Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

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A Comparative Study of effectiveness between Superficial Heat and Deep Heat along with Static Stretching to Improve the Plantar Flexors Flexibility in Females Wearing High Heel Foot Wears


Affiliations
1 U. N. Mehta Institute of Cardiology & Research Centre, Ahmedabad, India
2 SPB Physiotherapy College, Surat, India
     

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Background: Lower extremity overuse injuries commonly occurs due to decreased flexibility of plantar flexor muscles in females wearing high heeled foot wears. Plantar flexors shortening are treated by various physiotherapeutic techniques. Superficial heat (moist heat) and Deep heat (ultra sound) along with static stretching are treatment techniques used in physiotherapy.

Objective: To compare the effectiveness of superficial heat and Deep heat in combination with static stretching in improving the plantar flexors flexibility in females wearing high heeled footwears.

Method: The study included a sample of 40 individuals those who were wearing high heel > 2 inch. Out of that 20 individuals were in superficial heating group (group A) where moist heat was administered for 15 minutes to Achilles tendon, and remaining 20 individuals were in deep heating group (group B) where continuous ultrasound with frequency of 1 MHz at an intensity of 1.5 W/Cm2 was administered for 7 minutes to the Achilles tendon. Both the groups received 30 seconds of static stretch with 4 repetitions performed 5 times per week. The duration of entire study was 3 weeks and both the group received 1 session per day. Analysis was based on the Goniometer test score.

Result: Both the group A and group B showed improvement in ankle ROM postintervention when compared with preintervention measurement and 't'calculated value for pre-postintervention measures was statistically significant as it was above the 't' tabulated value. Moreover, Mean±SD of pre-post difference in right ankle dorsiflexion ROM for group A was 2.90±1.37 and for group B was 4.25±0.85 and Mean±SD of pre-post difference in left ankle dorsiflexion ROM for group A was 3.60±1.04 and for group B was 4.35±0.74. 't'calculated value for pre-post ROM difference was statistically significant as it was above the 't' tabulated value of 1.96.

Interpretation & Conclusion: There was significant difference between the two groups. In conclusion both the treatment programs are highly significant and effective in improving the ankle joint ROM, but ultrasound with deep heating property was found to be more superior as compared to moist heat pack with superficial heating property in improving plantar flexors flexibility in females wearing high heel foot wears.


Keywords

Flexibility, Ultrasound Therapy, Moist Heat, Static Stretching
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  • Brad Appleton, Stretching and Flexibility. Version: 1.18, Last Modified 94/10/12.

  • Kisner C, Colby LA. Therapeutic Exercise: Foundation and Techniques. Philadelphia, Pa: FA Davis Co, 1985:172.

  • Reynolds NL, Warrell TW. Chronic Achilles peritendinitis: etiology, pathophysiology and treatment. J Ortho Sport Phys Ther.199; 13(4): 171-176.

  • Middleton JA, Kolodin EL: plantar fasciitis-heel pain in athletes. J Athl Train.1992; 27: 70-75.

  • Millar AP: strains of posterior calf musculature (“tennis leg”). Am J Sports Med.1992; 7: 172-174.

  • Franklin ME, Chenier TC, Brauninger L, et al. Effect of positive heel inclination on posture, J Ortho Sports Phys Ther. 1995; Feb: 21(2):94-9.

  • Wearing high heel- Effect on body. Personal health zone, February 2009.

  • AL DALI Waleed A, OLUSEYE Kamaldeen A .Effect of high-heeled shoes and culturally habitual posture on calf muscle flexibility, Arab gulf journal of scientific research. 1999; vol.17 (3): 326-33

  • Worrell TW, McCullough M, Pfeiffer a. Effect of foot position on gastrocnemius/soleus stretching in subjects with normal flexibility. J Ortho Sports Phy Ther. 1994; 19: 352-356.

  • Draper DO, Sunderland S. Examination of the law of grotthus-draper: Does ultrasound penetrate subcutaneous fat in humans? J Athl Train 1993a; 28: 246-250.

  • Funk D, Swank A, Adams K, et al. Efficacy of moist heat pack application over static stretching on hamstring flexibility. J Strength Cond Res. 2001; 15: 123-126.

