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Protocol summary
The study aims to find out the effects of Voodoo floss band with Proprioception neuromuscular facilitation(Hold-Relax) stretching in improving Hamstring Flexibility and pain reduction in low back and lumbar flexion ROM in patients with Non-specific Mechanical Chronic low back pain
The study aims to find out the effects of Voodoo floss band with Proprioception neuromuscular facilitation(Hold-Relax) stretching in improving Hamstring Flexibility and pain reduction in low back and lumbar flexion ROM in patients with Non-specific Chronic low back pain.
The study aims to find out the effects of Voodoo floss band with Proprioception neuromuscular facilitation(Hold-Relax) stretching in improving Hamstring Flexibility and pain reduction in low back and lumbar flexion ROM in patients with Non-specific Mechanical Chronic low back pain.
Quasi Experimental study, phase 2, sample size 36, Non-Randomized, Not blinded
Quasi-Experimental study
Quasi-Experimental study, phase 2, sample size 36, Non-Randomized, Not blinded
Inclusion Criteria: age 18-45 years, Both Genders, Persons who sit for more than 3 hours, During SLR having pain at >70 degree, Patients with Past three months of Non-specific Mechanical Chronic Low back pain
Exclusion Criteria: Malignancy, Pregnancy, Disc Herniation, Fracture, Surgery in past 6 months
Inclusion Criteria: age 18-45 years, Both Genders, Persons who sit for more than 3 hours, During SLR having pain at >70 degrees, Patients with Past three months of NSCLBP
Exclusion Criteria: Malignancy, Pregnancy, Disc Herniation, Fracture, Surgery in past 6 months
Inclusion Criteria: age 18-45 years, Both Genders, Persons who sit for more than 3 hours, During SLR having pain at >70 degreedegrees, Patients with Past three months of Non-specific Mechanical Chronic Low back painNSCLBP Exclusion Criteria: Malignancy, Pregnancy, Disc Herniation, Fracture, Surgery in past 6 months
General information
Randomized
Not randomized
randnrand
Single blinded
Not blinded
singlnotbl
1
1
2
N/A
2na
empty
There were some spelling mistakes, Postal code, Phone number mistakes, and Gmail mistakes due to typing errors. The corrections are made in the general section, Person responsible for general inquiries section , Person responsible for updating data section
There were some spelling mistakes, Postal code, Phone number mistakes, and Gmail mistakes due to typing errors. The corrections are made in the general section, Person responsible for general inquiries section , Person responsible for updating data section
EFFECTIVENESS OF PNF STRETCHING WITH OR WITHOUT VOODOO FLOSS BAND ON HAMSTRING FLEXIBILITY IN PATIENTS WITH NON-SPECIFIC MECHANICAL CHRONIC LOW BACK PAIN
EFFECTIVENESS OF PNF STRETCHING WITH OR WITHOUT VOODOO FLOSS BAND ON HAMSTRING FLEXIBILITY IN PATIENTS WITH NON-SPECIFIC CHRONIC LOW BACK PAIN.
EFFECTIVENESS OF PNF STRETCHING WITH OR WITHOUT VOODOO FLOSS BAND ON HAMSTRING FLEXIBILITY IN PATIENTS WITH NON-SPECIFIC MECHANICAL CHRONIC LOW BACK PAIN.
