Observing the Effect of Fascial Manipulation in Athletes With Shin Splits.Tibial Stress Syndrome.

Study Overview
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Brief Summary
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Aims & objectives: The aim of the study is to find out the influence of fascial manipulation on running kinematics among athletes with medial tibial stress syndrome (MTSS). The objectives of our study are i. To use fascial manipulation as a mode of treatment in MTSS. ii. To compare running kinematics before and after treatment intervention. iii. To compare pain perception before and after treatment intervention.

Detailed Description
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The justification for study: MTSS is associated with altered lower extremity kinematics. There is an association between tibial fascia tightness and forces acting along the tibial crest due to alterations in the transfer of energy from foot proximally in the closed kinematic chain. Fascial manipulation is found to be effective in improving the pliability of connective tissues in the management of musculoskeletal conditions. Therefore there is a need to determine the influence of fascial manipulation on MTSS.

Official Title
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Influence of Fascial Manipulation on Running Kinematics Among Athletes With Medial Tibial Stress Syndrome.

Conditions
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Shin Splint, Fascial Manipulation, Running Kinematics

Intervention / Treatment
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* Other: Fascial manipulation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Aged between 18-40 years, both sexes Athletes with shin pain or diagnosed with MTSS Symptoms lasting for 2-3 weeks in the last 1 month Exclusion Criteria: Trauma to lower extremity in the past 3 months Neurological, Cognitive, Psychological factors affecting the test Acute injuries- laceration, sprains, strains, recent fractures Lumbopelvic-hip complex and knee pathologies(intra-articular lesions, osteoarthritis, rheumatic arthritis, osteomyelitis)

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 40 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Non-Randomized
Intervention Model: Crossover Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Fascial Manipulation<br>fascial manipulation is a manual therapy technique were to apply deep frictional massage to the deep fascial structure or point to increase its pliability | Other: Fascial manipulation<br>* Deep frictional massage<br>|
| Active Comparator: Running kinematics<br>the change in a range of joint angles during different phases of running | Other: Fascial manipulation<br>* Deep frictional massage<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Visual analog scale | Self reporting pain intensity after resuming running | After 5 to 10 mins | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Increase in running economy | Increasing in duration of running compared to the first trial | 15 mins to 45 mins |