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IRCT20210821052245N1 IRCT 2021-12-07 University of Lahore Effect of hamstring flexibility in patients with chronic non-specific low back pain. Comparative effects of mulligan two-leg rotation technique and muscle energy technique on hamstring flexibility, pain and functional disability in patients with chronic non-specific low back pain 2020-11-20 anticipated 116 Complete https://irct.ir/trial/58400 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Patients who were eligible were randomly assigned, using the simple random sampling technique by lottery method. Out of the screened patients, 108 patients who fulfill the inclusion criteria were assigned a number. The walk-in patients were assigned by even numbers and odd numbers. Patients coming at the even numbers were included in Group A (Two Leg Rotation) and those with odd numbers were included in Group B (Muscle Energy Technique). 54 patients were included in Group A and 54 patients were assigned to Group B, Blinding description: The double blinding technique was used. The assessor and participants both were blinded to the given technique. In the end, the study was unblinded and researchers and participants was made aware of the treatment groups in which they were allocated. N/A Chronic Low Back Pain with decreased hamstring flexibility. Intervention 1: Intervention group (Mulligan Two Leg Rotation): After giving the moist hot pack for 20 minutes at the low back area and hamstrings, the therapist stands at the limited hamstrings flexibility side of the patient lying in a supine position. Both legs were flexed to a level that feet are off the table. After stabilizing the patient shoulders on the bed, the patient’s leg was fully flexed and slowly taken to the side of the limited hamstring muscle flexibility. When the limit was reached, the position was sustained for 30 seconds with overpressure applied by the therapist, and then the legs were lowered to the plinth. Three repetitions were repeated, and 1 minute rest time was given between each stretch. And the same procedure was done for the other side of limited hamstrings flexibility. Total time duration for this technique was 10 minutes. Intervention 2: Intervention group (Muscle Energy Technique): Post Isometric Relaxation (PIR) of muscle energy technique was used. After applying the moist hot pack for 20 minutes at the low back and hamstrings the patient was instructed to lie in a supine position with the non-treated leg straight on the table. The therapist passively flexed the treated leg at the hip and the patient knee was straightened on the therapist's shoulder until the primary resistance was felt. The patient was instructed to apply pressure for 7-10 seconds on the therapist's shoulder against resistance by using no more than 25% of their strength during isometric contractions. The contraction period was followed by a relaxation period and then the therapist passively straightened the knee towards its new barrier and held it for 30 seconds. The procedure was repeated 4 times with a 10-second rest interval between them. Total time duration for this technique was 10 minutes. No - There is not a plan to make this available Justification or reason for not sharing IPD is Because patient consent was taken only for this study, so I cannot share the data without their permission.
public Maryam Razzaq
House number 486, MDA officers co-operative housing society, Multan
MULTAN Pakistan 60000 +92 61 6524875 maryam.raazq@gmail.com Bakhtawar Amin Hospital scientific Maryam Razzaq
House number 486, MDA officers co-operative housing society, Multan
MULTAN Pakistan 60000 +92 61 7524875 maryam.raazq@gmail.com Bakhtawar Amin Hospital Pakistan Both male and female Age group eighteen to thirty years of age Non-specific low back pain for more than three months. Patients with hamstrings tightness measured by Active Knee Extension (AKE) test with measurement having greater than the thirty-degree loss of knee. 18 years 35 years Both Low back pain with active systemic or spine pathology. Upper motor neuron lesion and lower motor neuron lesion Pregnancy, psychological risk factor or subjects apprehensive for the stretching techniques History of fracture or surgery of spine, pelvis, hip or knee. M54.5 Low back pain Rehabilitation Rehabilitation Intervention group (Mulligan Two Leg Rotation): After giving the moist hot pack for 20 minutes at the low back area and hamstrings, the therapist stands at the limited hamstrings flexibility side of the patient lying in a supine position. Both legs were flexed to a level that feet are off the table. After stabilizing the patient shoulders on the bed, the patient’s leg was fully flexed and slowly taken to the side of the limited hamstring muscle flexibility. When the limit was reached, the position was sustained for 30 seconds with overpressure applied by the therapist, and then the legs were lowered to the plinth. Three repetitions were repeated, and 1 minute rest time was given between each stretch. And the same procedure was done for the other side of limited hamstrings flexibility. Total time duration for this technique was 10 minutes. Intervention group (Muscle Energy Technique): Post Isometric Relaxation (PIR) of muscle energy technique was used. After applying the moist hot pack for 20 minutes at the low back and hamstrings the patient was instructed to lie in a supine position with the non-treated leg straight on the table. The therapist passively flexed the treated leg at the hip and the patient knee was straightened on the therapist's shoulder until the primary resistance was felt. The patient was instructed to apply pressure for 7-10 seconds on the therapist's shoulder against resistance by using no more than 25% of their strength during isometric contractions. The contraction period was followed by a relaxation period and then the therapist passively straightened the knee towards its new barrier and held it for 30 seconds. The procedure was repeated 4 times with a 10-second rest interval between them. Total time duration for this technique was 10 minutes. Pain intensity. Timepoint: Before the intervention and 2,4 weeks. Method of measurement: Numeric Pain Rating Scale. Hamstring flexibility. Timepoint: Before intervention, 2,4 week. Method of measurement: Active knee extension test. Functional Disability. Timepoint: Before intervention and 2,4 week. Method of measurement: Modified Oswestary Disability Index. UOL Approved 2020-11-19 Ethics' committee of The University of Lahore, Faculty of Allied health Science Defence Road Campus, Bhobatian Chowk, Lahore Lahore Punjab Pakistan