EFFECTIVENESS OF PNF STRETCHING WITH OR WITHOUT VOODOO FLOSS BAND ON HAMSTRING FLEXIBILITY IN PATIENTS WITH NON-SPECIFIC MECHANICAL CHRONIC LOW BACK PAIN
EFFECTIVENESS OF PNF STRETCHING WITH OR WITHOUT VOODOO FLOSS BAND ON HAMSTRING FLEXIBILITY IN PATIENTS WITH NON-SPECIFIC CHRONIC LOW BACK PAIN
EFFECTIVENESS OF PNF STRETCHING WITH OR WITHOUT VOODOO FLOSS BAND ON HAMSTRING FLEXIBILITY IN PATIENTS WITH NON-SPECIFIC MECHANICAL CHRONIC LOW BACK PAIN
Age 18-45 Years
Both Genders
Persons who sit for more than 3 hours
patients with past three months of Non-specific Mechanical Chronic low back pain
Pain above 3 on NPRS
During SLR having pain at >70 degree
persons with minimum of 11 or more ODI score
Age 18-45 Years
Both Genders
Persons who sit for more than 3 hours
patients with past three months of Non-specific Mechanical Chronic low back pain
Pain above 3 on NPRS
During SLR having pain at >70 degree
persons with minimum of 11 or more ODI score
less than 6cm difference on MMST
Age 18-45 Years Both Genders Persons who sit for more than 3 hours patients with past three months of Non-specific Mechanical Chronic low back pain Pain above 3 on NPRS During SLR having pain at >70 degree persons with minimum of 11 or more ODI score less than 6cm difference on MMST
Non-Probability Purposive sampling technique will be utilized for collecting sample and sample will be allocated to treatment group Group A and Group B by using online Randomization generator . Both Groups will receive 18 unique numbers per set into two groups Group A: PNF(Hold-Relax) stretching with Voodoo Floss Band , Group B :PNF(Hold-Relax) Stretching
Non-Probability Purposive sampling technique will be utilized for collecting sample and sample will be allocated to treatment group Group A and Group B by using online Randomization generator . Both Groups will receive 18 unique numbers per set into two groups Group A: PNF(Hold-Relax) stretching with Voodoo Floss Band , Group B :PNF(Hold-Relax) Stretching
Patients will be kept blinded through Allocation Concealment to treatment groups. Patients will be unaware of their respective treatment groups
Patients will be kept blinded through Allocation Concealment to treatment groups. Patients will be unaware of their respective treatment groups
Patients will be randomly assigned into two groups. Each group will comprise of 18 patients
Patients will be assigned into two groups. Each group will comprise of 18 patients.
Patients will be randomly assigned into two groups. Each group will comprise of 18 patients.
Ethics committees
#1
2017-2022 (5)
09/05/2022
2017-09/05/2022 (5)
Health conditions studied
#1
Non-Specific Mechanical chronic low back pain can be defined as pain in lower lumber region caused by strain or poor posture in the lumber area associated with or caused by Hamstring tightness.
Non-Specific chronic low back pain can be defined as pain in the lower lumbar region caused by strain or poor posture in the lumbar area associated with or caused by Hamstring tightness.
Non-Specific Mechanical chronic low back pain can be defined as pain in the lower lumberlumbar region caused by strain or poor posture in the lumberlumbar area associated with or caused by Hamstring tightness.
Secondary outcomes
#1
Lumbar Flexion Range of motion is assessed by the use of Modified-Modified Schober's Test. This test uses Tape measure to measure the lumber flexion range. To measure the range of motion, the therapist puts his thumbs on the inferior margin of the subject’s PSIS. An ink mark is drawn along the midline of the lumbar spine horizontal to the PSIS (lower landmark). While the therapist holds the tape firmly against the subject’s skin, he marks a second line 15 cm above the original one (higher landmark). Then the subject is asked to do an active anterior flexion of the trunk without increasing the pain. The new distance between the lower and higher landmarks is then measured. The subject returns to the neutral position. The difference in the initial distance between the skin markings in the neutral position and the new measurements made in the flexion position is used to indicate the amount of lumbar flexion
