Effects of Tissue Flossing Technique for Bicipital Tendinitis
Condition: Bicipital Tendinitis
MeSH terms: Tendinopathy
Study type: Interventional

Summary: 
      This project will be a Randomized control trial conducted to check the effects of tissue
      flossing technique versus static stretching exercises of bicep muscle on pain, range of
      motion and function in patients with bicipital tendinitis, so that we can have best treatment
      option for them. Duration will be of 6 months. Purposive sampling will be done. Subjects
      fulfilling eligibility criteria from Allied hospital Faisalabad, will be randomly allocated
      in two groups via lottery method. Baseline assessment will be done. Group A participants will
      be given baseline treatment along with tissue flossing. Group B participants will be given
      stretching exercises along with baseline treatment for two weeks, 3 sessions per week. Post
      intervention assessment will be done via, Numeric pain rating scale(NPRS),Shoulder Pain And
      Disability Index (SPADI) and goniometric measurements of shoulder ranges. Data will be
      analyzed by using SPSS version 20.
    

Detailed description: 
      Inflammation of the bicep tendon is also known as "Bicipital Tendinitis" occurs most commonly
      in overhead athletes like racquet players, swimmers, gymnasts, tennis players, baseball
      pitchers, and rowing athletes. Tissue Flossing is a relatively novel practice that initially
      got recognition in weightlifting athletes. This technique has Japanese origin also known as
      the "Katsu Technique" or "Blood Flow Restriction technique" BFR. It works on the principle of
      optimizing the blood circulation to the muscles for fitness, early rehabilitation, and
      recovery within safe ranges.

      The purpose of the current study is to determine the effects of the tissue flossing technique
      on the physical rehabilitation of bicipital tendinitis. It is a randomized controlled trial
      with the subjects having a history of bicipital tendinitis, shoulder pain, and recreational
      athletes with difficulty in overhead activities. Subjects with a history of neurological and
      psychological disorders, hypertension or heart diseases and with chronic arthritis will be
      excluded.

      Participants will be randomly placed into experimental and control groups. The experimental
      group will receive bicep-strengthening exercises after flossing. The Control group will
      receive bicep-strengthening exercises after bicep-stretching exercises. The total duration of
      this study will be six months with an assessment performed at baseline, before and after the
      treatment sessions. Numeric Pain rating scale, Goniometer, and Shoulder Pain and Disability
      Index will be used to measure the outcomes. Data will be analyzed statistically by using
      parametric or non-parametric tests after the completion of this study.
    

Intervention name(s): Tissue Flossing Technique; Static Stretching Technique
Intervention type(s): Other; Other
Intervention description(s): Subjects will receive tissue-flossing intervention on bicep muscle for 30 sec to 2 min with an occlusion pressure of 100 mmHg.
After removal of flossing, participants will perform bicep strengthening exercises at an intensity of 30% of 1 RM with 6-8 rep, 4 sets for a single day and 3 days per week for 2 weeks in total.; Subjects will perform passive static stretching exercises of bicep muscle. Each stretch will last for 30 sec at 100% of stretch intensity with 4 reps for each, 1 set per day and 3 days per week for total duration of two weeks.
After the application of static stretch, participants will perform bicep strengthening exercises at an intensity of 30% of 1 RM with 6-8 reps, 4 sets for a single day and 3 days per week for 2 weeks in total.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary purpose: Treatment
Keywords: Flossing; Flexibility; ROM; Prevention