  • WMA Declaration of Helsinki - Ethical Principles for Medical Research Involving Human Subjects. 59th WMA General Assembly Seoul, Korea, Oct 2008. http://www.wma.net/en/30publications/ 10policies/b3/ 64 Indian Journal of Physiotherapy & Occupational Therapy. January-March 2013, Vol. 7, No. 1

  • Draper DO, Sunderland S, Kirkendall DT, Ricard M. A comparison of temperature rise in human calf muscles following applications of underwater and topical gel ultrasound. J Orthop Sports Phys Ther 1993;17: 247–251.

  • David O. Draper, Chad Anderson et al. Immediate and Residual changes in dorsiflexion range of motion using an ultrasound heat and stretch routine. Journal of Athletic Traning 1998; 33(2):141-144.

  • Hendricson A, Fredriksson K, Persson I, et al. The effect of heat and stretching on the range of hip motion. J Ortho Sports Phys Ther. 1984; 13: 110-115

  • Wessling KC, DeVane DA, Hylton CR. Effects of static stretch versus static stretch and ultrasound combined on triceps surae muscle extensibility in healthy women. Phys Ther 1987; 67: 674-679.

  • Rather Aijaz Y, Pooja Chaudhary. Ultrasound and prolong long duration stretching increase triceps surae muscle extensibility more than identical stretching alone. Indian Journal of Physiotherapy and Occupational Therapy, vol. 1, no. 3 (2007-07 2007-09).


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  • A Comparative Study of effectiveness between Superficial Heat and Deep Heat along with Static Stretching to Improve the Plantar Flexors Flexibility in Females Wearing High Heel Foot Wears

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Authors

Hasmukh Patel
U. N. Mehta Institute of Cardiology & Research Centre, Ahmedabad, India
Dhaval Desai
SPB Physiotherapy College, Surat, India
Harshit Soni
SPB Physiotherapy College, Surat, India
Komal Soni
SPB Physiotherapy College, Surat, India
Chintan Shah
SPB Physiotherapy College, Surat, India

Abstract


Background: Lower extremity overuse injuries commonly occurs due to decreased flexibility of plantar flexor muscles in females wearing high heeled foot wears. Plantar flexors shortening are treated by various physiotherapeutic techniques. Superficial heat (moist heat) and Deep heat (ultra sound) along with static stretching are treatment techniques used in physiotherapy.

Objective: To compare the effectiveness of superficial heat and Deep heat in combination with static stretching in improving the plantar flexors flexibility in females wearing high heeled footwears.

Method: The study included a sample of 40 individuals those who were wearing high heel > 2 inch. Out of that 20 individuals were in superficial heating group (group A) where moist heat was administered for 15 minutes to Achilles tendon, and remaining 20 individuals were in deep heating group (group B) where continuous ultrasound with frequency of 1 MHz at an intensity of 1.5 W/Cm2 was administered for 7 minutes to the Achilles tendon. Both the groups received 30 seconds of static stretch with 4 repetitions performed 5 times per week. The duration of entire study was 3 weeks and both the group received 1 session per day. Analysis was based on the Goniometer test score.

Result: Both the group A and group B showed improvement in ankle ROM postintervention when compared with preintervention measurement and 't'calculated value for pre-postintervention measures was statistically significant as it was above the 't' tabulated value. Moreover, Mean±SD of pre-post difference in right ankle dorsiflexion ROM for group A was 2.90±1.37 and for group B was 4.25±0.85 and Mean±SD of pre-post difference in left ankle dorsiflexion ROM for group A was 3.60±1.04 and for group B was 4.35±0.74. 't'calculated value for pre-post ROM difference was statistically significant as it was above the 't' tabulated value of 1.96.

Interpretation & Conclusion: There was significant difference between the two groups. In conclusion both the treatment programs are highly significant and effective in improving the ankle joint ROM, but ultrasound with deep heating property was found to be more superior as compared to moist heat pack with superficial heating property in improving plantar flexors flexibility in females wearing high heel foot wears.


Keywords


Flexibility, Ultrasound Therapy, Moist Heat, Static Stretching

References