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Observing the Effect of Fascial Manipulation in Athletes With Shin Splits.Tibial Stress Syndrome. (MTSS)

Primary Purpose

Shin Splint, Fascial Manipulation, Running Kinematics

Status
Completed
Phase
Not Applicable
Locations
India
Study Type
Interventional
Intervention
Fascial manipulation
Sponsored by
Manipal University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Shin Splint

Eligibility Criteria

18 Years - 40 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Aged between 18-40 years, both sexes Athletes with shin pain or diagnosed with MTSS Symptoms lasting for 2-3 weeks in the last 1 month

Exclusion Criteria:

  • Trauma to lower extremity in the past 3 months Neurological, Cognitive, Psychological factors affecting the test Acute injuries- laceration, sprains, strains, recent fractures Lumbopelvic-hip complex and knee pathologies(intra-articular lesions, osteoarthritis, rheumatic arthritis, osteomyelitis)

Sites / Locations

  • Center for Sport Science Medicine and Research

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Fascial Manipulation

Running kinematics

Arm Description

fascial manipulation is a manual therapy technique were to apply deep frictional massage to the deep fascial structure or point to increase its pliability

the change in a range of joint angles during different phases of running

Outcomes

Primary Outcome Measures

Visual analog scale
Self reporting pain intensity after resuming running

Secondary Outcome Measures

Increase in running economy
Increasing in duration of running compared to the first trial

Full Information

First Posted
June 20, 2017
Last Updated
June 27, 2017
Sponsor
Manipal University
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1. Study Identification

Unique Protocol Identification Number
NCT03198260
Brief Title
Observing the Effect of Fascial Manipulation in Athletes With Shin Splits.Tibial Stress Syndrome.
Acronym
MTSS
Official Title
Influence of Fascial Manipulation on Running Kinematics Among Athletes With Medial Tibial Stress Syndrome.
Study Type
Interventional

2. Study Status

Record Verification Date
June 2017
Overall Recruitment Status
Completed
Study Start Date
May 1, 2017 (Actual)
Primary Completion Date
June 27, 2017 (Actual)
Study Completion Date
June 27, 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Manipal University

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
Aims & objectives: The aim of the study is to find out the influence of fascial manipulation on running kinematics among athletes with medial tibial stress syndrome (MTSS). The objectives of our study are i. To use fascial manipulation as a mode of treatment in MTSS. ii. To compare running kinematics before and after treatment intervention. iii. To compare pain perception before and after treatment intervention.
Detailed Description
The justification for study: MTSS is associated with altered lower extremity kinematics. There is an association between tibial fascia tightness and forces acting along the tibial crest due to alterations in the transfer of energy from foot proximally in the closed kinematic chain. Fascial manipulation is found to be effective in improving the pliability of connective tissues in the management of musculoskeletal conditions. Therefore there is a need to determine the influence of fascial manipulation on MTSS.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Shin Splint, Fascial Manipulation, Running Kinematics

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Crossover Assignment
Masking
Outcomes Assessor
Allocation
Non-Randomized
Enrollment
10 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Fascial Manipulation
Arm Type
Experimental
Arm Description
fascial manipulation is a manual therapy technique were to apply deep frictional massage to the deep fascial structure or point to increase its pliability
Arm Title
Running kinematics
Arm Type
Active Comparator
Arm Description
the change in a range of joint angles during different phases of running
Intervention Type
Other
Intervention Name(s)
Fascial manipulation
Intervention Description
Deep frictional massage
Primary Outcome Measure Information:
Title
Visual analog scale
Description
Self reporting pain intensity after resuming running
Time Frame
After 5 to 10 mins
Secondary Outcome Measure Information:
Title
Increase in running economy
Description
Increasing in duration of running compared to the first trial
Time Frame
15 mins to 45 mins

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
40 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Aged between 18-40 years, both sexes Athletes with shin pain or diagnosed with MTSS Symptoms lasting for 2-3 weeks in the last 1 month Exclusion Criteria: Trauma to lower extremity in the past 3 months Neurological, Cognitive, Psychological factors affecting the test Acute injuries- laceration, sprains, strains, recent fractures Lumbopelvic-hip complex and knee pathologies(intra-articular lesions, osteoarthritis, rheumatic arthritis, osteomyelitis)
Facility Information:
Facility Name
Center for Sport Science Medicine and Research
City
Udupi
State/Province
Karnataka
ZIP/Postal Code
576104
Country
India

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
22341017
Citation
Reshef N, Guelich DR. Medial tibial stress syndrome. Clin Sports Med. 2012 Apr;31(2):273-90. doi: 10.1016/j.csm.2011.09.008.
Results Reference
result
PubMed Identifier
27835043
Citation
Winkelmann ZK, Anderson D, Games KE, Eberman LE. Risk Factors for Medial Tibial Stress Syndrome in Active Individuals: An Evidence-Based Review. J Athl Train. 2016 Dec;51(12):1049-1052. doi: 10.4085/1062-6050-51.12.13. Epub 2016 Nov 11.
Results Reference
result
PubMed Identifier
24379729
Citation
Newman P, Witchalls J, Waddington G, Adams R. Risk factors associated with medial tibial stress syndrome in runners: a systematic review and meta-analysis. Open Access J Sports Med. 2013 Nov 13;4:229-41. doi: 10.2147/OAJSM.S39331.
Results Reference
result
PubMed Identifier
27066291
Citation
Brown AA. Medial Tibial Stress Syndrome: Muscles Located at the Site of Pain. Scientifica (Cairo). 2016;2016:7097489. doi: 10.1155/2016/7097489. Epub 2016 Mar 15.
Results Reference
result
PubMed Identifier
26616185
Citation
Souza RB. An Evidence-Based Videotaped Running Biomechanics Analysis. Phys Med Rehabil Clin N Am. 2016 Feb;27(1):217-36. doi: 10.1016/j.pmr.2015.08.006. Epub 2015 Oct 20.
Results Reference
result
PubMed Identifier
23979968
Citation
Winters M, Eskes M, Weir A, Moen MH, Backx FJ, Bakker EW. Treatment of medial tibial stress syndrome: a systematic review. Sports Med. 2013 Dec;43(12):1315-33. doi: 10.1007/s40279-013-0087-0.
Results Reference
result
PubMed Identifier
26591110
Citation
Mikolajczyk A, Kociecki M, Zaklukiewicz A, Listewnik M, Gebska M. [USE OF THE STRUCTURAL TENSEGRATION CONCEPT IN THE STECCO FASCIAL MANIPULATION METHOD]. Ann Acad Med Stetin. 2014;60(2):59-64. Polish.
Results Reference
result
PubMed Identifier
21589701
Citation
Stecco C, Day JA. The fascial manipulation technique and its biomechanical model: a guide to the human fascial system. Int J Ther Massage Bodywork. 2010 Mar 17;3(1):38-40. doi: 10.3822/ijtmb.v3i1.78. No abstract available.
Results Reference
result

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Observing the Effect of Fascial Manipulation in Athletes With Shin Splits.Tibial Stress Syndrome.

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