Development and Evaluation of a Portable Wedge Device for Calf Stretching to Alleviate Strain and Spasms: A Randomized Controlled Trial Portable Wedge Device for Calf Strain Relief
Main Article Content
Abstract
Background: Calf strain and spasms are prevalent issues that impair mobility and quality of life. Innovative devices that facilitate effective stretching can help manage these symptoms, improve muscle elasticity, and enhance overall musculoskeletal health.
Objective: To evaluate the effectiveness of a portable wedge device in reducing calf strain and spasms compared to conventional physiotherapy.
Methods: A randomized controlled trial was conducted involving 26 participants diagnosed with calf strain and spasms. Participants were divided into two groups: Group A received conventional physiotherapy, while Group B utilized a portable wedge device along with conventional therapy. The intervention lasted for four weeks, with outcomes measured using the Visual Analog Scale (VAS) for pain and the Functional Disability Index (FDI) for ankle function.
Results: Group B demonstrated significant improvements with a decrease in VAS scores (p=0.000) and enhanced FDI scores (p=0.031), indicating a reduction in pain and functional disability compared to Group A.
Conclusion: The portable wedge device significantly reduced symptoms of calf strain and spasms, showing its potential as an effective tool for enhancing calf flexibility and preventing musculoskeletal injuries.
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
References
Abushkadim MD, Amro A, Ahmad MS. Physical Activity and Health-Related Quality of Life Among Physiotherapists in Hebron/West Bank. J Novel Physiother Rehabil. 2020;4(2):22-7.
Ragab B, Al Balah OF, Osama A, Mohamed M. Effect of Low-Level Laser Therapy on Hamstring Muscle Tightness and Calf Muscle Spasticity in Children With Cerebral Palsy. Turk J Physiother Rehabil. 2020;32(3).
Nakayama Y, Abo M. Physical Therapy Combined With Transcranial Magnetic Stimulation Therapy: Treatment Practice Considering the Effect of Reducing Upper Limb Spasticity on Gait. Phys Ther Res. 2023;26(2):44-9.
Lohrer H, Malliaropoulos N, Korakakis V, Padhiar N. Exercise-Induced Leg Pain in Athletes: Diagnostic, Assessment, and Management Strategies. Phys Sportsmed. 2019;47(1):47-59.
Schoenfeld BJ, Vigotsky AD, Grgic J, Haun C, Contreras B, Delcastillo K, et al. Do the Anatomical and Physiological Properties of a Muscle Determine Its Adaptive Response to Different Loading Protocols? Physiol Rep. 2020;8(9).
Meek WM, Kucharik MP, Eberlin CT, Naessig SA, Rudisill SS, Martin SD. Calf Strain in Athletes. JBJS Rev. 2022;10(3).
Beer B. How to Rehab Calf Strains in Runners. 2021.
Park S-H, Oh S-M, Jo Y-J, Lee D-Y, Yu J-H, Kim J-S, et al. A Study on Change of Pennation Angle Based on Gastrocnemius Stretching and Additional Muscle Exercise. Indian J Public Health Res Dev. 2019;10(11).
Anderson SI, Brown MD. Inhibition of Prostaglandin Synthesis Does Not Alter the Decrease in Pre-Capillary Resistance in the Human Calf in Response to Small Cumulative Increases in Venous Congestion. Clin Sci (Lond). 2005;109(3):303-9.
Fonta M, Tsepis E, Fousekis K, Mandalidis D. Acute Effects of Static Self-Stretching Exercises and Foam Roller Self-Massaging on the Trunk Range of Motions and Strength of the Trunk Extensors. Sports. 2021;9(12):159.
Guillot A, Kerautret Y, Queyrel F, Schobb W, Di Rienzo F. Foam Rolling and Joint Distraction With Elastic Band Training Performed for 5-7 Weeks Respectively Improve Lower Limb Flexibility. J Sports Sci Med. 2019;18(1):160.
Ahmad M, Arab A. Ability of MRI Diagnostic Value to Detect the Evidence of Physiotherapy Outcome Measurements in Dealing with Calf Muscles Tearing. J Med-Clin Res Rev. 2022;6(10):1-6.
Tyler TF, Schmitt BM, Nicholas SJ, McHugh MP. Rehabilitation After Hamstring-Strain Injury Emphasizing Eccentric Strengthening at Long Muscle Lengths: Results of Long-Term Follow-Up. J Sport Rehabil. 2017;26(2):131-40.
Vijayakumar M, Jaideep A, Khankal R, Gazbare P, Abraham B. Effectiveness of Compressive Myofascial Release Vs Instrument Assisted Soft Tissue Mobilization in Subjects With Active Trigger Points of the Calf Muscle Limiting Ankle Dorsiflexion. Int J Health Sci Res. 2019;9(4):98-106.
Waterworth G, Wein S, Gorelik A, Rotstein AH. MRI Assessment of Calf Injuries in Australian Football League Players: Findings That Influence Return to Play. Skeletal Radiol. 2017;46:343-50.
Wilke J, Vogt L, Banzer W. Immediate Effects of Self-Myofascial Release on Latent Trigger Point Sensitivity: A Randomized, Placebo-Controlled Trial. Biol Sport. 2018;35(4):349-54.
Wong V, Spitz RW, Bell ZW, Viana RB, Chatakondi RN, Abe T, et al. Exercise Induced Changes in Echo Intensity Within the Muscle: A Brief Review. J Ultrasound. 2020;23:457-72.
Yue D, Ho J, Al-Hadithy N. A Case of Sudden Ankle Pain. BMJ. 2012;345.
Rabusin CL, Menz HB, McClelland JA, Evans AM, Landorf KB, Malliaras P, et al. Efficacy of Heel Lifts Versus Calf Muscle Eccentric Exercise for Mid-Portion Achilles Tendinopathy (The HEALTHY Trial): Study Protocol for a Randomised Trial. J Foot Ankle Res. 2019;12:1-12.
Ramezani S. Optimizing Biomechanical Models: Estimation of Muscle Tendon Parameters and Ankle Foot Orthosis Stiffness. 2023.