<?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>IRCT20240503061633N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2024-06-09</date_registration>
      <primary_sponsor>The University of Faisalabad</primary_sponsor>
      <public_title>ELDOA and PFS technique on low back pain patient with Quadratus lumborum tightness</public_title>
      <acronym></acronym>
      <scientific_title>Comparative Effects Of Eldoa And Post-Facilitation Stretching Technique On Low Back Pain And Functional Performance In Patients With Quadratus Lumborum Tightness</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2024-02-06</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>30</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/77059</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Convenient Sampling randomization. Using the Random Number Table method, the 30 participants were allocated into groups, i.e., Groups A and B, Blinding description: Participants were blinded until the cessation of treatment session.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Condition 1: Quadratus Lumborum Tightness. Condition 2: Low back pain.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group 1; ELDOA group: Warm up before starting; The session will be for two weeks, alternate days a week, once daily. Hold the static position according to spinal level for 60 seconds or about one minute and breathe normally. Hold each rep for ten to thirty seconds, L4-L5 ELDOA posture was performed by asking the patient to slightly stretch their neck,  to draw chin downward and backward,  complete shoulder flexion and arms parallel to shoulder,  upper limbs in external rotation,  shoulder blades in upward rotation,  wrists in complete extension,  The pelvis is neutral and the spine is straight and supported by the wall, Lower limbs externally rotated, Knees pulled back in 90 degrees flexion, heels hip distance, by maintaining ankle dorsiflexion and eversion actively and Actively draw knees toward the floor. Repeat this procedure 3 to 4 times once a day. Intervention 2: Intervention group 2; Post Facilitation Stretching Technique: The session will be for two weeks, alternate days a week, once daily. Post Facilitation Stretching (PFS) technique was performed as the QL of the involved side will be in the mid-range, Patient will be asked to perform contractions of the affected muscle (Isometrically) against resistance for 10 seconds, Stretch will be applied in a new range and will be given 10 second hold and then relaxed for 10 seconds. The procedure will be repeated 3 – 5 times once a day.</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>Undecided - It is not yet known if there will be a plan to make this available</results_IPD_plan>
      <results_IPD_description>Justification or reason for indecision in sharing IPD is There is no further information</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Ruhmah Amin</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>P160 Niazi Street Faisal Town, Canal Road Faisalabad</address>
        <city>Faisalabad</city>
        <country1>Pakistan</country1>
        <zip>38000</zip>
        <telephone>+92 331 6635005</telephone>
        <email>2022-ms-pt-035@ruf.edu.pk</email>
        <affiliation>The University of Faisalabad</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Ruhmah Amin</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>P160 Niazi Street Faisal Town, Canal Road Faisalabad</address>
        <city>Faisalabad</city>
        <country1>Pakistan</country1>
        <zip>38000</zip>
        <telephone>+92 331 6635005</telephone>
        <email>2022-ms-pt-035@tuf.edu.pk</email>
        <affiliation>The University of Faisalabad</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Pakistan</country2>
      <country2>Pakistan</country2>
    </countries>
    <criteria>
      <inclusion_criteria>18 to 35 years adult
Both males and females
Study participants who are willing to take part
Participants having 3 to 7 scores on NPRS
No recent surgery in the past six months</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>35 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>No leg symptoms in the last week
Any Neurological disorders
Patients who have undergone back, pelvis, hip, or knee surgery within the preceding six months, as well as those with any history of lower limb fractures
Pregnancy ( All trimesters)
Any medical condition contraindicatory to physical activity</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>M62.838</hc_code>
      <hc_code>M54.05</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Other muscle spasm</hc_keyword>
      <hc_keyword>Panniculitis affecting regions of neck and back, thoracolumbar region</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Rehabilitation</i_code>
      <i_code>Rehabilitation</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group 1; ELDOA group: Warm up before starting; The session will be for two weeks, alternate days a week, once daily. Hold the static position according to spinal level for 60 seconds or about one minute and breathe normally. Hold each rep for ten to thirty seconds, L4-L5 ELDOA posture was performed by asking the patient to slightly stretch their neck,  to draw chin downward and backward,  complete shoulder flexion and arms parallel to shoulder,  upper limbs in external rotation,  shoulder blades in upward rotation,  wrists in complete extension,  The pelvis is neutral and the spine is straight and supported by the wall, Lower limbs externally rotated, Knees pulled back in 90 degrees flexion, heels hip distance, by maintaining ankle dorsiflexion and eversion actively and Actively draw knees toward the floor. Repeat this procedure 3 to 4 times once a day.</i_keyword>
      <i_keyword>Intervention group 2; Post Facilitation Stretching Technique: The session will be for two weeks, alternate days a week, once daily. Post Facilitation Stretching (PFS) technique was performed as the QL of the involved side will be in the mid-range, Patient will be asked to perform contractions of the affected muscle (Isometrically) against resistance for 10 seconds, Stretch will be applied in a new range and will be given 10 second hold and then relaxed for 10 seconds. The procedure will be repeated 3 – 5 times once a day.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Quadratus Lumborum Tightness. Timepoint: Before intervention and at 2 weeks after intervention (6 sessions total). Method of measurement: Side bend test by using measuring tape.</prim_outcome>
      <prim_outcome>Pain. Timepoint: Before intervention and at 2 weeks after intervention (6 sessions total). Method of measurement: NPRS scale.</prim_outcome>
      <prim_outcome>Lumbar range of motion. Timepoint: Before intervention and at 2 weeks after intervention (6 sessions total). Method of measurement: Schober's test.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Functional Limitation. Timepoint: Before intervention and at 2 weeks after intervention (6 sessions total). Method of measurement: LEFS.</sec_outcome>
      <sec_outcome>Disability. Timepoint: Before intervention and at 2 weeks after intervention (6 sessions total). Method of measurement: ODI.</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>2024-02-17</approval_date>
        <contact_name>Ethical Committee of The University of Faisalabad</contact_name>
        <contact_address>West Canal Road, Faisalabad-37610 Faisalabad Punjab Pakistan</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
