HyperlordosisNCT07138924
Graston Technique vs Dynamic Oscillation Stretching Technique For High Heel Users And Its Impact On Body Posture
A study testing Graston Technique and Dynamic Oscillatory Stretch Technique in people with Hyperlordosis, run by Riphah International University at 1 site in Pakistan.
Trial summary
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. Read more about this study
- Who is it for?
- Ages 20 to 40 years, women only
- Conditions the study is for
- Hyperlordosis
- What is being tested?
- Graston Technique and Dynamic Oscillatory Stretch Technique
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 30 participants
- Where
- 1 sitePakistan
- Study dates
- 1 Nov 2024to 30 Jul 2025
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 20 to 40 years
- Women only
- No healthy volunteers
- Adult
Who may be able to join
- • 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).
Who cannot join
- • DVT, malignancy, infection.
- Eczema or other skin diseases.
- MSK injury or surgery of LL.
- Sciatica or other Neuropathy/ Neurological disorder
- Acute Cardio-Respiratory disorder
Trial locations and contacts
1 site in 1 country.
Pakistan1 site
Gulberg Green Campus of Riphah International University, Islamabad
Islamabad, Punjab Province
About this study
Official title: Comparative Analysis Of Graston Technique Versus 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.
Read the detailed description
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.
- Conditions
- Hyperlordosis
- Being tested
- Graston Technique, Dynamic Oscillatory Stretch Technique
- Keywords
- Hyperlordosis Anterior pelvic tilt Graston Technique Dynamic Oscillating Stretch
- Medical subject headings
- Swayback
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Graston TechniqueOther
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 TechniqueOther
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)
| Study group | Role | What they receive |
|---|---|---|
| Graston Technique | Experimental | Experimental Group A: Graston technique on calf and Paraspinal (erector spinae) muscles with conservative physiotherapy treatment plan i.e. hot pack for 10-15 min (calf muscles) calf stretches (10 reps x 2 sets) and post session cold pack for 5 min. Receives: Other: Graston Technique |
| Dynamic Oscillatory Stretch Technique (DOST) | Active comparator | Experimental Group B: Dynamic oscillation stretching technique on gastrocnemius, soleus, and hamstring with conservative physiotherapy treatment plan i.e. hot pack for 10-15 min (calf muscles) calf stretches (10 reps x 2 sets) and post session cold pack for 5 min. Receives: Other: Dynamic Oscillatory Stretch Technique |
What is being measured
The primary outcome is the main question the study is designed to answer.
Flexicurve Ruler
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.
Measured: 3 week
Inclinometer
Inclinometer is a specialized tool used to measure angles and range of motion of joints. It is used to measure pelvic tilt.
Measured: 3 week
Secondary outcomes (2)
Gonimeter
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
Measured: 3 week
Lower Extremity Functional Scale
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.
Measured: 3 week
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Aug 2025
- Study start1 Nov 2024
- Primary completion30 Mar 2025
- Study completion30 Jul 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for HyperlordosisStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 30 participants (actual)
Sponsor and investigators
- Lead sponsor
- Riphah International University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Ramsha Tariq, Principal investigator, Riphah International University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07138924
- Sponsor's protocol ID
- RCRAHS-ISB/REC/MS-PT/02012
- Status last verified
- Aug 2025
- First submitted
- 18 Aug 2025
- Last updated
- 24 Aug 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Chien HL, Lu TW, Liu MW. Effects of long-term wearing of high-heeled shoes on the control of the body's center of mass motion in relation to the center of pressure during walking. Gait Posture. 2014 Apr;39(4):1045-50. doi: 10.1016/j.gaitpost.2014.01.007. Epub 2014 Jan 19.
PubMed 24508016
Study at a glance
From the registry record, last updated by the sponsor on 24 Aug 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Comparative Analysis Of Graston Technique Versus Dynamic Oscillation Stretching Technique For High Heel Users And Its Impact On Body Posture
- ClinicalTrials.gov ID
- NCT07138924
- Acronym / sponsor ID
- RCRAHS-ISB/REC/MS-PT/02012
- Conditions
- Hyperlordosis
- Keywords
- Hyperlordosis Anterior pelvic tilt Graston Technique Dynamic Oscillating Stretch
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 30 participants (actual)
- Lead sponsor
- Riphah International UniversityUniversity, hospital or other
- Study start
- 1 Nov 2024 (actual)
- Primary completion
- 30 Mar 2025 (actual)
- Study completion
- 30 Jul 2025 (actual)
- First posted
- 24 Aug 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Detailed description
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.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Graston Technique | Experimental | Other: Graston TechniqueExperimental Group A: Graston technique on calf and Paraspinal (erector spinae) muscles with conservative physiotherapy treatment plan i.e. hot pack for 10-15 min (calf muscles) calf stretches (10 reps x 2 sets) and post session cold pack for 5 min. |
| Dynamic Oscillatory Stretch Technique (DOST) | Active comparator | Other: Dynamic Oscillatory Stretch TechniqueExperimental Group B: Dynamic oscillation stretching technique on gastrocnemius, soleus, and hamstring with conservative physiotherapy treatment plan i.e. hot pack for 10-15 min (calf muscles) calf stretches (10 reps x 2 sets) and post session cold pack for 5 min. |
Who may qualify
- Ages
- 20 to 40 years
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (8 listed)
- • Only female were included
Key exclusion criteria (5 listed)
- • DVT, malignancy, infection.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Graston TechniqueFirstly, 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) | Other | Graston Technique |
| Dynamic Oscillatory Stretch TechniquePassively 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) | Other | Dynamic Oscillatory Stretch Technique (DOST) |
Primary outcome
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.
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.
2 secondary outcomes
Gonimeter
Time frame: 3 week
Lower Extremity Functional Scale
Time frame: 3 week
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Aug 2025.
- Background: PubMed 24508016Chien HL, Lu TW, Liu MW. Effects of long-term wearing of high-heeled shoes on the control of the body's center of mass motion in relation to the center of pressure during walking. Gait Posture. 2014 Apr;39(4):1045-50. doi: 10.1016/j.gaitpost.2014.01.007. Epub 2014 Jan 19.
- Individual participant dataSharing planned: No
Related trials for Hyperlordosis
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Longitudinal Changes in Spinopelvic Alignment and Sagittal Balance After Bariatric Surgery in Patients With Morbid Obesity: A Prospective Observational Study
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Egoscue and Core Stabilization for Chronic Low Back Pain
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Not yet recruitingObservational study
Hamstring Tightness and Lumbar Lordosis Angel Across Functional Sitting Posture.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Ramsha Tariq principal investigator
Riphah International University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Graston Technique and Dynamic Oscillatory Stretch Technique in people with Hyperlordosis, run by Riphah International University at 1 site in Pakistan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 8 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 24 Aug 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Pakistan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Flexicurve Ruler (time frame: 3 week). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT07138924, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Aug 2025.