Lumbar Flexion Range of motion is assessed by the use of Modified-Modified Schober's Test. This test uses Tape measure to measure the lumbar flexion range. To measure the range of motion, the therapist puts his thumbs on the inferior margin of the subject’s PSIS. An ink mark is drawn along the midline of the lumbar spine horizontal to the PSIS (lower landmark). While the therapist holds the tape firmly against the subject’s skin, he marks a second line 15 cm above the original one (higher landmark). Then the subject is asked to do an active anterior flexion of the trunk without increasing the pain. The new distance between the lower and higher landmarks is then measured. The subject returns to the neutral position. The difference in the initial distance between the skin markings in the neutral position and the new measurements made in the flexion position is used to indicate the amount of lumbar flexion
Lumbar Flexion Range of motion is assessed by the use of Modified-Modified Schober's Test. This test uses Tape measure to measure the lumberlumbar flexion range. To measure the range of motion, the therapist puts his thumbs on the inferior margin of the subject’s PSIS. An ink mark is drawn along the midline of the lumbar spine horizontal to the PSIS (lower landmark). While the therapist holds the tape firmly against the subject’s skin, he marks a second line 15 cm above the original one (higher landmark). Then the subject is asked to do an active anterior flexion of the trunk without increasing the pain. The new distance between the lower and higher landmarks is then measured. The subject returns to the neutral position. The difference in the initial distance between the skin markings in the neutral position and the new measurements made in the flexion position is used to indicate the amount of lumbar flexion
Recruitment centers
#1
Name of recruitment center - English: Faisal hospital canal road, Peoples colony no:1 , Faisalabad, Punjab, Pakistan
Name of recruitment center - Persian:
Full name of responsible person - English: Dr.Muhammad Masoosd Ahmad
Full name of responsible person - Persian:
Street address - English: 673-A Canal Road E, Block A, Peoples Colony no 1 Faisalabad
Street address - Persian:
City - English: Faisalabad
City - Persian:
Province: Punjab
Country: Pakistan
Postal code: 03822
Phone: +92 41 8536999
Fax:
Email: fihsfsd@outlook.com
Web page address:
Name of recruitment center - English: Faisal hospital canal road, Peoples colony no:1 , Faisalabad, Punjab, Pakistan
Name of recruitment center - Persian:
Full name of responsible person - English: Dr.Muhammad Masoosd Ahmad
Full name of responsible person - Persian:
Street address - English: 673-A Canal Road E, Block A, Peoples Colony no 1 Faisalabad
Street address - Persian:
City - English: Faisalabad
City - Persian:
Province: Punjab
Country: Pakistan
Postal code: 38000
Phone: +92 41 8536999
Fax:
Email: fihsfsd@outlook.com
Web page address:
Name of recruitment center - English: Faisal hospital canal road, Peoples colony no:1 , Faisalabad, Punjab, Pakistan Name of recruitment center - Persian: Full name of responsible person - English: Dr.Muhammad Masoosd Ahmad Full name of responsible person - Persian: Street address - English: 673-A Canal Road E, Block A, Peoples Colony no 1 Faisalabad Street address - Persian: City - English: Faisalabad City - Persian: Province: Punjab Country: Pakistan Postal code: 0382238000 Phone: +92 41 8536999 Fax: Email: fihsfsd@outlook.com Web page address:
#2
Name of recruitment center - English: Shahidheera's Health Clinic
Name of recruitment center - Persian:
Full name of responsible person - English: Dr. Shahid Ahmad Heera
Full name of responsible person - Persian:
Street address - English: C442+69P,Satiana Road, Batala Colony, Faisalabad, Punjab, Pakistan
Street address - Persian:
City - English: Faisalabad
City - Persian:
Province: Punjab
Country: Pakistan
Postal code: 03822
Phone: +92 41 8727918
Fax:
Email: shahidheera@gmail.com
Web page address:
Name of recruitment center - English: Shahidheera's Health Clinic
Name of recruitment center - Persian:
Full name of responsible person - English: Dr. Shahid Ahmad Heera
Full name of responsible person - Persian:
Street address - English: C442+69P,Satiana Road, Batala Colony, Faisalabad, Punjab, Pakistan
