Comparasion of the Immediate Effect of Myofascial Relaxation Technique and Kinesiology Taping

Sultan Abdulhamid Han Training and Research Hospital, Istanbul, Turkey26 enrolled

Overview

As a result of glycation of collagen fibers in diabetes mellitus, an increase in thickness and stiffness is observed in the plantar fascia, which is a connective tissue. These changes in the plantar fascia affect the windlass mechanism of the foot, normal range of motion and foot plantar pressure distribution. These biomechanical effects may cause the development of diabetic foot ulcers in the later stages of the disease. We hypothesis that myofascial release technique and kinesiology taping methods have an effect on plantar fascia stiffness and plantar pressure distribution in diabetic patients. The aim of this study is to investigate the immediate effects of the two methods on the stiffness of the plantar fascia and foot sole pressure distribution in diabetic patients.

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Diabetes Mellitus Plantar Fascia

Interventions

Kinesiology tape will be applied to left foot plantar fascia of the participants in diabetes mellitus and control group. During taping, participants will lie in the prone position while the knee joint will be kept 90 degrees of flexion and the ankle joint in a neutral position. A "Palm Shape" taping procedure will be applied to the plantar fascia.

Myofascial Release Technique AppliyingOTHER

Myofascial release technique will be applied (during 5 minutes) to right foot plantar fascia of the participants in diabetes mellitus and control group During appliying technique, participants will lie in the prone position while the knee joint will be kept 90 degrees of flexion and the ankle joint in a neutral position.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Those with diabetic foot ulcer development risk groups 1 and 2 according to the International Working Group on the Diabetic Foot (IWGDF) * Those who have diabetes for at least 5 years * Ambulation independently without using an assistive device Exclusion Criteria: * Those with foot posture deformity * Having another disease that will affect connective tissue properties * Presence of orthopedic or neurological disorders that will affect plantar load distribution * History of surgery and fractures from the ankle-foot in the last 6 months

Outcomes

Primary Outcomes

Evaluation of foot plantar pressure distribution

Plantar pressure distrubution (gr/ cm²) on the force platform will be measured.

Time frame: Change from baseline plantar presure distrubution at following kinesiologic tape appliying and at 30min.

Evaluation of stiffness

Stiffness (N/m) of the plantar fascia will be mesured using a digital handheld myometer (MyotonPro, Myoton AS, Tallinn, Estonia).

Time frame: Change from baseline stiffness of the plantar fascia at following kinesiologic tape appliying and at 30min.

Evaluation of decrement

Decrement of the plantar fascia will be mesured using a digital handheld myometer (MyotonPro, Myoton AS, Tallinn, Estonia).

Time frame: Change from baseline decrement properties of the plantar fascia at following kinesiologic tape appliying and at 30min.

Evaluation of creep

Creep of the plantar fascia will be mesured using a digital handheld myometer (MyotonPro, Myoton AS, Tallinn, Estonia).

Time frame: Change from baseline creep properties of the plantar fascia at following kinesiologic tape appliying and at 30min.

Evaluation of relaxation time

Relaxation time of the plantar fascia will be mesured using a digital handheld myometer (MyotonPro, Myoton AS, Tallinn, Estonia).

Time frame: Change from baseline relaxation time properties of the plantar fascia at following kinesiologic tape appliying and at 30min.

Secondary Outcomes

Evaluation of range of motion of ankle

Range of motion of ankle was measured with goniometer

Time frame: Change from baseline range of motion at following kinesiologic tape appliying and at 30min.

Evaluation of foot sole pain

Pain was evaluated by Visual Analog Scale between 0 (no pain) and 10 (the most severe pain).

Time frame: Change from baseline foot sole pain at following kinesiologic tape appliying and at 30min.

Evaluation of skin temperature

Plantar skin temperature will be measured by thermal imaging machine (Flir Sistem, ThermaCAM, Sweden)

Time frame: Change from baseline foot sole temperature at following kinesiologic tape appliying and at 30min.