, Calcanial spur, TA calcification. Previous manual therapy interventions for the foot region. RESULTS: In the table I & IV the pre test and post value of Visual Analogue Scale and Foot and Ankle Ability Measures were assessed for the stretching group. The results show that there was significant decrease in reduction of pain and increase in the physical performance for plantar heel pain hockey players. In the table II & V the pre test and post value of Visual Analogue Scale and Foot and Ankle Ability Measures were assessed for the myofascial trigger point release and self-stretching with intermittent icing group. The results showed that there was significant decrease in reduction of pain and increase in the physical performance for plantar heel pain hockey players. In the table III & VI the post test value of both Visual Analogue Scale and Foot and Ankle Ability Measures show that there is significant difference in between self-stretching with intermittent icing and myofascial trigger point release The analysis of the post test values shows that there is decrease in reduction of pain and increase in the foot and ankle function between the groups for plantar heel pain in hockey players. Post test values of Group A and Group B is analysed by Unpaired ‘t’ test. In table III and Figure III he calculated ‘t’ value is 3.0880 which is greater than table ‘t’ value 1.7011 at 5% level of significance. SUMMARY AND CONCLUSION: The aim of the study is to compare myofascial trigger point release and selfstretching with intermittent icing for plantar heel pain in hockey players. 30 hockey players with a minimum of five year experience in playing hockey were selected in the age group between 18 and 25 years and the subjects were allotted into two groups, according to inclusion criteria. Group A received self-stretching & intermittent icing ; Group B received Myofascial trigger point release. The pre-test and post-test were taken before and at the end of the treatment. Statistical analysis was done by using paired and unpaired ‘t’ test. Paired ‘t’ test was used to find out the improvement within the group. Unpaired ‘t’ test was used to find out the difference between two groups. The results of the study showed that there is a reduction of pain and increasing foot and ankle function in hockey players with plantar heel pain in both the Group A and Group B When comparing both Group A and Group B it was concluded that myofacial trigger point release showed better improvement in hockey players with plantar heel pain. CONCLUSION: It as concluded that myofascial trigger point treatment programme showed better improvement in the reduction of pain in hockey players with plantar heel pain than Group A. It is concluded that the myofascial trigger point treatment programme showed better improvement in foot and ankle function among hockey players with plantar heel pain than Group A.
| Item Type: | Thesis (Masters) |
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| Additional Information: | Reg.No.271650123 |
| Uncontrolled Keywords: | Myofascial Trigger Point Release, Self Stretching, Intermittent Icing, Foot and Ankle Function, Hockey Players, Plantar Heel Pain. |
| Subjects: | PHYSIOTHERAPY > Sports Physiotherapy |
| Depositing User: | Subramani R |
| Date Deposited: | 12 Mar 2020 04:01 |
| Last Modified: | 12 Mar 2020 04:01 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/12213 |
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