Street address - Persian:
City - English: Faisalabad
City - Persian:
Province: Punjab
Country: Pakistan
Postal code: 38000
Phone: +92 41 8727918
Fax:
Email: shahidheera@gmail.com
Web page address:
Name of recruitment center - English: Shahidheera's Health Clinic Name of recruitment center - Persian: Full name of responsible person - English: Dr. Shahid Ahmad Heera Full name of responsible person - Persian: Street address - English: C442+69P,Satiana Road, Batala Colony, Faisalabad, Punjab, Pakistan Street address - Persian: City - English: Faisalabad City - Persian: Province: Punjab Country: Pakistan Postal code: 0382238000 Phone: +92 41 8727918 Fax: Email: shahidheera@gmail.com Web page address:
#3
Name of recruitment center - English: District Headquarters Hospital Faisalabd
Name of recruitment center - Persian:
Full name of responsible person - English: Dr.Shaista
Full name of responsible person - Persian:
Street address - English: Jail Road, Faisalabd
Street address - Persian:
City - English: Faisalabad
City - Persian:
Province: Punjab
Country: Pakistan
Postal code: 03822
Phone: +92 41 9200140
Fax:
Email: fihsfsd@outlook.com
Web page address:
Name of recruitment center - English: District Headquarters Hospital Faisalabd
Name of recruitment center - Persian:
Full name of responsible person - English: Dr.Shaista
Full name of responsible person - Persian:
Street address - English: Jail Road, Faisalabd
Street address - Persian:
City - English: Faisalabad
City - Persian:
Province: Punjab
Country: Pakistan
Postal code: 03822
Phone: +92 41 9200140
Fax:
Email: dhqhospitalfsd@gmail.com
Web page address:
Name of recruitment center - English: District Headquarters Hospital Faisalabd Name of recruitment center - Persian: Full name of responsible person - English: Dr.Shaista Full name of responsible person - Persian: Street address - English: Jail Road, Faisalabd Street address - Persian: City - English: Faisalabad City - Persian: Province: Punjab Country: Pakistan Postal code: 03822 Phone: +92 41 9200140 Fax: Email: fihsfsddhqhospitalfsd@outlook.comgmail.com Web page address:
Sponsors / Funding sources
#1
contact.organization_id:
Name of organization / entity - English: Faisal Institute of Health Sciences affiliated with GCUF
Name of organization / entity - Persian:
Full name of responsible person - English: Dr. Rameesha Tahir; PT
Full name of responsible person - Persian:
Street address - English: 673-A, Canal Road E, A Block Peoples Colony, Faisal Hospital, Faisalabad
Street address - Persian:
City - English: Faisalabad
City - Persian:
Province: Punjab
Country: Pakistan
Postal code: 03822
Phone: +92 41 8536999
Fax:
Email: Fihsfsd@outlook.com
Web page address:
contact.organization_id:
Name of organization / entity - English: Faisal Institute of Health Sciences
Name of organization / entity - Persian:
Full name of responsible person - English: Dr. Ramesha Tahir; PT
Full name of responsible person - Persian:
Street address - English: 673-A, Canal Road E, A Block Peoples Colony, Faisal Hospital, Faisalabad
Street address - Persian:
City - English: Faisalabad
City - Persian:
Province: Punjab
Country: Pakistan
Postal code: 38000
Phone: +92 41 8502460
Fax:
Email: drramishatahir@gmail.com
Web page address:
contact.organization_id: Name of organization / entity - English: Faisal Institute of Health Sciences affiliated with GCUF Name of organization / entity - Persian: Full name of responsible person - English: Dr. RameeshaRamesha Tahir; PT Full name of responsible person - Persian: Street address - English: 673-A, Canal Road E, A Block Peoples Colony, Faisal Hospital, Faisalabad Street address - Persian: City - English: Faisalabad City - Persian: Province: Punjab Country: Pakistan Postal code: 0382238000 Phone: +92 41 85369998502460 Fax: Email: Fihsfsddrramishatahir@outlook.comgmail.com Web page address:
Person responsible for general inquiries
contact.organization_id:
Name of organization / entity - English: Faisal Institute of Health Sciences affilliated with GCUF
Name of organization / entity - Persian:
Full name of responsible person - English: Dr. Rameesha Tahir; PT
Full name of responsible person - Persian:
Position - English: Principal Investigator /Student
