Original Research Article
Year: 2020 | Month: July | Volume: 10 | Issue: 7 | Pages: 35-41
Comparison of Active Release Technique and Positional Release Therapy for Gastrosoleus Trigger Point Release in Recreational Runners
Nirali M Jain1, Leena Zore2, Ajay Kumar3
1B.P.Th, 2 M.P.Th, 3 Principal,
DPO’s Nett College of Physiotherapy, Kolshet Road, Opposite Everest World, Thane West.
Corresponding Author: Nirali M Jain
ABSTRACT
Background: Running frequently hypertrophies the gastrocnemius and soleus muscles as propulsion in running gait is primarily performed by the calf muscle complex which leads to concomitant inflexibility of these muscles. Tightness of these muscles inturn leads to the formation of trigger points within the muscles. Active Release Technique (ART) is the combination of site specific manual pressure with precise patient movement (lengthening the muscle through the ROM). Positional Release Therapy (PRT) increases the flexibility of muscle by keeping the muscle in shortened position for a period of 90 secs while maintaining a sustained manual pressure.
Objective: To compare effect of Active Release Technique and Positional Release Therapy for gastrosoleus trigger point release in recreational runners using NRS and active dorsiflexion ROM using universal goniometer.
Method: 30 subjects were selected as per inclusion and exclusion criteria and were randomly allocated into 2 groups of 15 each. Group A received Active Release Technique and Group B received Positional Release Therapy for the gastrocnemius and soleus muscles. Pre and post intervention dorsiflexion range of motion and NRS scores were analysed.
Result: The statistical analysis showed that there is a significant increase in the range of motion and a significant reduction in the pain scores post trigger point release in both the groups(p<0.0001). However, inter group analysis showed that Group B is much more effective in improving the range of motion and reducing pain scores.
Conclusion: The present study concluded that Positional Release Therapy is a better intervention for the release of trigger points as it shows a greater increase in ankle dorsiflexion range of motion and a significant reduction in pain.
Key words: Active Release Technique (ART), Positional Release Therapy (PRT), Recreational runners, Gastrocnemius, Soleus