Skip to main content
OpenTrials
Completed

NCT Number: NCT07138924

Graston Technique vs Dynamic Oscillation Stretching Technique For High Heel Users And Its Impact On Body Posture

In high heel users, most of the previous work has focused on the lower limb. However, we did not find any study that specifically targeted the lumbar region. The novelty of this study lies in raising awareness that high heel users experience a full-body postural disturbance. While studies had involved the lower limb, but it is crucial to also include the lumbar region. This is because high heel users often feel more pain in the lower limb, which may be leading us to focus solely on lower limb and neglect the lumbar region. However, the mechanics of the lumbar region are also deteriorating along with the lower limb, which may lead to musculoskeletal related issues to high heel users in future. In Pakistan, no previous research is conducted, That compare the effect of Graston Technique Versus DOST in female wearing high heels and its impact on posture.

Completed

Looking for future studies?

Notify Me

Key information

Conditions

Hyperlordosis Animal Diseases Deficiency Diseases Malnutrition Nutrition Disorders Nutritional and Metabolic Diseases Sheep Diseases Swayback

Age range

20 year–40 year

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

Gulberg Green Campus of Riphah International University, Islamabad

Islamabad, Punjab Province, Pakistan

About this study

The consequences of wearing high heels included increased bending of the hips and knees, anterior pelvic tilting, and increased lumbar lordosis in the spine. Wearers of high heels reported reduced dorsiflexion. The aim of this study is to compare the effectiveness of Graston technique and Dynamic Oscillatory Stretch (DOST) technique in improving lumbar lordosis, anterior pelvic tilting and function status in high heel users. This study is randamized control trial. The sample size of this study is 30 participants which would be divided into two group, 15 each. Non-probability Convenience sampling will be used and participants are randomly assigned into Group A (Graston Technique) Group B (DOST) through envelope sealed method after baseline assessment . The participants of both group were evaluated on three occasions; (i) baseline, (ii) 5th session and (iii) 12th session.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • • Only female were included
  • Age group 20 to 40 years.
  • Duration of wearing HH: >1 yr.
  • Wearing HH for > 3 times a wk. and 5 hrs/ day.
  • Heel height: 2 inch and above
  • Decreased ankle Dorsiflexion (less than 17 degrees)
  • Lumber lordosis increased (> 40).
  • Muscle tightness (Paraspinal, hamstring, gastrocnemius and soleus).

Exclusion criteria

  • • DVT, malignancy, infection.
  • Eczema or other skin diseases.
  • MSK injury or surgery of LL.
  • Sciatica or other Neuropathy/ Neurological disorder
  • Acute Cardio-Respiratory disorder

Treatment and study plan

Graston Technique

Other

Firstly, apply a moisturizer or gel to affected part. Then gentle strokes are applied from proximal to distal direction to assess trigger point or taut band. After knowing the exact area, apply strokes gently with minimum force in all directions by keeping tool in 30- 60-degree angle. Total Application time will be between 40-120 seconds. conservative physiotherapy treatment plan is hot pack for 10-15 min, calf stetches 10 reps x 2 sets and post session cold pack for 5 min. Home exercise plan is william training i.e. single knee to chest, double knee to chest, pelvic tilts, iliospoas stretch, hamstring stretch and squat (10reps x1 set)

Dynamic Oscillatory Stretch Technique

Other

Passively stretch that is at the first point of stretch sensation. The next component to DOS, 2-sec, passive stretch with slow oscillation. Total 10 reps x 2 sec hold oscillations x 3 sets.conservative physiotherapy treatment plan is hot pack for 10-15 min, calf stetches 10 reps x 2 sets and post session cold pack for 5 min. Home exercise plan is william training i.e. single knee to chest, double knee to chest, pelvic tilts, iliospoas stretch, hamstring stretch and squat (10reps x1 set)

Primary outcomes

  1. Flexicurve Ruler

    Time frame: 3 week

    The Flexicurve ruler allows us to measure the curves of your spine. The Flexicurve is a strip of flexible metal covered in plastic. It will place at the top of the back then gently bend it so it reflects the shape of the backbone.

  2. Inclinometer

    Time frame: 3 week

    Inclinometer is a specialized tool used to measure angles and range of motion of joints. It is used to measure pelvic tilt.

Secondary outcomes

  1. Gonimeter

    Time frame: 3 week

    A device that measures an angle or allows an object to be rotated to a certain position. In orthopedics, the former description is more accurate. Goniometry is the art and science of measuring joint ranges in each plane of the joint

  2. Lower Extremity Functional Scale

    Time frame: 3 week

    The LEFS can be used to evaluate the functional impairment of a patient with a disorder of one or both lower extremities. It can be used to monitor the patient over time and to evaluate the effectiveness of an intervention.

Sponsors and collaborators

Lead sponsor

Riphah International University

Other

Registry information

Official study title

Comparative Analysis Of Graston Technique Versus Dynamic Oscillation Stretching Technique For High Heel Users And Its Impact On Body Posture

Important dates

Study start
2024
Primary completion
2025
Study completion
2025
First posted
Aug 24, 2025
Registry last updated
Aug 24, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Related clinical trials

Published trials that share one or more normalized conditions with this study.