Position - Persian:
Latest degree: med_doctor
Area of specialty/work: 68
Area of specialty/work title - English:
Area of specialty/work title - Persian:
Street address - English: 673-A,Canal Road E, A Block, Peoples Colony no:1, Faisal Hospital, Faisalabad
Street address - Persian:
City - English: Faisalabad
City - Persian:
Province: Punjab
Province - English: Punjab
Province - Persian:
contact.provinces_available:
Country: Pakistan
Postal code: 03822
Phone: +92 41 8536999
Mobile: +92 316 4884488
Fax:
Email: drramishatahir@gmail.com
Web page address:
contact.organization_id:
Name of organization / entity - English: Faisal Institute of Health Sciences
Name of organization / entity - Persian:
Full name of responsible person - English: Dr. Farwa Ahmad Khan Rai
Full name of responsible person - Persian:
Position - English: Principal Investigator /Student
Position - Persian:
Latest degree: med_doctor
Area of specialty/work: 68
Area of specialty/work title - English:
Area of specialty/work title - Persian:
Street address - English: 673-A,Canal Road E, A Block, Peoples Colony no:1, Faisal Hospital, Faisalabad
Street address - Persian:
City - English: Faisalabad
City - Persian:
Province: Punjab
Province - English: Punjab
Province - Persian:
contact.provinces_available:
Country: Pakistan
Postal code: 38000
Phone: 009241856999
Mobile: +92 316 4884488
Fax:
Email: farwa6095@gmail.com
Web page address:
contact.organization_id: Name of organization / entity - English: Faisal Institute of Health Sciences affilliated with GCUF Name of organization / entity - Persian: Full name of responsible person - English: Dr. Rameesha Tahir; PTFarwa Ahmad Khan Rai Full name of responsible person - Persian: Position - English: Principal Investigator /Student Position - Persian: Latest degree: med_doctor Area of specialty/work: 68 Area of specialty/work title - English: Area of specialty/work title - Persian: Street address - English: 673-A,Canal Road E, A Block, Peoples Colony no:1, Faisal Hospital, Faisalabad Street address - Persian: City - English: Faisalabad City - Persian: Province: Punjab Province - English: Punjab Province - Persian: contact.provinces_available: Country: Pakistan Postal code: 0382238000 Phone: +92 41 8536999009241856999 Mobile: +92 316 4884488 Fax: Email: drramishatahirfarwa6095@gmail.com Web page address:
Person responsible for scientific inquiries
contact.organization_id:
Name of organization / entity - English: Faisal Institute of Health Sciences affiliated with GCUF
Name of organization / entity - Persian:
Full name of responsible person - English: Dr. Rameesha Tahir ;PT
Full name of responsible person - Persian:
Position - English: Principal Investigator/Student
Position - Persian:
Latest degree: med_doctor
Area of specialty/work: 68
Area of specialty/work title - English:
Area of specialty/work title - Persian:
Street address - English: 673-A,Canal Road E, Faisal Hospital, Peoples Colony No :1 Faisalabad, Punjab, Pakistan
Street address - Persian:
City - English: Faisalabad
City - Persian:
Province: Punjab
Province - English: Punjab
Province - Persian:
contact.provinces_available:
Country: Pakistan
Postal code: 03822
Phone: +92 41 8536999
Mobile: +92 316 4884488
Fax:
Email: drramishatahir@gmail.com
Web page address:
contact.organization_id:
Name of organization / entity - English: Faisal Institute of Health Sciences
Name of organization / entity - Persian:
Full name of responsible person - English: Dr. Ramesha Tahir ;PT
Full name of responsible person - Persian:
Position - English: Principal Investigator/Student
Position - Persian:
Latest degree: med_doctor
Area of specialty/work: 68
Area of specialty/work title - English:
Area of specialty/work title - Persian:
Street address - English: 673-A,Canal Road E, Faisal Hospital, Peoples Colony No :1 Faisalabad, Punjab, Pakistan
Street address - Persian:
City - English: Faisalabad
City - Persian:
Province: Punjab
Province - English: Punjab
Province - Persian:
contact.provinces_available:
Country: Pakistan
Postal code: 03822
Phone: +92 41 8536999
Mobile: +92 316 4884488
Fax:
Email: drramishatahir@gmail.com
Web page address:
