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IRCT20210321050752N1 IRCT 2023-02-20 Self Supported Myofascial release technique on pain and quality of life in patient of fibromyalgia Effects of myofascial release technique on pain and quality of life in patient of fibromyalgia: a randomised controlled trial 2023-01-02 anticipated 110 Complete https://irct.ir/trial/68369 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Patients were randomized by using the computer-generated method and further concealed envelop method is used for allocation in the group. In the envelop, 1 will be code for the control group and 2 will be code for the experimental group, Blinding description: Assessor will only assess the patient at baseline and after follow-up for treatment outcomes. Assessor safe the data for follow-up and will not share it with any therapist or patient. At any stage, the assessor is unaware of the treatment and control group. The study was single-blinded. The assessor was unaware of the treatment given to either groups 1 or 2. N/A Fibromyalgia. Intervention 1: Group B: Myofascial mobilization with routine physical therapy: The participants executed a 12-week supervised myofascial mobilization program of 40-minute sessions performed twice a week. Intervention 2: Group A: Routine physical therapy: The routine physical therapy group underwent a 12-week supervised exercise program of 40- minute sessions performed thrice a week. Stretching and strengthening exercises. TENS units, ultrasound are applied on participant. The targeted muscles for stretching were: gluteus, iliopsoas, ischiotibials, paravertebralis, latissimus dorsi, hip adductor muscles, trapezium and pectoralis. At early stages of the program, participants performed three repetitions; from the fifth week, four repetitions; and from the ninth week, five. The stretch intensity were increased gradually to the point of moderate discomfort and the position was held for 30 seconds. Myofascial mobilization release will be given before every session of stretching exercise. Readings will be taken at baseline, 6th or 12th week of interventionThe participants executed a 12-week supervised strengthening exercise program of 40-minute sessions performed twice a week, with progressive overload. In the first two sessions, no load was used. Subsequently, 0.5kg was added each week if the patient identified the effort as slightly intense on the Borg scale (score = 13)22.The patients were instructed to do a series of eight repetitions of strengthening exercises for the following muscles23: triceps surae, hip adductors and abductors, hip flexor, shoulder flexor and extensor, anterior and posterior deltoids, pectoralis major and rhomboids. Yes - There is a plan to make this available What will be shared: Numeric pain rating scale will be used for the assessment of pain. WHO Quality of life questionnaire will be used to assess the quality of life. When: 6 months after publication. To whom: academic and clinical research writers. Conditions: Never without permission. Where to obtain: From Muhammad Waqas through mail id. drwaqasfayyaz@gmail.com or through a Researchgate account. https://www.researchgate.net/profile/Muhammad-Waqas-26?ev=hdr_xprf How to obtain: From Muhammad Waqas through mail id. drwaqasfayyaz@gmail.com or through a Researchgate account. https://www.researchgate.net/profile/Muhammad-Waqas-26?ev=hdr_xprf Comments:
public Muhammad Waqas
St# 76, H#09 Muhala Sirajpura Darogawala Shalamar Town Lahore
Lahore Pakistan 54920 +92 323 5043603 muhammad.waqas@uipt.uol.edu.pk The University of Lahore scientific Sana Akram
Lahore
Lahore Pakistan 54920 0092347474815‬ sana.akram@uipt.uol.edu.pk The University of Lahore Pakistan Both gender Age between 20-40 years Diagnosis of fibromyalgia according to the criteria of the American College of Rheumatology History of widespread chronic pain for more than 3 months The patient must exhibit more than 11 of 18 tender point 20 years 40 years Both Cognitive deficit that does not allow the understanding of the evaluation instruments Physical activity started or changed in the last three months M79.7 Fibromyalgia Rehabilitation Rehabilitation Group B: Myofascial mobilization with routine physical therapy: The participants executed a 12-week supervised myofascial mobilization program of 40-minute sessions performed twice a week. Group A: Routine physical therapy: The routine physical therapy group underwent a 12-week supervised exercise program of 40- minute sessions performed thrice a week. Stretching and strengthening exercises. TENS units, ultrasound are applied on participant. The targeted muscles for stretching were: gluteus, iliopsoas, ischiotibials, paravertebralis, latissimus dorsi, hip adductor muscles, trapezium and pectoralis. At early stages of the program, participants performed three repetitions; from the fifth week, four repetitions; and from the ninth week, five. The stretch intensity were increased gradually to the point of moderate discomfort and the position was held for 30 seconds. Myofascial mobilization release will be given before every session of stretching exercise. Readings will be taken at baseline, 6th or 12th week of interventionThe participants executed a 12-week supervised strengthening exercise program of 40-minute sessions performed twice a week, with progressive overload. In the first two sessions, no load was used. Subsequently, 0.5kg was added each week if the patient identified the effort as slightly intense on the Borg scale (score = 13)22.The patients were instructed to do a series of eight repetitions of strengthening exercises for the following muscles23: triceps surae, hip adductors and abductors, hip flexor, shoulder flexor and extensor, anterior and posterior deltoids, pectoralis major and rhomboids Pain. Timepoint: Data will be calculated at baseline, 1st follow up at 8th week and 2nd follow up at 16th week. Method of measurement: ● Numeric pain rating scale to measure pain. Quality of life. Timepoint: Data will be calculated at baseline, 1st follow up at 8th week and 2nd follow up at 16th week. Method of measurement: WHO Quality of life questionnaire used to assess quality of life. Self Supported Approved 2023-02-01 The rules and regulations set by the ethical committee of The University of Lahore wIll be followed RAIWIND ROAD CAMPUS: 1-Km, Raiwind Road, Near Thokar Niaz Big, Lahore Lahore Punjab Pakistan