Effect of graston technique and cupping therapy on pain and function in individuals with medial tibial stress syndrome: a research protocol

Abstract

Medial tibial stress syndrome (MTSS) is Exertional leg discomfort. There are two forms of shin splints: anterior leg compartment dysfunction and posterior leg compartment dysfunction. MTSS patients are routinely offered graded jogging, strengthening, and stretching activities for the calf muscles. Instrument-assisted soft tissue mobilization (IASTM) includes stroking the skin with a bar or spurtle to apply repetitive mechanical stimulations to (tendons, muscle, and overlaying deep fascia) soft tissue. Cupping is a therapeutic technique that involves applying negative pressure to the skin over a sore location to relieve muscular spasms and discomfort. The rationale of the study is to find how effective the therapy for shin pain in recreational runners. The effectiveness of cupping therapy in MTSS and compares the efficacy of IASTM and cupping with strengthening and stretching exercises to see which can enhance function and reduce discomfort in a short duration of time in runners. These is randomized control trials. The study’s sample will be 46. The group B experimental group in which cupping therapy will be given, the control group, i.e., group A in which IASTM will be given for four weeks with the following baseline examinations- VAS, Treadmill test, step up and down test with MMT and ROM. The efficacy of the technique for both groups will be examined every week utilizing treadmill testing, VAS, step up and step down as end measures the pain assessment, the improvement in termination time of treadmill test as well as step up and down test.