contact.organization_id: Name of organization / entity - English: Faisal Institute of Health Sciences affiliated with GCUF Name of organization / entity - Persian: Full name of responsible person - English: Dr. RameeshaRamesha Tahir ;PT Full name of responsible person - Persian: Position - English: Principal Investigator/Student Position - Persian: Latest degree: med_doctor Area of specialty/work: 68 Area of specialty/work title - English: Area of specialty/work title - Persian: Street address - English: 673-A,Canal Road E, Faisal Hospital, Peoples Colony No :1 Faisalabad, Punjab, Pakistan Street address - Persian: City - English: Faisalabad City - Persian: Province: Punjab Province - English: Punjab Province - Persian: contact.provinces_available: Country: Pakistan Postal code: 03822 Phone: +92 41 8536999 Mobile: +92 316 4884488 Fax: Email: drramishatahir@gmail.com Web page address:
Person responsible for updating data
contact.organization_id:
Name of organization / entity - English: Faisal Institute of Health Sciences affiliated with GCUF
Name of organization / entity - Persian:
Full name of responsible person - English: Dr. Rameesha Tahir;PT
Full name of responsible person - Persian:
Position - English: Principal investigator/student
Position - Persian:
Latest degree: med_doctor
Area of specialty/work: 68
Area of specialty/work title - English:
Area of specialty/work title - Persian:
Street address - English: 673-A Canal Road E, A Block, Faisal Hospital Peoples Colony no 1 Faisalabad
Street address - Persian:
City - English: Faisalabad
City - Persian:
Province: Punjab
Province - English: Punjab
Province - Persian:
contact.provinces_available:
Country: Pakistan
Postal code: 03822
Phone: 009241856999
Mobile: +92 316 4884488
Fax:
Email: drramishatahir@gmail.com
Web page address:
contact.organization_id:
Name of organization / entity - English: Faisal Institute of Health Sciences affiliated with GCUF
Name of organization / entity - Persian:
Full name of responsible person - English: Dr. Farwa Ahmad Khan Rai
Full name of responsible person - Persian:
Position - English: Principal investigator/student
Position - Persian:
Latest degree: med_doctor
Area of specialty/work: 68
Area of specialty/work title - English:
Area of specialty/work title - Persian:
Street address - English: 673-A Canal Road E, A Block, Faisal Hospital Peoples Colony no 1 Faisalabad
Street address - Persian:
City - English: Faisalabad
City - Persian:
Province: Punjab
Province - English: Punjab
Province - Persian:
contact.provinces_available:
Country: Pakistan
Postal code: 38000
Phone: 009241856999
Mobile: +92 316 4884488
Fax:
Email: farwa6095@gmail.com
Web page address:
contact.organization_id: Name of organization / entity - English: Faisal Institute of Health Sciences affiliated with GCUF Name of organization / entity - Persian: Full name of responsible person - English: Dr. Rameesha Tahir;PTFarwa Ahmad Khan Rai Full name of responsible person - Persian: Position - English: Principal investigator/student Position - Persian: Latest degree: med_doctor Area of specialty/work: 68 Area of specialty/work title - English: Area of specialty/work title - Persian: Street address - English: 673-A Canal Road E, A Block, Faisal Hospital Peoples Colony no 1 Faisalabad Street address - Persian: City - English: Faisalabad City - Persian: Province: Punjab Province - English: Punjab Province - Persian: contact.provinces_available: Country: Pakistan Postal code: 0382238000 Phone: 009241856999 Mobile: +92 316 4884488 Fax: Email: drramishatahirfarwa6095@gmail.com Web page address:
Protocol summary
Study aim
The study aims to find out the effects of Voodoo floss band with Proprioception neuromuscular facilitation(Hold-Relax) stretching in improving Hamstring Flexibility and pain reduction in low back and lumbar flexion ROM in patients with Non-specific Chronic low back pain.
Design
Quasi-Experimental study
Settings and conduct
Clinics and Hospitals will be the settings and the research will be conducted as follows : a screening performas will be distributed to those who are willing to participate those who fulfill the screening and inclusion exclusion criteria will be selected and then will be evaluated using ODI questionnaire, by checking SLR ,By measuring MMST and then pain on NPRS.
