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IRCT20211130053231N1 IRCT 2022-08-18 University of Lahore Effect of Muscle energy technique in treatment of cervical radiculopathy Effects of Phonophoresis With And Without Muscle Energy Technique On Pain, Cervical Range of Motion And Functional Disability In Patients With Degenerative Cervical Radiculopathy: A Randomized Controlled Trial 2021-03-05 anticipated 50 Complete https://irct.ir/trial/60365 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: lottery-based randomization procedure: All the recruited subjects' names and ids were written on individual small paper/chits. All these papers were folded and put into a box. The box was shaken to mix all the papers. Then one by one each slip was drawn from the box. The group of the first drawn slip patient was sorted into group A and later with each draw of the paper all subjects were placed alternatively in the group B and group A, Blinding description: both assessor of outcomes (fellow physiotherapist) and statistician ( data analyzer) will be blinded. They both will have no knowledge of the patient's group and treatment. N/A Degenerative cervical radiculopathy. Intervention 1: Intervention group: Group A (n=25) was treated with ketoprofen gel phonophoresis along with post isometric relaxation technique of muscle energy technique 3 times/week on alternate days (total 12 sessions) for 4 weeks. Conservative physical therapy treatment was also delivered which included cervical traction, Active range of motions, and thermotherapy. For phonophoresis, Fastum gel (2.5% w/w ketoprofen gel) was mixed with aqua sonic gel as a coupling medium. The US machine was adjusted in continuous mode at 1 MHz frequency while an intensity of 1.5W/cm₂ will be applied for 10 mins on a circular basis. For MET each patient received 4 repetitions of post-isometric relaxation. each contraction required 20%of submaximal effort and was sustained for 8 secs. Then the muscle to be stretched for 20 seconds, which was followed by a rest period of 5 seconds. Intervention 2: Control group: Group B (n =25) received ketoprofen phonophoresis only 3 times/week on alternate days (total 12 sessions) for 4 weeks. Conservative physical therapy treatment was also delivered which included cervical traction, Active range of motions, and thermotherapy. For phonophoresis, Fastum gel (2.5% w/w ketoprofen gel) was mixed with aqua sonic gel as a coupling medium. The US machine was adjusted in continuous mode at 1 MHz frequency while an intensity of 1.5W/cm₂ will be applied for 10 mins on a circular basis. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is there is no further justification
public Maheen Ashraf
Shadman town house p82 Faisalabad
Faisalabad Pakistan 38000 +92 334 0071665 msptn02191027@student.uol.edu.pk University of Lahore scientific Maheen Ashraf
Shadman town house p82 Faisalabad
Faisalabad Pakistan 38000 +92 334 0071665 msptn02191027@student.uol.edu.pk University of Lahore Pakistan CR diagnosis with sub-acute history and physical examination findings Diagnosed CR patients referred from a physician. Patients were diagnosed based on the prediction rule. i.e. (a) unilateral upper limb sensory and motor function dysfunction was observed (including muscle weakness, paresthesia, and sharp pain. (b)when positive results were found in three of these four tests (Spurling's test, The ipsilateral cervical spinal rotation less than 60 degrees, Distraction test, Upper Limb Neurodynamic Test 1) age between 30 to 65 both male and female 30 years 65 years Both Diabetes mellitus Peripheral and central nervous system disease Polyneuropathy Malignancy History of surgical intervention on the neck area Certain surgical indications (e.g., progressive neurological deficit) “Red flags” (e.g. tumor, fracture, rheumatoid arthritis, osteoporosis, prolonged steroid use) Cervical spine injections (steroidal) in the past 2 week Current use of steroidal medication prescribed for radiculopathy symptoms Bilateral upper limb sensory and motor dysfunction M50.10 Cervical disc disorder with radiculopathy, unspecified cervical region Rehabilitation Rehabilitation Intervention group: Group A (n=25) was treated with ketoprofen gel phonophoresis along with post isometric relaxation technique of muscle energy technique 3 times/week on alternate days (total 12 sessions) for 4 weeks. Conservative physical therapy treatment was also delivered which included cervical traction, Active range of motions, and thermotherapy. For phonophoresis, Fastum gel (2.5% w/w ketoprofen gel) was mixed with aqua sonic gel as a coupling medium. The US machine was adjusted in continuous mode at 1 MHz frequency while an intensity of 1.5W/cm₂ will be applied for 10 mins on a circular basis. For MET each patient received 4 repetitions of post-isometric relaxation. each contraction required 20%of submaximal effort and was sustained for 8 secs. Then the muscle to be stretched for 20 seconds, which was followed by a rest period of 5 seconds. Control group: Group B (n =25) received ketoprofen phonophoresis only 3 times/week on alternate days (total 12 sessions) for 4 weeks. Conservative physical therapy treatment was also delivered which included cervical traction, Active range of motions, and thermotherapy. For phonophoresis, Fastum gel (2.5% w/w ketoprofen gel) was mixed with aqua sonic gel as a coupling medium. The US machine was adjusted in continuous mode at 1 MHz frequency while an intensity of 1.5W/cm₂ will be applied for 10 mins on a circular basis. Pain. Timepoint: Before intervention, after 2 weeks and after 4 weeks of intervention. Method of measurement: Visual analogue scale. Cervical range of motion. Timepoint: Before intervention, after 2 weeks and after 4 weeks of intervention. Method of measurement: goniometer. Functional disability. Timepoint: Before intervention, after 2 weeks and after 4 weeks of intervention. Method of measurement: Neck disability index (NDI). University of Lahore Approved 2021-07-15 University of Lahore 1-Km Defense Road, near Bhuptian Chowk Lahore Punjab Pakistan