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The rationale of this study is to provide empirical evidence regarding the efficacy and safety of neural mobilization in pregnant women with meralgia paresthetica. By investigating the potential benefits of this intervention, healthcare professionals can make informed decisions about incorporating neural mobilization into the management of this condition during pregnancy. Focusing on the impact of neural mobilization and muscle energy techniques on both neuropathic pain and quality of life aligns with a patient-centered approach to care. The goal is not only to reduce symptoms but also to enhance overall well-being and functional capacity
The literature gap of the study is that upto our knowledge, there is little or no evidence found in previous researches on the combined effects of lateral femoral cutaneous nerve mobilization in combination with MET in pregnant females. Secondly no quantitative measurement as range of motion with goniometer has been yet studied
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| group A | Experimental | Lateral Femoral cutaneous nerve mobilization with muscle energy techniques |
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| GROUP B | Experimental |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Group A | Other | It consists of 24 patients who were assessed by prone knee bend (PKB) test and knee range of motion was measured by goniometer. In addition to traditional physical therapy and muscle energy procedures, patients in this group received neural mobilization. The patient laid on their side with their knee bent to a 90-degree angle and the affected side looking up while neural mobilization was carried out. The therapist then performed the technique by abducting and extending the patient's hip. Five repetitions of the nerve stretch were performed, each with a 10-second hold and a 5-second rest in between. METs were implemented in two positions using post-isometric relaxation (PIR): In this initial posture, the patient laid on their back with the affected leg just over the bed's edge. With one hand, the physiotherapist stood facing the affected side and pressed the contralateral ASIS to keep the patient from rolling off the bed. The therapist, however, simultaneously grabbed the femur dist |
| Measure | Description | Time Frame |
|---|---|---|
| quality of life is assessed by QOL questioner | EQ-5D is used to measure quality of life | at base line pre intervention, at the end of 4th week post intervention |
| Knee range of motion is used to measure ROM | measured by goniometer | at base line pre intervention, at the end of 4th week post intervention |
| neuropathic pain | The Neuropathic Pain Scale (NPS) is a tool used to assess the specific qualities of pain associated with neuropathic pain. It helps differentiate neuropathic pain from other types of pain by evaluating different pain sensations and their intensity. The NPS consists of 10 items, each rated on a scale of 0 to 10, where 0 is "no pain" and 10 is the "worst imaginable pain". | at base line pre intervention, at the end of 4th week post intervention |
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Inclusion Criteria:
Exclusion Criteria:
patients are of Pregnant females
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| Name | Affiliation | Role |
|---|---|---|
| Iqra abdul ghafoor, PPDPT | Riphah International University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ghurkhi Hospital | Lahore | Punjab Province | Pakistan | |||
| Ghurki Hospital |
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| ID | Term |
|---|---|
| D020428 | Femoral Neuropathy |
| ID | Term |
|---|---|
| D020422 | Mononeuropathies |
| D010523 | Peripheral Nervous System Diseases |
| D009468 | Neuromuscular Diseases |
| D009422 | Nervous System Diseases |
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outcome assessor was kept blinded
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| Experimental Group B | Other | It involves 24 patients who had received the neural mobilization described above along with traditional physical therapy that does not involve muscular energy techniques. The treatment took place in the outpatient physical therapy department and lasted around thirty minutes in total |
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| Lahore |
| Punjab Province |
| Pakistan |