<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE trials [
<!ELEMENT trials (trial+)>

<!ELEMENT trial (main,contacts,countries,criteria,health_condition_code,health_condition_keyword,intervention_code,
          intervention_keyword,primary_outcome,secondary_outcome,secondary_sponsor,secondary_ids,source_support,ethics_reviews)>

<!ELEMENT main (trial_id,utrn?,reg_name,date_registration,primary_sponsor,public_title,acronym?,scientific_title,scientific_acronym?,
          date_enrolment,type_enrolment,target_size,recruitment_status,url?,study_type,study_design,phase,hc_freetext?,i_freetext?,results_actual_enrolment,results_date_completed,results_url_link,results_summary,           results_date_posted,results_date_first_publication,results_baseline_char,results_participant_flow,results_adverse_events,results_outcome_measures,results_url_protocol,results_IPD_plan, results_IPD_description)>
<!ELEMENT trial_id (#PCDATA)>
<!ELEMENT utrn (#PCDATA)>
<!ELEMENT reg_name (#PCDATA)>
<!ELEMENT date_registration (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT primary_sponsor (#PCDATA)>
<!ELEMENT public_title (#PCDATA)>
<!ELEMENT acronym (#PCDATA)>
<!ELEMENT scientific_title (#PCDATA)>
<!ELEMENT scientific_acronym (#PCDATA)>
<!ELEMENT date_enrolment (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT type_enrolment (#PCDATA)>
<!ELEMENT target_size (#PCDATA)>
<!ELEMENT recruitment_status (#PCDATA)><!-- Pending,Recruiting,Suspended,Complete,Other -->
<!ELEMENT url (#PCDATA)>
<!ELEMENT study_type (#PCDATA)><!-- interventional,observational -->
<!ELEMENT study_design (#PCDATA)>
<!ELEMENT phase (#PCDATA)>
<!ELEMENT hc_freetext (#PCDATA)>
<!ELEMENT i_freetext (#PCDATA)>
<!ELEMENT results_actual_enrolment (#PCDATA)>
<!ELEMENT results_date_completed (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_url_link (#PCDATA)>
<!ELEMENT results_summary (#PCDATA)>
<!ELEMENT results_date_posted (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_date_first_publication (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_baseline_char (#PCDATA)>
<!ELEMENT results_participant_flow (#PCDATA)>
<!ELEMENT results_adverse_events (#PCDATA)>
<!ELEMENT results_outcome_measures (#PCDATA)>
<!ELEMENT results_url_protocol (#PCDATA)>
<!ELEMENT results_IPD_plan (#PCDATA)>
<!ELEMENT results_IPD_description (#PCDATA)>


<!ELEMENT contacts (contact+)>
<!ELEMENT contact (type,firstname,middlename,lastname,address,city,country1,zip,telephone,email,affiliation)>
<!ELEMENT type (#PCDATA)><!-- Public,Scientific -->
<!ELEMENT firstname (#PCDATA)>
<!ELEMENT middlename (#PCDATA)>
<!ELEMENT lastname (#PCDATA)>
<!ELEMENT address (#PCDATA)>
<!ELEMENT city (#PCDATA)>
<!ELEMENT country1 (#PCDATA)>
<!ELEMENT zip (#PCDATA)>
<!ELEMENT telephone (#PCDATA)>
<!ELEMENT email (#PCDATA)>
<!ELEMENT affiliation (#PCDATA)>

<!ELEMENT countries (country2+)>
<!ELEMENT country2 (#PCDATA)>

<!ELEMENT criteria (inclusion_criteria,agemin,agemax,gender,exclusion_criteria)>
<!ELEMENT inclusion_criteria (#PCDATA)>
<!ELEMENT agemin (#PCDATA)>
<!ELEMENT agemax (#PCDATA)>
<!ELEMENT gender (#PCDATA)>
<!ELEMENT exclusion_criteria (#PCDATA)>