Participants/Inclusion and exclusion criteria
Inclusion Criteria: age 18-45 years, Both Genders, Persons who sit for more than 3 hours, During SLR having pain at >70 degrees, Patients with Past three months of NSCLBP
Exclusion Criteria: Malignancy, Pregnancy, Disc Herniation, Fracture, Surgery in past 6 months
Intervention groups
After the evaluation and recruitment of participants , the participants will be equally distributed to two groups. Two Groups , Group 1 :PNF (Hold-Relax) stretching with Voodoo Floss band, Group 2:PNF (Hold-Relax) stretching. Both groups will have equal participants with base line treatment using TENS and Ultrasound on low back and the voodoo floss band will then be wrapped around thigh and the PNF technique will be performed in Three sessions per week for four weeks and the recordings will be taken at baseline week(2) and then at week(4) in clinic and hospital settings
There were some spelling mistakes, Postal code, Phone number mistakes, and Gmail mistakes due to typing errors. The corrections are made in the general section, Person responsible for general inquiries section , Person responsible for updating data section
Acronym
IRCT registration information
IRCT registration number:IRCT20220510054807N1
Registration date:2022-05-17, 1401/02/27
Registration timing:registered_while_recruiting
Last update:2022-07-15, 1401/04/24
Update count:1
Registration date
2022-05-17, 1401/02/27
Registrant information
Name
Farwa Ahmad Khan Rai
Name of organization / entity
Government College University Faisalabad
Country
Pakistan
Phone
+92 316 4884488
Email address
farwa6095@gmail.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2022-05-15, 1401/02/25
Expected recruitment end date
2022-08-31, 1401/06/09
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
EFFECTIVENESS OF PNF STRETCHING WITH OR WITHOUT VOODOO FLOSS BAND ON HAMSTRING FLEXIBILITY IN PATIENTS WITH NON-SPECIFIC CHRONIC LOW BACK PAIN
Public title
EFFECTIVENESS OF PNF STRETCHING WITH OR WITHOUT VOODOO FLOSS BAND ON HAMSTRING FLEXIBILITY IN PATIENTS WITH NON-SPECIFIC CHRONIC LOW BACK PAIN.
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Age 18-45 Years
Both Genders
Persons who sit for more than 3 hours
patients with past three months of Non-specific Mechanical Chronic low back pain
Pain above 3 on NPRS
During SLR having pain at >70 degree
persons with minimum of 11 or more ODI score
less than 6cm difference on MMST
Exclusion criteria:
Persons with disc herniations
Patients with sciatic nerve pain are excluded
patients with fracture
Persons who had a surgery in past six months
Major surgeries like total Hip arthroplasty are also excluded
spinal trauma caused by accidents are excluded
pregnancy
Psychologically un-cooperative
Malignancy
Age
From 18 years old to 45 years old
Gender
Both
Phase
N/A
Groups that have been masked
No information
Sample size
Target sample size:
36
More than 1 sample in each individual
Number of samples in each individual:
18
Patients will be assigned into two groups. Each group will comprise of 18 patients.
Randomization (investigator's opinion)
Not randomized
Randomization description
Blinding (investigator's opinion)
Not blinded
Blinding description
Placebo
Not used
Assignment
Parallel
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Ethics committee of Faisal Institute of Health Sciences
Street address
673-A Lower canal Road E , Block A Peoples Colony no 1, Faisal Hospital, Faisalabad
City
Faisalabad
Postal code
38000
Approval date
2022-03-20, 1400/12/29
Ethics committee reference number
09/05/2022
Health conditions studied
1
Description of health condition studied
Non-Specific chronic low back pain can be defined as pain in the lower lumbar region caused by strain or poor posture in the lumbar area associated with or caused by Hamstring tightness.
