Original Research Article
Year: 2019 | Month: April | Volume: 9 | Issue: 4 | Pages: 98-106
Effectiveness of Compressive Myofascial Release Vs Instrument Assisted Soft Tissue Mobilization in Subjects with Active Trigger Points of the Calf Muscle Limiting Ankle Dorsiflexion
Dr. M. Vijayakumar1, Aishwarya Jaideep2, Rashi Khankal2, Dr. Preeti Gazbare3, Blessy Abraham2
1Professor, Dr. D.Y Patil College of Physiotherapy, Pune.
2Student Researcher, Dr. D.Y Patil College of Physiotherapy, Pune.
3Assistant Professor, Dr. D.Y Patil College of Physiotherapy, Pune.
Corresponding Author: Aishwarya Jaideep
Objective: To study the effectiveness of Compressive Myofascial Release (CMR) and Instrument Assisted Soft Tissue Mobilization (IASTM) on pain and ankle dorsiflexion (ADF) ROM and to obtain patient feedback associated with receiving either or both treatment approaches.
Design: Experimental study.
Participants: Consecutive sample of 33 active adults (48 limbs) with an active trigger point (TrP) of the calf muscle and limited ADF ROM was done over a period of 5 months.
Method: Qualifying limbs were assigned to 3 groups using alternate allocation. Group A received ischaemic compression for the active TrP followed by CMR, group B received TrP release using JT tool followed by IASTM treatment and control group C received warm-up followed by stretching and icing. Pre-treatment, immediate-post and 24-hours post outcome measures were recorded. The subjects were presented with a feedback questionnaire during reassessment post 24 hours.
Outcome measures: Visual Analogue Scale(VAS), Pressure Algometry, ADF ROM.
Results: Both groups A and B showed highly significant results wherein CMR played a slightly more significant role in improving ADF ROM whereas, IASTM proved to be slightly more significant in alleviating pain. Subjective pain measures significantly reduced when compared between three groups (p≤.00002); similarly, objective pain outcome compared between three groups was also highly significant (p≤.00002).
Conclusion: Both CMR and IASTM were useful interventions for reducing pain as well as improving ADF ROM and also had a good 24-hour carry-over effect. When patient opinion was concluded, IASTM had an upper hand in terms of patient comfort and better tolerance to treatment.
Key words: Compressive Myofascial Release (CMR), Instrument Assisted Soft Tissue Mobilization (IASTM), pressure algometry, active trigger points, ankle dorsiflexion ROM.