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IRCT20190717044238N6 IRCT 2023-03-06 Ripah international university Comparative Effects of Strain Counterstain and Post-Isometric Relaxation Techniques on Pain, Range of motion and Functional Disability in Patients with Upper Cross Syndrome randomized clinical trial Comparative Effects of Strain Counterstain and Post-Isometric Relaxation Techniques on Pain, Range of motion and Functional Disability in Patients with Upper Cross Syndrome 2023-03-01 anticipated 70 Complete https://irct.ir/trial/68710 interventional Randomization: Randomized, Blinding: Triple blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Other design features: This study will be Randomized Clinical Trial, parallel-group, triple blinded ( patients, assessor and data analyzer will make it triple blinded), Randomization description: As per the inclusion and exclusion criteria of the study , patients will be divided into two groups randomly by Random Number Generator table, Blinding description: The patients taking part in the study would be blinded, they would not be able to know the group they have been allocated to, either Strain Counterstain and Post -Isometric Relaxation Techniques, The assessor of the outcomes would be blinded and lastly, out data analyzer would be blinded too, making it a triple blinded clinical trial. 3 Upper Cross Syndrome. Intervention 1: Intervention group: group A will receive strain counterstain technique; the position of ease will be produced through positioning the muscle in relaxed/ shortened position, ease will be defined as where a reduction in pain at least 70% then, pressure is applied to Trp and it will be held for 90-120 seconds with 3-5 repetitions per treatment session ( three session per week for 3 weeks). Intervention 2: Intervention group: group B will receive post-isometric relaxation technique with 3-5 muscle contraction at sub maximal pain-free effort (20% of available strength) with 5-7 seconds for 5 repetitions per treatment session (three sessions per week for 3 weeks). Yes - There is a plan to make this available What will be shared: All collected identified IPD When: Data will be available after the completion of study and will remain available till 6 months To whom: Data will be available for other people almost 6 months after the completion of study Conditions: The data/document could be used by communicating with the principle investigator Hadiqa Naeem on email address hadiqa621@gmail.com Where to obtain: Hadiqa Naeem , hadiqa621@gmail.com How to obtain: The data/document could be used by communicating with the principle investigator Hadiqa Naeem on email address hadiqa621@gmail.com Comments:
public Anila Ramzan
street 2 house 84 basti rahim buksh jalil town renala khurd
okara Pakistan 56130 +92 309 0841811 anila.ramzan81@gmail.com Ripah international university scientific Dr Fareeha Amjad
Ripah international university Madar e Millat Road, Quaid e Azam Industrial Estate Lahore,Punjab
Lahore Pakistan 54000 +92 334 3372779 Fareeha.amjad@ripah.edu.pk Ripah international university Pakistan Individuals with chronic neck pain from > 6 weeks Both male and female gender Age from 20-40 years Neck Pain on > 3 on numerical pain rating scale Individuals diagnosed with craniovertebral angle less than 50cm Occiput to wall distance greater then 2 cm 20 years 40 years Both Subjects who will have signs of recent surgery Whiplash injury or open wounds Cervical spine pathologies like radiculopathies disc herniation, spondylolisthesis, sensory changes in neck region Any neurological defect Treatment - Other Treatment - Other Intervention group: group A will receive strain counterstain technique; the position of ease will be produced through positioning the muscle in relaxed/ shortened position, ease will be defined as where a reduction in pain at least 70% then, pressure is applied to Trp and it will be held for 90-120 seconds with 3-5 repetitions per treatment session ( three session per week for 3 weeks) Intervention group: group B will receive post-isometric relaxation technique with 3-5 muscle contraction at sub maximal pain-free effort (20% of available strength) with 5-7 seconds for 5 repetitions per treatment session (three sessions per week for 3 weeks). Functional Disability. Timepoint: Total intervention protocol will be given for three weeks of duration, 3 sessions per week for three weeks, Outcomes will be assessed at Baseline, at the end of 3 week( last treatment session) and at the end of 6th week. Method of measurement: NDI is the self-report questionnaire that is designed to determine how the neck pain affects a patient’s daily life and the disability of patients with neck pain. It consists of 10 questions that ask about ADLS. More the score, greater was the disability. Sample questionnaire is attached at the end. Four sections relate to subjective symptoms, and the remaining 6 sections relate to activities of daily living. Each section is scored from 0 to 5 points, giving a maximum score of 50. The total score of the NDI ranges from 0 to 50 points. Pain. Timepoint: Total intervention protocol will be given for three weeks of duration, 3 sessions per week for three weeks, Outcomes will be assessed at Baseline, at the end of 3 week (last treatment session) and at the end of 6th week. Method of measurement: Patient level of pain will be assessed using Numerical Pain Rating Scale ( NPRS) This scale ranges from 0 to 10. 0 indicates “no pain” and 10 indicates “worst pain”. Range of Motion. Timepoint: Total intervention protocol will be given for three weeks of duration, 3 sessions per week for three weeks, Outcomes will be assessed at Baseline, at the end of 3 week (last treatment session) and at the end of 6th week. Method of measurement: Changes from the Baseline ROM range of Motion of Cervical spine will be taken with the Help of universal Goniometer. Ripah international university Approved 2023-01-02 Ripah College of Rehabilitation and Allied Health Sciences Lahore F83G+V25, Madar-e-Millat Road, Quaid-e-Azam Industrial Estate Quaid e Azam Industrial Estate, Lahore, Punjab Lahore punjab Pakistan