<!ELEMENT health_condition_code (hc_code+)>
<!ELEMENT hc_code (#PCDATA)>

<!ELEMENT health_condition_keyword (hc_keyword+)>
<!ELEMENT hc_keyword (#PCDATA)>

<!ELEMENT intervention_code (i_code+)>
<!ELEMENT i_code (#PCDATA)>

<!ELEMENT intervention_keyword (i_keyword+)>
<!ELEMENT i_keyword (#PCDATA)>

<!ELEMENT primary_outcome (prim_outcome+)>
<!ELEMENT prim_outcome (#PCDATA)>

<!ELEMENT secondary_outcome (sec_outcome+)>
<!ELEMENT sec_outcome (#PCDATA)>

<!ELEMENT secondary_sponsor (sponsor_name+)>
<!ELEMENT sponsor_name (#PCDATA)>

<!ELEMENT secondary_ids (secondary_id+)>
<!ELEMENT secondary_id (sec_id,issuing_authority)>
<!ELEMENT sec_id (#PCDATA)>
<!ELEMENT issuing_authority (#PCDATA)>

<!ELEMENT source_support (source_name+)>
<!ELEMENT source_name (#PCDATA)>

<!ELEMENT ethics_reviews (ethics_review+)>
<!ELEMENT ethics_review (status,approval_date,contact_name,contact_address,contact_phone,contact_email)>
<!ELEMENT status (#PCDATA)><!-- Not approved,Approved,NA -->
<!ELEMENT approval_date (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT contact_name (#PCDATA)>
<!ELEMENT contact_address (#PCDATA)>
<!ELEMENT contact_phone (#PCDATA)>
<!ELEMENT contact_email (#PCDATA)>
]>
<trials>
  <trial>
    <main>
      <trial_id>IRCT20230426057994N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2023-08-07</date_registration>
      <primary_sponsor>The UNIVERSITY OF FAISALABAD</primary_sponsor>
      <public_title>METS vs Bowen technique in hamstring muscle tightness</public_title>
      <acronym>METS ,CLBP,NPRS AKET,ODI</acronym>
      <scientific_title>Comparative Effects of Muscle energy technique and Bowen technique on hamstring muscle tightness in Chronic Low Back Pain patients</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2023-03-02</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>31</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/71207</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Other design features: purposive sampling technique, Randomization description: Randomization through sealed envelop, Blinding description: Participants and data analyzer.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Chronic low back pain with hamstring tightness and comparative effects of Muscle energy technique and Bowen technique.</hc_freetext>
      <i_freetext>Intervention 1: Interventional  Group A (Bowen Technique) 1-	First of all, hot pack was applied at the Hamstring muscle and Tens (high frequency 100 Hz pulse duration 60s 10 minutes) was applied at lower back along both were considered as a routine physical therapy. 2-The initial step of the Bowen treatment involved placing the thumb on the surface of the specific muscle.3)The thumb was applied with gentle pressure along the muscle's lateral edge.4- As the thumb was gradually pressed inwards towards the center, the muscles exhibited various responses, such as being pulled, plopped, or demonstrating other observable reactions.5-Manipulate the skin and engage the muscle through controlled movements.6 -The sequence of treatment began with the thumbs and progressed to the fingers.7-Each session of treatment lasted for a duration of 30 minutes . Intervention 2: Intervention group B:  (Muscle Energy Technique) 1-First of all, hot pack was applied at the Hamstring muscle and Tens (high frequency 100 Hz pulse duration 60s 10 minutes)  was applied at lower back along with the routine physical therapy. 2-In this technique, the initial step involved extending the subject's knee until they reported experiencing discomfort in the hamstring.3-Following that, a five-second period of moderate isometric contraction of the hamstring muscle was applied. 4-A three-second grace time was allowed. 5-A total of four contractions were performed using this technique. 6-Each session of treatment lasted 30 minutes.</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary></results_summary>
      <results_date_posted></results_date_posted>
      <results_date_first_publication></results_date_first_publication>
      <results_baseline_char></results_baseline_char>
      <results_participant_flow></results_participant_flow>
      <results_adverse_events></results_adverse_events>
      <results_outcome_measures></results_outcome_measures>
      <results_url_protocol></results_url_protocol>
