Comparison of clinical and functional effects of static stretching and functional stretching exercises in lower limb muscles of patients with Multiple Sclerosis
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
General information
Reason for update
Acronym
IRCT registration information
IRCT registration number:IRCT20190702044079N1
Registration date:2019-08-29, 1398/06/07
Registration timing:registered_while_recruiting
Last update:2019-08-29, 1398/06/07
Update count:1
Registration date
2019-08-29, 1398/06/07
Registrant information
Name
Merziye ergul
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 21 4424 1362
Email address
merziyeergul@gmail.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2019-06-29, 1398/04/08
Expected recruitment end date
2019-12-29, 1398/10/08
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Comparison of clinical and functional effects of static stretching and functional stretching exercises in lower limb muscles of patients with Multiple Sclerosis
Public title
Effects of stretching exercises in patients with Multiple Sclerosis
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Multiple sclerosis 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 criteria:
to use wheelchair
to use anti spasticity drugs
Age
From 18 years old to 65 years old
Gender
Both
Phase
N/A
Groups that have been masked
Participant
Sample size
Target sample size:
22
Randomization (investigator's opinion)
Randomized
Randomization description
Randomization by random allocation rule through lottery:for this study,for a total study size of 22;11 paper for static stretching group and 11 paper for functional stretching group will be put in a lottery pocket.Then for each patient one paper will be drawn randomly from pocket and patients will be randomly allocated into static and functional stretching groups.
Blinding (investigator's opinion)
Single blinded
Blinding description
Each individual will be involved in a trial separately,will be assessed separately and will be treated separately.
Placebo
Not used
Assignment
Parallel
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Ethics Committee of University of Social Welfare and Rehabilitation Sciences
Street address
evin,daneshjo Blvd.,Kodekeyar dead end
City
tehran
Province
Tehran
Postal code
۱۹۸۵۷۱۳۸۳۴
Approval date
2019-06-26, 1398/04/05
Ethics committee reference number
IR.USWR.REC.1398.051
Health conditions studied
1
Description of health condition studied
multiple sclerosis
ICD-10 code
G35
ICD-10 code description
Multiple sclerosis
Primary outcomes
1
Description
spasticity
Timepoint
in the begining and end of the study
Method of measurement
modified modified ashworth scale
2
Description
function
Timepoint
in the begining and end of the study
Method of measurement
Timed Up and Go test and Timed 25 Foot Walk test
3
Description
active range of motion
Timepoint
in the begining and end of the study
Method of measurement
with goniometer
4
Description
pain
Timepoint
in the begining and end of the study
Method of measurement
Visual analog scale
Secondary outcomes
empty
Intervention groups
1
Description
Intervention group:static stretching exercises will be applied 3 times in a week totally for 4 weeks.Hamistring,quadriceps,adductors and plantar flexors will be streched by researcher bilaterally.Each stretch will be kept for 30 seconds and repeated for 3 times.
Category
Rehabilitation
2
Description
Intervention group:functional stretching exercises will be done 3 times in a week totally for 4 weeks.Hamistring,quadriceps,adductors and plantar flexors will be streched by patient with guidance of reseacher.Each stretch will be kept for 30 seconds and repeated for 3 times.