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Study aim:
Comparison of clinical and functional effects of static stretching and functional stretching exercises in lower limb muscles of patients with Multiple Sclerosis
Design:
Randomized,single blinded trial with parallel group design of 22 patients with Multiple sclerosis allocated randomly into two static stretching and functional stretching exercises group
Settings and conduct:
Pre and post assessments in each group are as follows: ROM assessment, pain intensity, spasticity and functional tests (TUG, T25FWT).
For patients in static stretching group; hamistring, quadrceps, hip adductors and plantar flexors muscles will be stretched statically by therapist.
For patients in functional stretching group; hamistring, quadrceps, hip adductors and plantar flexors will be stretched by patients actively with guidance of therapist.
In both group each stretch will be kept for 30 sec and repeated 3 times with 15 sec rests.
In both group after stretching ,active or active assisted movements in the same direction of stretching will be done with 5 repetition.
Participants/Inclusion and exclusion criteria:
Inclusion criteras: to have multiple sclerosis disease confirmed by specialist; to have spasticity with limb stiffness or contractures of muscles or soft tissue in lower extremity; being able to walk min 25 foot with/without assistive devices.
Exclusion criterias: to use wheelchair; to use anti spasticity drugs.
Intervention groups:
Intervention group 1:Static stretching exercises
Intervention group 2:Functional stretching exercises
Main outcome variables:
pain, range of motion, spasticity, functional tests