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Effect of instrumental assisted soft tissue mobilization over sustained stretching in hockey players on improving quadratus lumborum flexibility.
To find the effect of instrumental assisted soft tissue mobilization over sustained stretching in hockey players on improving quadratus lumborum flexibility.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A: Instrumental assisted soft tissue mobilization | Experimental | 11 participates will receive IASTM treatment for total of 40 more seconds. |
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| Group B: Sustained stretching | Experimental | 11 participates will receive total of thirty seconds, divided into three sets of stretches at each intervention, with ten seconds of rest in between. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Instrumental assisted soft tissue mobilization | Other | instrument will be held at 45° angle and the IASTM treatment will be administered for about 20 seconds in a direction parallel to the muscle fibers being treated with deep strokes |
| Measure | Description | Time Frame |
|---|---|---|
| Oswestry Disability Index Questionnaire: | The Oswestry disability index (ODI), which is frequently used to evaluate reported limitations in individuals with low back pain, was employed to measure the disability index. It has two items about pain and eight items about activities of daily life. Each item has a point value between 0 and 5. The disability index increases with the overall score, which is represented as a percentage. A revised scale with nine items was utilized since it was determined that the sex life-related questions on the tenth item were inappropriate for persons of Korean descent. This test's test-retest reliability was ICC=0.85-0.94, and its intra-rater reliability was ICC=0.81-0.90. | 4 weeks |
| NPRS | The score for each item ranges from 0 to 10, measured in units of length up to the location where the patient indicated the level of pain. NPRS is known to have a high sensitivity to pain and is proportional to the pain. This is the most widely used measurement method for chronic pain as well as acute pain with a good reliability. | 4 weeks |
| Inclinometer: | Inclinometers are a commonly used instrument in clinical practice. The recordings from digital inclinometers could be more objective. Given its non-invasive nature, ease of use, and utility in evaluating lumbar or thoracolumbar range of motion. Inter-rater: ICC = 0.60, test-retest: r = 0.13-0.87. | 4 weeks |
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Inclusion Criteria:
Age group of 16-26 years. Male and female Deficit of thoracolumbar Range of Motion with QL tightness Participates with moderate pain as per the ODI (20%-40%)
Exclusion Criteria:
Not fit in the age group Who have muscles injury from last 6 months Who have ODI score less than 20% Who do not involve QL tightness
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| Name | Affiliation | Role |
|---|---|---|
| Dania Zaheer, DPT | Riphah International University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Pakistan sports board | Lahore | Punjab Province | Pakistan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34115979 | Background | Knezevic NN, Candido KD, Vlaeyen JWS, Van Zundert J, Cohen SP. Low back pain. Lancet. 2021 Jul 3;398(10294):78-92. doi: 10.1016/S0140-6736(21)00733-9. Epub 2021 Jun 8. | |
| 29299879 | Background | Barboza SD, Joseph C, Nauta J, van Mechelen W, Verhagen E. Injuries in Field Hockey Players: A Systematic Review. Sports Med. 2018 Apr;48(4):849-866. doi: 10.1007/s40279-017-0839-3. |
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Randomized Control design
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| Sustained stretching | Other | The therapist will apply the pressure or ask to maintain the stretch. A total of thirty seconds, divided into three sets of stretches at each intervention, with ten seconds of rest in between |
|
| 34092603 | Background | Kim YK, Cho SY, Lee KH. Effects of transcutaneous electrical nerve stimulation and instrument-assisted soft tissue mobilization combined treatment on chronic low back pain: A randomized controlled trial. J Back Musculoskelet Rehabil. 2021;34(5):895-902. doi: 10.3233/BMR-200369. |
| 27390432 | Background | Lee JH, Lee DK, Oh JS. The effect of Graston technique on the pain and range of motion in patients with chronic low back pain. J Phys Ther Sci. 2016 Jun;28(6):1852-5. doi: 10.1589/jpts.28.1852. Epub 2016 Jun 28. |
| 37330762 | Background | Nazary-Moghadam S, Yahya-Zadeh A, Zare MA, Ali Mohammadi M, Marouzi P, Zeinalzadeh A. Comparison of utilizing modified hold-relax, muscle energy technique, and instrument-assisted soft tissue mobilization on hamstring muscle length in healthy athletes: Randomized controlled trial. J Bodyw Mov Ther. 2023 Jul;35:151-157. doi: 10.1016/j.jbmt.2023.04.079. Epub 2023 Apr 21. |
| 34391234 | Background | Osailan A, Jamaan A, Talha K, Alhndi M. Instrument assisted soft tissue mobilization (IASTM) versus stretching: A comparison in effectiveness on hip active range of motion, muscle torque and power in people with hamstring tightness. J Bodyw Mov Ther. 2021 Jul;27:200-206. doi: 10.1016/j.jbmt.2021.03.001. Epub 2021 Mar 11. |
| 32368203 | Background | El-Hafez HM, Hamdy HA, Takla MK, Ahmed SEB, Genedy AF, Abd El-Azeim ASS. Instrument-assisted soft tissue mobilisation versus stripping massage for upper trapezius myofascial trigger points. J Taibah Univ Med Sci. 2020 Mar 6;15(2):87-93. doi: 10.1016/j.jtumed.2020.01.006. eCollection 2020 Apr. |
| 30692839 | Background | Gunn LJ, Stewart JC, Morgan B, Metts ST, Magnuson JM, Iglowski NJ, Fritz SL, Arnot C. Instrument-assisted soft tissue mobilization and proprioceptive neuromuscular facilitation techniques improve hamstring flexibility better than static stretching alone: a randomized clinical trial. J Man Manip Ther. 2019 Feb;27(1):15-23. doi: 10.1080/10669817.2018.1475693. Epub 2018 Aug 1. |
| ID | Term |
|---|---|
| D017116 | Low Back Pain |
| ID | Term |
|---|---|
| D001416 | Back Pain |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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