      <results_IPD_plan>No - There is not a plan to make this available</results_IPD_plan>
      <results_IPD_description>Justification or reason for not sharing IPD is For concealing participants identity</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>MARIAM MEHMOOD</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Madina teaching hospital sargodha road faisalabad</address>
        <city>Faisalabad</city>
        <country1>Pakistan</country1>
        <zip>38000</zip>
        <telephone>+92 301 4223896</telephone>
        <email>mariam.mehmood@tuf.edu.pk</email>
        <affiliation>THE UNIVERSITY OF FAISALABAD</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Mariam Mehmood</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Madina teaching hospital Sargodha road Faisalabad</address>
        <city>Faisalabad</city>
        <country1>Pakistan</country1>
        <zip>041</zip>
        <telephone>+92 301 4223896</telephone>
        <email>mariam.mehmood@tuf.edu.pk</email>
        <affiliation>The University of Faisalabad</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Pakistan</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Low back pain more than 12 weeks
20-50 degree Active knee loss
Patients willing to participate
Full passive range of motion of knee extension
Patient complaining of pain &gt;5 on NPRS
Both male and females</inclusion_criteria>
      <agemin>25 years</agemin>
      <agemax>50 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Patients with any history of lower limb injury in past three months
Neurological symptoms involving prolapsed invertebral disc or radiating pain
Any recent abdominal surgery
Pregnancy</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code></hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword></hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Other</i_code>
      <i_code>Treatment - Other</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Interventional  Group A (Bowen Technique) 1-	First of all, hot pack was applied at the Hamstring muscle and Tens (high frequency 100 Hz pulse duration 60s 10 minutes) was applied at lower back along both were considered as a routine physical therapy. 2-The initial step of the Bowen treatment involved placing the thumb on the surface of the specific muscle.3)The thumb was applied with gentle pressure along the muscle's lateral edge.4- As the thumb was gradually pressed inwards towards the center, the muscles exhibited various responses, such as being pulled, plopped, or demonstrating other observable reactions.5-Manipulate the skin and engage the muscle through controlled movements.6 -The sequence of treatment began with the thumbs and progressed to the fingers.7-Each session of treatment lasted for a duration of 30 minutes .</i_keyword>
      <i_keyword>Intervention group B:  (Muscle Energy Technique) 1-First of all, hot pack was applied at the Hamstring muscle and Tens (high frequency 100 Hz pulse duration 60s 10 minutes)  was applied at lower back along with the routine physical therapy. 2-In this technique, the initial step involved extending the subject's knee until they reported experiencing discomfort in the hamstring.3-Following that, a five-second period of moderate isometric contraction of the hamstring muscle was applied. 4-A three-second grace time was allowed. 5-A total of four contractions were performed using this technique. 6-Each session of treatment lasted 30 minutes.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>NUMERICAL PAIN RATING SCALE. Timepoint: 3 DAYS IN WEEK FOR 4 WEEKS. Method of measurement: 1-10 POINTS ON PAPER.</prim_outcome>
      <prim_outcome>ACTIVE KNEE EXTENSION TEST. Timepoint: 3 DAYS IN WEEK FOE4 WEEKS. Method of measurement: GONIOMETER.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>OSWESTRY LOW BACK DISABILITY  INDEX. Timepoint: 3 TIMES IN AWEEK. Method of measurement: QUESTIONNARE.</sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>The UNIVERSITY OF FAISALABAD</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2023-02-03</approval_date>
        <contact_name>ETHICS COMMITTEE OF THE UNIVERSITY OF FAISALABAD</contact_name>
        <contact_address>NO.P-11,ZEENAT BLOCK;MUSLIM TOWN 1;FAISALABAD ,PAKISTAN Faisalabad PUNJAB Pakistan</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
