Graston Technique vs Dynamic Oscillation Stretching Technique For High Heel Users And Its Impact On Body Posture

NCT07138924 | Completed

• 1 other identifier: RCRAHS-ISB/REC/MS-PT/02012
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

In high heel users, most of the previous work has focused on the lower limb. However, we did not find any study that specifically targeted the lumbar region. The novelty of this study lies in raising awareness that high heel users experience a full-body postural disturbance. While studies had involved the lower limb, but it is crucial to also include the lumbar region. This is because high heel users often feel more pain in the lower limb, which may be leading us to focus solely on lower limb and neglect the lumbar region. However, the mechanics of the lumbar region are also deteriorating along with the lower limb, which may lead to musculoskeletal related issues to high heel users in future. In Pakistan, no previous research is conducted, That compare the effect of Graston Technique Versus DOST in female wearing high heels and its impact on posture.

Conditions

Hyperlordosis

Keywords

Hyperlordosis Anterior pelvic tilt Graston Technique Dynamic Oscillating Stretch

Outcome Measures

Primary Outcomes (2)

• Flexicurve Ruler

  The Flexicurve ruler allows us to measure the curves of your spine. The Flexicurve is a strip of flexible metal covered in plastic. It will place at the top of the back then gently bend it so it reflects the shape of the backbone.

  3 week

• Inclinometer

  Inclinometer is a specialized tool used to measure angles and range of motion of joints. It is used to measure pelvic tilt.

  3 week

Secondary Outcomes (2)

• Gonimeter

  3 week

• Lower Extremity Functional Scale

  3 week

Study Arms (2)

Graston Technique

EXPERIMENTAL

Experimental Group A: Graston technique on calf and Paraspinal (erector spinae) muscles with conservative physiotherapy treatment plan i.e. hot pack for 10-15 min (calf muscles) calf stretches (10 reps x 2 sets) and post session cold pack for 5 min.

Other: Graston Technique

Dynamic Oscillatory Stretch Technique (DOST)

ACTIVE COMPARATOR

Experimental Group B: Dynamic oscillation stretching technique on gastrocnemius, soleus, and hamstring with conservative physiotherapy treatment plan i.e. hot pack for 10-15 min (calf muscles) calf stretches (10 reps x 2 sets) and post session cold pack for 5 min.

Other: Dynamic Oscillatory Stretch Technique

Interventions

Graston Technique OTHER

Firstly, apply a moisturizer or gel to affected part. Then gentle strokes are applied from proximal to distal direction to assess trigger point or taut band. After knowing the exact area, apply strokes gently with minimum force in all directions by keeping tool in 30- 60-degree angle. Total Application time will be between 40-120 seconds. conservative physiotherapy treatment plan is hot pack for 10-15 min, calf stetches 10 reps x 2 sets and post session cold pack for 5 min. Home exercise plan is william training i.e. single knee to chest, double knee to chest, pelvic tilts, iliospoas stretch, hamstring stretch and squat (10reps x1 set)

Graston Technique

Dynamic Oscillatory Stretch Technique OTHER

Passively stretch that is at the first point of stretch sensation. The next component to DOS, 2-sec, passive stretch with slow oscillation. Total 10 reps x 2 sec hold oscillations x 3 sets.conservative physiotherapy treatment plan is hot pack for 10-15 min, calf stetches 10 reps x 2 sets and post session cold pack for 5 min. Home exercise plan is william training i.e. single knee to chest, double knee to chest, pelvic tilts, iliospoas stretch, hamstring stretch and squat (10reps x1 set)

Dynamic Oscillatory Stretch Technique (DOST)

Eligibility Criteria

• Age: 20 Years - 40 Years
• Gender Eligibility Details: Female
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Only female were included
• Age group 20 to 40 years.
• Duration of wearing HH: \>1 yr.
• Wearing HH for \> 3 times a wk. and 5 hrs/ day.
• Heel height: 2 inch and above
• Decreased ankle Dorsiflexion (less than 17 degrees)
• Lumber lordosis increased (\> 40).
• Muscle tightness (Paraspinal, hamstring, gastrocnemius and soleus).

You may not qualify if:

• DVT, malignancy, infection.
• Eczema or other skin diseases.
• MSK injury or surgery of LL.
• Sciatica or other Neuropathy/ Neurological disorder
• Acute Cardio-Respiratory disorder

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Gulberg Green Campus of Riphah International University, Islamabad

Islamabad, Punjab Province, Pakistan

Location

Related Publications (1)

• Chien HL, Lu TW, Liu MW. Effects of long-term wearing of high-heeled shoes on the control of the body's center of mass motion in relation to the center of pressure during walking. Gait Posture. 2014 Apr;39(4):1045-50. doi: 10.1016/j.gaitpost.2014.01.007. Epub 2014 Jan 19.

  PMID: 24508016 BACKGROUND

MeSH Terms

Conditions

Swayback

Condition Hierarchy (Ancestors)

Deficiency Diseases; Malnutrition; Nutrition Disorders; Nutritional and Metabolic Diseases; Sheep Diseases; Animal Diseases

Study Officials

• Ramsha Tariq

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: August 18, 2025
• First Posted: August 24, 2025
• Study Start: November 1, 2024
• Primary Completion: March 30, 2025
• Study Completion: July 30, 2025
• Last Updated: August 24, 2025

Record last verified: 2025-08

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)