ICD-10 code
M54.5
ICD-10 code description
Low back pain
Primary outcomes
1
Description
Straight leg raise test was used to measure the hamstring flexibilty in patients with Non-Specific Mechanical Chronic Low Back Pain
Timepoint
3time points including Baseline, 2nd Week Post Treatment, 4th Week Post Treatment
Method of measurement
SLR will be measured by Universal Goniometer
2
Description
NPRS(Numeric Pain Rating Scale was be utilized to measure the intensity of pain. Pain intensity was rated 0-10 at a horizontal bar. NPRS consists of 11 points, which range from 0=no pain, 1-4=mild pain, 4-7=moderate pain, 7-10=severe pain
Timepoint
3 time points including Baseline, 2nd Week Post Treatment, 4th Week Post Treatment
Method of measurement
NPRS will be utilized to assess pain
Secondary outcomes
1
Description
Lumbar Flexion Range of motion is assessed by the use of Modified-Modified Schober's Test. This test uses Tape measure to measure the lumbar flexion range. To measure the range of motion, the therapist puts his thumbs on the inferior margin of the subject’s PSIS. An ink mark is drawn along the midline of the lumbar spine horizontal to the PSIS (lower landmark). While the therapist holds the tape firmly against the subject’s skin, he marks a second line 15 cm above the original one (higher landmark). Then the subject is asked to do an active anterior flexion of the trunk without increasing the pain. The new distance between the lower and higher landmarks is then measured. The subject returns to the neutral position. The difference in the initial distance between the skin markings in the neutral position and the new measurements made in the flexion position is used to indicate the amount of lumbar flexion
Timepoint
3 time points, Baseline, 2nd Week post treatment,4th week post treatment
Method of measurement
MMST(Modified-Modified Schober's Test) will be utilized to measure Lumbar Flexion range
2
Description
ODI (Oswestry Disability Index) is a questionnair which measure low back pain function disability. It is a gold standard of low back functional outcome. There are 10 sections in this questionnair.Each section has six questions that score 0 to 5. Total score of all the sections is 50.Patients will fill the Questionnair and the scored will be (total possible score ) will be divided by 50 and then will be multiplied to 100 to get the percentage.0-20%=indicates minimal disability, 21-40%=Moderate Disability, 41-60%=Severe Disability, 61-80%=Crippled, 81-100%=These patients are either bed bound or exaggerating there symptoms.
Timepoint
3 Time Points Baseline, 2nd Week post treatment, 4th week post treatment
Method of measurement
ODI (Oswestry Disability Index) questionnaire will be utilized to measure Low back function
Intervention groups
1
Description
Intervention group 1:",Base line Treatment includes TENS (Transcutaneous Electrical Nerve Stimulation) will be used on lower back before actual treatment protocol,10 minutes in continuous mode (100 Hz with pulse duration of 50-100 micro second) and Therapeutic Ultrasound with 3 MHz for 10 minutes at 50% intensity (1.0 w/cm square, pulsed 50%). PNF(Hold-Relax) Stretching with Voodoo floss band, Voodoo floss band is a latex band black color has 2 inch width and 7 feet length is used to wrap around thighs with 50% stretch to compress blood flow around hamstring muscles and then PNF hold relax stretching technique is performed. Voodoo floss band will be wrapped around hamstrings , PNF includes Passive hamstring stretch by therapist held for 7 seconds, then 3 seconds isometric contract, 5 second relaxation, The physiotherapist then passively stretch the muscle until a mild stretch sensation is reported , 5 repetitions, , Each repetition is separated by 20 seconds , 3 sessions per week on alternative days for 4 weeks
Category
Rehabilitation
2
Description
Intervention group 2:",Base line Treatment includes TENS (Transcutaneous Electrical Nerve Stimulation) will be used on lower back before actual treatment protocol,10 minutes in continuous mode (100 Hz with pulse duration of 50-100 micro second) and Therapeutic Ultrasound with 3 MHz for 10 minutes at 50% intensity (1.0 w/cm square, pulsed 50%).PNF( Hold-Relax) Stretching includes Passive hamstring stretch by therapist held for 7 seconds, then 3 seconds isometric contract, 5 second relaxation, The physiotherapist then passively stretch the muscle until a mild stretch sensation is reported , 5 repetitions, , Each repetition is separated by 20 seconds , 3 sessions per week on alternative days for 4 weeks