Journal of Physiotherapy & Physical Rehabilitation

ISSN: 2573-0312

Open Access

Articles in press and Articles in process

    Research Article Pages: 1 - 7

    Manual Therapy on Plantar Fascia Affects Superficial Back Line Flexibility: A Randomized Controlled Pilot Study

    Neetu Rani Dhiman, Vyom Gyanpuri and Venkatesh Mishra

    Background and aim: Myofascial Release (MFR) is a soft tissue mobilisation technique that has been widely researched and supported to increase muscular flexibility and joint range of motion along Superficial Back Line (SBL) structures. The purpose of the present study is to examine and compare the acute effects of MFR and post-isometric relaxation (PIR) applied on plantar fascia, on flexibility of superficial back line (hamstring muscle).

    Design: This was a pilot single blind Randomized Control Trial (RCT).

    Participants: Thirty young healthy students (24 boys and 6 girls; mean age 21.46 ± 0.97)

    Methods: Inclusion and exclusion criteria were followed, and baseline measurements for the Toe Touch Test (TTT) and active Straight Leg Raise Test (SLRT) were obtained. Subjects were then randomly assigned to the MFR group and the PIR group. The MFR group received the technique on plantar surface of the feet by applying a gentle and sustained pressure into the myofascial connective tissue. The PIR group received the technique on plantar flexors by placing them in stretched position, performing isometric contraction followed by relaxation and lengthening. Both interventions will be performed for 10 minutes. Afterwards, the toe touch test and straight leg raise test were re-assessed.

    Results: Before and after intervention SLRT (both right and left) and TTT difference (within group differences) is statistically significant (p<0.05) in both MFR and PIR group. Between group comparison also shows significant difference in both groups with p<0.05. The MFR group showed a significant difference in the SLR test and Toe Touch test compared to the PIR group (p<0.05).

    Conclusion: The results of the current study showed that MFR on the planter fascia was immediately effective for improving flexibility of the SBL for the hamstring muscle.

    Trial registration: CTRI/2021/08/035518

      Original Research Article Pages: 1 - 1

      Physiotherapists Perceptions and Experiences in Treating Chronic Low Back Pain Patients with Esoteric Connective Tissue Therapy

      Katharine Greenaway* and Joanna Bohatko-Naismith

      DOI: 10.37421/2573-0312.2022.7.289

      Background: For over 20 years, a definitive treatment protocol has not been identified for the management of chronic low back pain (CLBP). However, esoteric connective tissue therapy (ECTT) has evolved as an effective treatment of CLBP. ECTT is a gentle manual therapy which focuses on the connective tissue in the body. Recent documented cases have revealed the positive long-term benefits of ECTT for patients suffering from CLBP

      Objective: This study aimed to explore the perceptions and experiences of physiotherapists treating CLBP patients with ECTT.

      Method: A Focus group was conducted with six international physiotherapists experienced in applying ECTT. Participants were required to have a minimum of three years’ experience in treating CLBP patients with ECTT.

      Data analysis: The focus group discussion was audio recorded and transcribed verbatim. The data was imported into NVIVO 12 pro software and de-identified. Thematic analysis was used to identify meaningful patterns and themes.

      Results: Four main themes emerged:

      1) ECTT is a holistic, gentle therapeutic modality, 2) has long-term lasting benefits, 3) is less strain and effort for physiotherapists and 4) is perceived as cost-effective.

      Conclusion: This study is a first in formally researching the effectiveness and the benefits of treating CLBP with ECTT. Further research on the perceptions and experiences from the patients who have received ECTT treatment for CLBP will begin to build a body of knowledge in this important area of research. The results of this study could be used to provide an insight for doctors and allied health practitioners treating patients with CLBP.

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