Title: Immediate effect of MET vs Static Stretching on Tendo–Achilles Tightness

Authors: Yash Adhye, Dr Bindu Sarfare (PT), Dr Snehal Ghodey (PT)

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i4.61

Abstract

Static stretching commonly used conventional technique to lengthen a shortened muscle/group of muscles. Literature showed that MET improves flexibility and range of joint hence the need to find out immediate efficacy of MET over static stretching techniques. 70 subjects were screened for Tendo-achilles tightness on the Weight-bearing Lunge test and Ankle Flexibility Test .They were then randomly allocated into groups of self stretching and MET. Pre and post reading were recorded. Study concluded, MET is statistically significant in Ankle Flexibility Test. The two interventions were equally effective on the Weight-Bearing Lunge Test.

Keywords: Tendo-achilles, MET, Static-Stretching.

References

  1. The Gastrocnemius: The new paradigm for the human foot and ankle. James Aims, MD
  2. The Effect of Muscle energy technique on gross trunk range of motion Karen L Lenehan, Gary Fryer, Patric McLaughlin. Journal of osteopathic medicine 6(1), 13_18,2003.
  3. The immediate effect of muscle energy technique on posterior shoulder tightness:a randomized controlled trial . Stephanie D Moore, Kevin GLaundner, Todd A MCloda, Micheal A Shaffer. Journal of orthopaedic& sports physical therapy 41(6), 400-407, 2011
  4. DiGiovanni CW, Kuo R, Tejwani N, et al. Isolated gastrocnemius tightness. J.Bone Joint Surg Am 2002;6:962–70.
  5. The Role of Isolated Gastrocnemius and Combined Achilles Contractures in the Flatfoot DiGiovanni, MD Christopher W.
  6. Aronow MS, Diaz-Doran V, Sullivan RJ, et al. The effect of triceps surae contracture force on plantar foot pressure distribution. Foot Ankle Int 2006;1:43–52.
  7. Garrett T, Neibert PJ. The effectiveness of a gastrocnemius/soleus stretching program as a therapeutic treatment of plantar fasciitis. SportRehabil 2013;22(4):308–12.
  8. Nutt J. Diseases and deformities of the foot. E.B.Treat& Co; 1913. Google Digital Copy.
  9. Riddle DL, Pulisic M, Pidcoe P, et al. Risk factors for plantar fasciitis: a matched case-control study. J Bone Joint Surg Am 2003;5:872–7.
  10. Young R, Nix S, Wholohan A, et al. Interventions for increasing ankle joint dorsiflexion systematic review and meta-analysis. J Foot Ankle Res 2013;6:1–10.
  11. Macklin K, Healy A, Chockalingam N. The effect of calf muscle stretching exercises on ankle joint dorsiflexion and dynamic foot pressures, force and related temporal parameters. Foot (Edinb) 2012;22:10–7.
  12. Intra-rater and inter-rater reliability of a weight-bearing lunge measure for ankle dorsiflexion. Kim Bennel, Richard Talbot, Australian Physiotherapy.
  13. JOHNSON, B.L. and NELSON, J.K. (1986) Practical Measurements for Evaluation in PE . 4th ed. Minneapolis: Brugees Publishing
  14. BANDY ,W.D. and IRION , J.M. (1994) The effect of time on static stretch on the flexibility  of the hamstring muscles . Physical therapy, 74(9), p 845-850.
  15. Muscle Energy Technique by Leon Chaitow. (Third Edition).
  16. McClure, M;Exercise and training for soinalpatients,Part B, Flexibility training, In Basmajian, JV, Nyberg, R (eds);RatinalMnual Therapies, Baltimore; Williams & Wilkins, 193, p 359.
  17. The influence of contraction duration in muscle energy technique applied to the atlanto-axial joint. ND Fryer , BSc, MHSc,(Osteo), WojteckRuszkowski , School of Health Sciences , Victoria University, Melbourn, Austraila.
  18. J.E. Gregory, Relations between identified tendon organs and motor units in the medial gastrocnemius muscles of the cat. Experimental Brain Research,81, 3(602).
  19. Yukiko Makihara L. Segal , Jonathan R. Wolpaw and Akio K Thompson , H-reflex modulation in the human medial and lateral gastrocnemii during standing and walking , Muscle& Nerve, 45, 1, (116-125), (2011).

Corresponding Author

Yash Adhye

Email: This email address is being protected from spambots. You need JavaScript enabled to view it.