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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| POST ISOMETRIC RELAXATION | Experimental |
| |
| POST FACILITATION STRETCHING | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| POST ISOMETRIC RELAXATION | Other | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| goniometer | 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. | 4 WEEKS |
| Measure | Description | Time Frame |
|---|---|---|
| visual analog scale | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| Oswestry Low Back Pain Disability Questionnaire | 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 |
Inclusion Criteria:
• Pain in lower back for atleast 4 weeks but less than 1 year.
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Haiderullah khan, MS PTN | Contact | 0092314127210 | haiderullah@live.com |
| Name | Affiliation | Role |
|---|---|---|
| SYEDA RAHAT JABEEN, MSPT | University of Lahore | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Bahria International Hospital Lahore | Recruiting | Lahore | Punjab Province | 54590 | Pakistan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 21982256 | Background | Balague F, Mannion AF, Pellise 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. | |
| 27430435 | Background | Bogduk N. Functional anatomy of the spine. Handb Clin Neurol. 2016;136:675-88. doi: 10.1016/B978-0-444-53486-6.00032-6. |
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The study will be single blinded as the assessor will be unaware of the treatment that will be given to both groups.
|
| POST FACILITATION STRETCHING | Other | 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. |
|
| 4 WEEKS |
| 4 WEEKS |
| 1566168 | Background | 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. doi: 10.1097/00007632-199203000-00010. |
| 18280212 | Background | 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. |
| 6228021 | Background | 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. doi: 10.1097/00007632-198309000-00010. |
| 27408698 | Background | 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. F1000Res. 2016 Jun 28;5:F1000 Faculty Rev-1530. doi: 10.12688/f1000research.8105.2. eCollection 2016. |
| 14524509 | Background | 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. doi: 10.2519/jospt.2003.33.9.502. |