Comparasion of the Immediate Effect of Myofascial Relaxation Technique and Kinesiology Taping

NCT04637841 | Completed

• 1 other identifier: 09.2020.948
• Study Type: interventional
• Target: 26
• Locations: 1 country
• Sites: 2

Brief Summary

As a result of glycation of collagen fibers in diabetes mellitus, an increase in thickness and stiffness is observed in the plantar fascia, which is a connective tissue. These changes in the plantar fascia affect the windlass mechanism of the foot, normal range of motion and foot plantar pressure distribution. These biomechanical effects may cause the development of diabetic foot ulcers in the later stages of the disease. We hypothesis that myofascial release technique and kinesiology taping methods have an effect on plantar fascia stiffness and plantar pressure distribution in diabetic patients. The aim of this study is to investigate the immediate effects of the two methods on the stiffness of the plantar fascia and foot sole pressure distribution in diabetic patients.

Conditions

Diabetes Mellitus; Plantar Fascia

Keywords

stiffness; creep; plantar fascia; diabetes mellitus

Outcome Measures

Primary Outcomes (5)

• Evaluation of foot plantar pressure distribution

  Plantar pressure distrubution (gr/ cm²) on the force platform will be measured.

  Change from baseline plantar presure distrubution at following kinesiologic tape appliying and at 30min.

• Evaluation of stiffness

  Stiffness (N/m) of the plantar fascia will be mesured using a digital handheld myometer (MyotonPro, Myoton AS, Tallinn, Estonia).

  Change from baseline stiffness of the plantar fascia at following kinesiologic tape appliying and at 30min.

• Evaluation of decrement

  Decrement of the plantar fascia will be mesured using a digital handheld myometer (MyotonPro, Myoton AS, Tallinn, Estonia).

  Change from baseline decrement properties of the plantar fascia at following kinesiologic tape appliying and at 30min.

• Evaluation of creep

  Creep of the plantar fascia will be mesured using a digital handheld myometer (MyotonPro, Myoton AS, Tallinn, Estonia).

  Change from baseline creep properties of the plantar fascia at following kinesiologic tape appliying and at 30min.

• Evaluation of relaxation time

  Relaxation time of the plantar fascia will be mesured using a digital handheld myometer (MyotonPro, Myoton AS, Tallinn, Estonia).

  Change from baseline relaxation time properties of the plantar fascia at following kinesiologic tape appliying and at 30min.

Secondary Outcomes (3)

• Evaluation of range of motion of ankle

  Change from baseline range of motion at following kinesiologic tape appliying and at 30min.

• Evaluation of foot sole pain

  Change from baseline foot sole pain at following kinesiologic tape appliying and at 30min.

• Evaluation of skin temperature

  Change from baseline foot sole temperature at following kinesiologic tape appliying and at 30min.

Study Arms (4)

Diabetes Mellitus Kinesiology Taping Group

ACTIVE COMPARATOR

Kinesiology tape will be applied to the left foot of the participants in diabetes mellitus group.

Other: Kinesiology Taping Appliying

Kinesiology Taping Control Group

ACTIVE COMPARATOR

Kinesiology tape will be applied to the left foot of the healthy participants in the control group.

Other: Kinesiology Taping Appliying

Diabetes Mellitus Myofascial Release Group

ACTIVE COMPARATOR

Myofascial Release Technique will be applied to the right foot of the participants in diabetes mellitus group.

Other: Myofascial Release Technique Appliying

Myofascial Release Control Group

ACTIVE COMPARATOR

Myofascial Release Technique taping will be applied to the right foot of the healthy participants in the control group.

Other: Myofascial Release Technique Appliying

Interventions

Kinesiology Taping Appliying OTHER

Kinesiology tape will be applied to left foot plantar fascia of the participants in diabetes mellitus and control group. During taping, participants will lie in the prone position while the knee joint will be kept 90 degrees of flexion and the ankle joint in a neutral position. A "Palm Shape" taping procedure will be applied to the plantar fascia.

Diabetes Mellitus Kinesiology Taping Group; Kinesiology Taping Control Group

Myofascial Release Technique Appliying OTHER

Myofascial release technique will be applied (during 5 minutes) to right foot plantar fascia of the participants in diabetes mellitus and control group During appliying technique, participants will lie in the prone position while the knee joint will be kept 90 degrees of flexion and the ankle joint in a neutral position.

Diabetes Mellitus Myofascial Release Group; Myofascial Release Control Group

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Those with diabetic foot ulcer development risk groups 1 and 2 according to the International Working Group on the Diabetic Foot (IWGDF)
• Those who have diabetes for at least 5 years
• Ambulation independently without using an assistive device

You may not qualify if:

• Those with foot posture deformity
• Having another disease that will affect connective tissue properties
• Presence of orthopedic or neurological disorders that will affect plantar load distribution
• History of surgery and fractures from the ankle-foot in the last 6 months

Sponsors & Collaborators

• Sultan Abdulhamid Han Training and Research Hospital, Istanbul, Turkey: lead

Study Sites (2)

İstanbul Medeniyet City

Istanbul, Turkey (Türkiye)

Location

İstanbul Medeniyet University

Istanbul, Turkey (Türkiye)

Location

Related Publications (6)

• Ajimsha MS, Binsu D, Chithra S. Effectiveness of myofascial release in the management of plantar heel pain: a randomized controlled trial. Foot (Edinb). 2014 Jun;24(2):66-71. doi: 10.1016/j.foot.2014.03.005. Epub 2014 Mar 21.

  PMID: 24703512 RESULT

• American Diabetes Association. 16. Diabetes Advocacy: Standards of Medical Care in Diabetes-2019. Diabetes Care. 2019 Jan;42(Suppl 1):S182-S183. doi: 10.2337/dc19-S016.

  PMID: 30559242 RESULT

• Bernard V, Staffa E, Mornstein V, Bourek A. Infrared camera assessment of skin surface temperature--effect of emissivity. Phys Med. 2013 Nov;29(6):583-91. doi: 10.1016/j.ejmp.2012.09.003. Epub 2012 Oct 18.

  PMID: 23084004 RESULT

• Chen TL, Wong DW, Peng Y, Zhang M. Prediction on the plantar fascia strain offload upon Fascia taping and Low-Dye taping during running. J Orthop Translat. 2019 Aug 7;20:113-121. doi: 10.1016/j.jot.2019.06.006. eCollection 2020 Jan.

  PMID: 31908942 RESULT

• Hicks CL, von Baeyer CL, Spafford PA, van Korlaar I, Goodenough B. The Faces Pain Scale-Revised: toward a common metric in pediatric pain measurement. Pain. 2001 Aug;93(2):173-183. doi: 10.1016/S0304-3959(01)00314-1.

  PMID: 11427329 RESULT

• Kong PW, Chua YH, Kawabata M, Burns SF, Cai C. Effect of Post-Exercise Massage on Passive Muscle Stiffness Measured Using Myotonometry - A Double-Blind Study. J Sports Sci Med. 2018 Nov 20;17(4):599-606. eCollection 2018 Dec.

  PMID: 30479528 RESULT

MeSH Terms

Conditions

Diabetes Mellitus

Condition Hierarchy (Ancestors)

Glucose Metabolism Disorders; Metabolic Diseases; Nutritional and Metabolic Diseases; Endocrine System Diseases

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 8, 2020
• First Posted: November 20, 2020
• Study Start: February 1, 2021
• Primary Completion: May 3, 2021
• Study Completion: May 27, 2021
• Last Updated: November 29, 2023

Record last verified: 2023-11

Locations

TU (2)