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The study design would be a Randomized Controlled Trial.This study would include a total 40 participants. 20 participants in each group. Sample size is obtained through G-power. The study duration will be 12 months after the approval from the research board. Non-probability convenience sampling will be used. Randomization will be done through sealed envelope method. The study will be conducted from Quaid-e-Azam Hospital Rawalpindi and Margalla Rehabilitation Centre.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A: Gluteal Activation | Experimental |
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| Active comparator | Active Comparator | Group B - Gluteal Muscle Activation Program + Core Strengthening Program Hot pack applied to lumbar area for 15-20 minutes. 3 sessions per week for 4 weeks. Moderate intensity, bodyweight-based exercises with controlled movement. Each exercise: 3 sets of 15 repetitions with 30-40 seconds rest between sets. Target: Gluteal muscles and pelvic control: |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Group A: Gluteal Muscle Activation | Other | Gluteal Activation focuses on "waking up" and isolating the gluteus maximus, medius, and minimus to ensure they fire properly, often using low-load, high-control movements. |
| Measure | Description | Time Frame |
|---|---|---|
| Tampa Scale of Kinesiophobia (TSK-11) | The Tampa Scale for Kinesiophobia (TSK-11) is a shortened, 11-item version of the original 17-item TSK questionnaire used to assess fear of movement, or kinesiophobia, in individuals with chronic pain or other conditions involving movement limitations | 4 weeks |
| Lower Extremity Functional Scale (LEFS) | The Lower Extremity Functional Scale (LEFS) is used to assess "patients' initial function, ongoing progress, and outcome" for a variety of disorders affecting the lower extremities. LEFS is a self-reported survey. The LEFS total score ranges from 0 to 80, with higher scores indicating better functional ability. | 4 weeks |
| Numeric Pain Rating Scale | The Numeric Pain Rating Scale (NPRS) is a tool used to measure the intensity of pain. It's a unidimensional scale, typically an 11-point scale ranging from 0 to 10, where 0 represents no pain and 10 represents the worst pain imaginable. Patients verbally or numerically indicate the level of pain they are experiencing. | 4 Weeks |
| The Trendelenburg test | The Trendelenburg test is a physical examination used to assess the strength of hip abductor muscles, specifically the gluteus medius and gluteus minimus, or to check for the competency of venous valves in the legs. A positive Trendelenburg sign, indicated by a drop of the pelvis on the unsupported side during a single-leg stance, suggests weakness in the hip abductors. | 4 Weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| REHMAT KHATOON, MS-OMPT | Contact | 0321-8562693 | rehmi123jillani@gmail.com | |
| Attiq ur Rehman Physiotherapist, MS | Contact | +92-336-1055533 | attiq.rehman@riphah.edu.pk |
| Name | Affiliation | Role |
|---|---|---|
| Attiq Ur Rehman, MS | Riphah International University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Riphah University Islamabad | Recruiting | Islamabad | Pakistan |
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| ID | Term |
|---|---|
| D013577 | Syndrome |
| ID | Term |
|---|---|
| D004194 | Disease |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| Group B: Gluteal Muscle Activation and Core stregthening exercises | Other | Gluteal Activation focuses on "waking up" and isolating the gluteus maximus, medius, and minimus to ensure they fire properly, often using low-load, high-control movements.Core Strengthening focuses on stabilizing the spine and pelvis by targeting the abdominals, back, and deep pelvic muscles. |
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