Effects Of Post Isometric Relaxation And Post Facilitation Stretching On ROM, Pain And Functional Limitations
Study Details
Study Description
Brief Summary
Study Design: Randomized Controlled Trial treatment techniques: post isometric relaxation and post facilitation stretching technique sample size: 35 in each group single blinded Before giving either treatment to each group, baseline data will be collected from each participant and then after 4th week of treatment.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
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N/A |
Detailed Description
To compare the effects of post isometric relaxation and post facilitation stretching on Rom, pain and functional disability in patients with erector spinae tightness.Study Setting: Bahria International Hospital, Lahore Data will be analyzed using SPSS version 26.The quantitative variables like range of motion will be presented in the form of mean ±SD and qualitative variables like pain and functional disability will be presented in the form of frequency and percentage.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: POST ISOMETRIC RELAXATION
|
Other: POST ISOMETRIC RELAXATION
Group A (Post Isometric Relaxation + Conventional Physiotherapy): This group will receive Muscle Energy Technique in addition to conventional physiotherapy for the treatment of erector spinae tightness. The treatment will be given on alternate days for four weeks with 8 - 10 repetitions of METs per session.
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| Experimental: POST FACILITATION STRETCHING
|
Other: POST FACILITATION STRETCHING
Group B (Post Facilitation Stretching + Conventional Physiotherapy):
This group will receive Post Facilitation Stretching Technique in addition to conventional physiotherapy for the treatment of erector spinae tightness. The treatment will be given on alternate days for four weeks with 8 - 10 repetitions of METs per session.
|
Outcome Measures
Primary Outcome Measures
- goniometer [4 WEEKS]
Range of motion will be measured by using universal standard goniometer.The goniometer comprises a body (rotation axis) with two arms attached to it, one being fixed and the other movable. The measurement of the ROM is performed by direct reading of the angle between the axis of rotation at the end of the active ROM of the movement assessed.
Secondary Outcome Measures
- visual analog scale [4 WEEKS]
The Visual Analogue Scale (VAS) is an instrument for the measurement of subjective characteristics or attitudes that cannot be measured directly. It consists of a horizontal line with markings from 0 - 10 where "0" represents "no pain" and "10" represents "worst pain possible". The patient is asked to mark the number on the scale which best describes the level of his/her pain.
Other Outcome Measures
- Oswestry Low Back Pain Disability Questionnaire [4 WEEKS]
The Oswestry Low Back Pain Disability Questionnaire is designed to assess the level of functional limitations or disability in activities of daily living of the patients with acute or chronic low back pain. It gives subjective percentage score. The questionnaire consists of 10 questions each having 6 options. Each option carries from 0-5 marks in descending order. The total score of the questionnaire is 50 while the minimum score is 0. The patient is asked to fill the questionnaire and their level of disability is assessed by scoring in the end. Their attained score is divided by the total score i-e 50 and is then divided by 100 to get the percentage
Eligibility Criteria
Criteria
Inclusion Criteria:
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• Pain in lower back for atleast 4 weeks but less than 1 year.
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Pain relieved by rest.
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Decreased flexion, extension and lateral flexion of lumbar spine.
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Individuals having no signs of nerve root irritation (dermatomal pain and paresthesia) and nerve root compression (dermatomal sensory loss, myotomal weakness, loss of reflex)
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Age group: 30 - 45 years
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Both male and female
Exclusion Criteria:
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Individuals having other lumbar pathologies like disc problems, ligamentous strains, sciatica etc
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Individuals having any inflammation and malignancy.
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Pregnancy
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Individuals having recent trauma, fracture, or surgery
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Bahria International Hospital Lahore | Lahore | Punjab | Pakistan | 54590 |
Sponsors and Collaborators
- University of Lahore
Investigators
- Principal Investigator: SYEDA RAHAT JABEEN, MSPT, THE UNIVERSITY OF LAHORE
Study Documents (Full-Text)
None provided.More Information
Publications
- Allegri M, Montella S, Salici F, Valente A, Marchesini M, Compagnone C, Baciarello M, Manferdini ME, Fanelli G. Mechanisms of low back pain: a guide for diagnosis and therapy. Version 2. F1000Res. 2016 Jun 28 [revised 2016 Jan 1];5. pii: F1000 Faculty Rev-1530. eCollection 2016. Review.
- Balagué F, Mannion AF, Pellisé F, Cedraschi C. Non-specific low back pain. Lancet. 2012 Feb 4;379(9814):482-91. doi: 10.1016/S0140-6736(11)60610-7. Epub 2011 Oct 6. Review.
- Bogduk N. Functional anatomy of the spine. Handb Clin Neurol. 2016;136:675-88. doi: 10.1016/B978-0-444-53486-6.00032-6. Review.
- Friberg O. Clinical symptoms and biomechanics of lumbar spine and hip joint in leg length inequality. Spine (Phila Pa 1976). 1983 Sep;8(6):643-51.
- Panjabi MM, Goel V, Oxland T, Takata K, Duranceau J, Krag M, Price M. Human lumbar vertebrae. Quantitative three-dimensional anatomy. Spine (Phila Pa 1976). 1992 Mar;17(3):299-306.
- Sung PS, Lammers AR, Danial P. Different parts of erector spinae muscle fatigability in subjects with and without low back pain. Spine J. 2009 Feb;9(2):115-20. doi: 10.1016/j.spinee.2007.11.011. Epub 2008 Feb 14.
- Wilson E, Payton O, Donegan-Shoaf L, Dec K. Muscle energy technique in patients with acute low back pain: a pilot clinical trial. J Orthop Sports Phys Ther. 2003 Sep;33(9):502-12.
- IRB-UOL-FAHS/1027/2021