Effect of Myofacial Release vs. Eccentric Resistance on Pain, ROM and Functional Disability on Achilles Tendonitis
Condition: Achilles Tendonitis
MeSH terms: Tendinopathy; Bursitis; Exostoses
Study type: Interventional

Summary: 
      Achilles tendinitis is a common condition that cause pain along back of leg near the heal. It
      is an overuse injury of the Achilles tendon, the band of tissue that connect calf muscles at
      the back of the lower leg to heel bone. There are number of treatment approaches to relieve
      pain in Achilles tendonitis . Insufficient literature has discuss the combine effect of
      myofascial release with eccentric resistance. So the aim of the study is to compare the
      effect of myofascial release with eccentric resistance and without eccentric resistance on
      pain , range of motion and functional disability in patient with Achilles tendinitis
    

Detailed description: 
      Tendonitis refers to inflammation of a tendon in response to injury or disease. It causes
      pain, irritation, and swelling, especially following periods of activity. Achilles tendinitis
      (AT) is a prevalent condition across the lifespan in both active and sedentary people, and
      can occur in the mid tendon, tendon insertion to the calcaneus and peritendon.

      Achilles tendinitis is caused by overuse of the ankle and is closely related to an
      individuals activity level. In the adult population (21-60 yrs old), the incidence rate is
      2.35 persons per 1000. It has been reported in approximately 7%-9% of professional athletes
      and 6%-18% of regular runners.

      People with Achilles tendinitis typically report symptoms of pain and stiffness upon weight
      bearing after prolonged rest and at the start of physical activity, which reduces as the
      activity continues . These symptoms lead to impaired performance. In more severe cases, pain
      and disability can be persistent with functional activities such as walking.

      Physical therapists have used different methods to maintain and also to increase joint
      motion, and prevent deformity and dysfunction resulting from the muscle shortening. The
      intension of the physical therapist is to lengthen the musculo-tendinous unit, supporting
      connective tissue and increase the range of motion.

      Soft tissue treatments are widely used for AT, but strong scientific evidence to support
      those treatments is lacking. The literature provides some evidence that heavy pressure and
      deep massage might have some positive effect on chronic tendonitis by promoting healing.

      Eccentric training can be effective in the rehabilitation of patients with Achilles
      tendonitis. The mechanism behind these results is not clear. However, there is evidence that
      tendons are able to respond to repeated forces by altering their structure and composition,
      and, thus, their mechanical properties change
    

Intervention name(s): eccentric resistance exercise; myofascial release
Intervention type(s): Other; Other
Intervention description(s): The subject will lying prone on a treatment table. One end of eccentric resistance band will tie around the mid of the foot of indvidual, the other end of the resistance band will be attach to the table and the band is adjusted so that it will tight and there will be no slack present in it. It will provide a smooth eccentric resistance throughout the dorsiflexion range; The subject will lye prone on a treatment table. Deep longitudinal massage with the help of both thumbs reinforcing eachother will be given on the subject's calf muscles.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary purpose: Treatment
Keywords: Physiotherapy ,; Myofascial release; Eccentric Resistance; Achilles tendonitis; Pain; Range of motion; Functional Disability