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The study was conducted to determine the Combined effects of Maitland mobilization and lumbopelvic coordination exercise on pain, range of motion and quality of life in patients with post colonoscopy coccydynia.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Maitland mobilization and lumbopelvic coordination exercises | Experimental |
| |
| Standard Physical Therapy | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Standard physical therapy treatment | Other | group B was given hot pack for 10min to reduce pain and promote tissue relaxation followed by stretching of the superficial and coccygeal muscles around the pelvis and lower back performed 3 times for 30 sec each. |
| Measure | Description | Time Frame |
|---|---|---|
| numeric pain scale | the scale was used to determine the patient level of pain . the range of this scale is from 0 to 10. no pain is represented by ''O"'and worst pain is represented by ''10''. | from enrollment to 4 sessions per week for total duration of 4 week |
| inclinometer | The range of motion will be measured using inclinometer that has an inter-rater reliability (ICC2,2 = 0.92 to 0.96) and in case of coccydynia, the range of motion will be assessed in the sacroiliac joint, lumbar spine and pelvic region | from enrollment to 4 sessions per week to total duration of 4 weeks. |
| SF 36 questionnaire | One of the most widely used tools for assessing health-related quality of life is the 36-item Short Form Health Survey (SF-36). Physical functioning (10 items), physical role limitations (4 items),bodily pain (2 items), general health perceptions (5 items), energy/vitality (4 items), social functioning (2 items), and emotional role limitations (3 items) are the eight domains of health status that are measured by the 36-item SF-36 scale | from enrollement to 4 sessions per week for total duration of 4 weeks. |
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INCLUSION CRITERIA
EXCLUSION CRITERIA
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| Name | Affiliation | Role |
|---|---|---|
| iqra ghafoor, Ph.D* | Riphah International University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ali Rehabilitation and Pain relieve center Multan | Multan Khurd | Punjab Province | 60810 | Pakistan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| Background | Riaz H, Kazmi YA, Khaliq S, Ahmad MZ, Azfar H, Younas Z. Effectiveness of Extracorporeal Shockwave Therapy versus Maitland Mobilization on Pain and Sacroiliac Joint Dysfunction. Heal J Physiother Rehabil Sci. 2025;5(2):50-5. | ||
| 38699145 | Background | Yan H, Zhao P, Guo X, Zhou X. The effects of Core Stability Exercises and Mulligan's mobilization with movement techniques on sacroiliac joint dysfunction. Front Physiol. 2024 Apr 18;15:1337754. doi: 10.3389/fphys.2024.1337754. eCollection 2024. | |
| 38763616 |
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| ID | Term |
|---|---|
| D010146 | Pain |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| Maitland Mobilization and lumbopelvic coordination | Other | group A received maitland mobilization technique 3 times per week which aimed to reduce pain and improve overall mobility and function . Intervention involve streching the hip flexors muscles (ilipsoas, rectus femoris ,sartorius) performed as 2sets of 30seconds. strengthening exercises such as pelvic tilts and bridges were performed using 3 sets of 10 repetitions. |
|
| Background |
| Sepiddar F, Barati AH, Yarahmadi Y. The effect of pelvic clock exercises on pain reduction and lumbopelvic proprioception in middle-aged women with chronic nonspecific low back pain (CNSLBP). J Bodyw Mov Ther. 2024 Apr;38:615-620. doi: 10.1016/j.jbmt.2023.11.019. Epub 2023 Nov 17. |
| Background | Tufekci O, Yilmaz K, Gercek H, Unuvar BS. The effectiveness of manipulation in combination with exercise for patients with coccydynia: Six months follow-up of a randomized controlled trial. Int J Osteopath Med. 2024; 51:100711. |
| 37545928 | Background | Mosaad EH, Mohamed AY, Fawzy AA, Mohamed MH. The effect of adding kinesiotaping versus pelvic floor exercise to conventional therapy in the management of post-colonoscopy coccydynia: a single-blind randomized controlled trial. Afr Health Sci. 2023 Mar;23(1):575-583. doi: 10.4314/ahs.v23i1.60. |
| 33159735 | Background | Zaidi F, Ahmed I. Effectiveness of muscle energy technique as compared to Maitland mobilisation for the treatment of chronic sacroiliac joint dysfunction. J Pak Med Assoc. 2020 Oct;70(10):1693-1697. doi: 10.5455/JPMA.43722. |
| 31427092 | Background | Shojaei I, Salt EG, Bazrgari B. A prospective study of lumbo-pelvic coordination in patients with non-chronic low back pain. J Biomech. 2020 Mar 26;102:109306. doi: 10.1016/j.jbiomech.2019.07.050. Epub 2019 Aug 7. |
| Background | Jabu NJ. "Effectiveness of specific lumbar stabilization Exercises for low back pain among postpartum Women". Bangladesh Health Professions Institute, Faculty of Medicine, the University …; 2019. |
| Background | Kaur H, Sharma M, Hazari A. Effectiveness of Maitland mobilization and mulligan mobilization in sacroiliac joint dysfunction: a comparative study. Crit Rev Phys Rehabil Med. 2019;31(2). |
| 28750995 | Background | Mohanty PP, Pattnaik M. Effect of stretching of piriformis and iliopsoas in coccydynia. J Bodyw Mov Ther. 2017 Jul;21(3):743-746. doi: 10.1016/j.jbmt.2017.03.024. Epub 2017 Mar 29. |
| 40308532 | Background | Sidiq M, Ravichandran H, Janakiraman B, Chahal A, Rai RH, Alotaibi AH, Alotaibi AH, Alotaibi AS, Ibrahim AA, Alharbi EA, Kashoo FZ, Vats H. Effectiveness of physical therapy interventions for coccydynia: a systematic review with a narrative synthesis. Arch Physiother. 2025 Apr 25;15:77-89. doi: 10.33393/aop.2025.3233. eCollection 2025 Jan-Dec. |