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IRCT20210705051796N1 IRCT 2022-03-07 University of Lahore Effects of static stretching with and without neurodynamics on range of motion, pain and functional ability Effects of static stretching with and without neurodynamics on range of motion, pain and functional ability in females with hamstrings tightness 2021-07-27 anticipated 62 Complete https://irct.ir/trial/57311 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Computer generated randomization assignment will be designed by an independent statistician and randomization will be done by one of the research team members who will not be the part of any intervention, assessment or data analysis. Randomization assignments will be kept in opaque. Outcome assessors will be unaware of group assignment. The intervention will be started on the day after randomization, for both group.For both groups the intervention will be continue for 5 consecutive days and reading should be taken before and after applying intervention and followup will be done after one month , Blinding description: Participants, care provider , outcome assessor, data analyser and investigator will be unaware of intervention. 2-3 Hamstrings Tightness. Intervention 1: Intervention group 1:Participants will receive neurodynamics along static stretching (NS-SS) of hamstring musculature. Subjects in lying supine and their neck and thoracic spine supported in a forward flexed position. Concurrent hip and knee flexion were alternated dynamically with concurrent hip and knee extension. The therapist alternated the combination of movement depending on the tissue resistance level. This combination of movements was performed for 180 seconds on their dominant lower extremity. This position will then maintained for 30 seconds consisted of six sets of 30 s with a 60 s rest between sets and repeated 5 times further on conservative days and then follow up after 1 month. Intervention 2: Intervention group 2 : Participants will receive only static stretching (SS) of the hamstring muscles in their dominant leg. While subjects in lying supine, the dominant lower extremity would passively position into SLR position (hip in flexion, knee in extension and ankle in neutral) without pain/discomfort to the point where resistance to the movement will first noted. This position will then maintained for 30 seconds consisted of six sets of 30 s with a 60 s rest between sets and repeated 5 times further on conservative days and then follow up after 1 month. During the 30 second stretches, the therapist monitored the subject to ensure they did not make any compensation that could modify the stretching position. Each subject had a total of 180 seconds of stretching on their lower extremity. Undecided - It is not yet known if there will be a plan to make this available
public Nayab John
1 km Raiwand Road, The University of Lahore
Lahore Pakistan 50700 +92 42 111 865 865 info@uol.edu.pk University of Lahore scientific Nayab John
1 km Raiwand Road, The University of Lahore
Lahore Pakistan 50700 +92 42 111 865 865 info@uol.edu.pk University of Lahore Pakistan Female participants with hamstring tightness Aging between 18 and 30 years Participants with knee extension ≤ 20° 18 years 30 years Female Neurological disorders Orthopedic diseases (Osteoarthritis, Rheumatoid Arthritis, Spondylolisthesis) Hamstrings injury or strain Chronic Low back pain Any recent spinal surgery history Treatment - Other Treatment - Other Intervention group 1:Participants will receive neurodynamics along static stretching (NS-SS) of hamstring musculature. Subjects in lying supine and their neck and thoracic spine supported in a forward flexed position. Concurrent hip and knee flexion were alternated dynamically with concurrent hip and knee extension. The therapist alternated the combination of movement depending on the tissue resistance level. This combination of movements was performed for 180 seconds on their dominant lower extremity. This position will then maintained for 30 seconds consisted of six sets of 30 s with a 60 s rest between sets and repeated 5 times further on conservative days and then follow up after 1 month. Intervention group 2 : Participants will receive only static stretching (SS) of the hamstring muscles in their dominant leg. While subjects in lying supine, the dominant lower extremity would passively position into SLR position (hip in flexion, knee in extension and ankle in neutral) without pain/discomfort to the point where resistance to the movement will first noted. This position will then maintained for 30 seconds consisted of six sets of 30 s with a 60 s rest between sets and repeated 5 times further on conservative days and then follow up after 1 month. During the 30 second stretches, the therapist monitored the subject to ensure they did not make any compensation that could modify the stretching position. Each subject had a total of 180 seconds of stretching on their lower extremity. Range of motion. Timepoint: Outcomes will be checked at baseline before apply intervention and after applying intervention on conservative 5 day and followup should be done after 1 month . Method of measurement: Goniometer. Pain. Timepoint: Pain will be assess by using Visual analog scale . Before and after applying intervention for 5 consecutive days,and followup will be done after one month . Method of measurement: Numeric pain rating scale. Functional ability. Timepoint: Functional abilities will be measured on daily bases .Base line reading will be measured and then after applying intervention again the reading will be taken, this will be continue for 5 consecutive days (DAY 1, DAY 2 , DAY 3, DAY 4, DAY 5 )and after 1 month again the functional ability will be measured. Method of measurement: The Lower Extremity functional scale (LEFS). Not Applicable Approved 2021-11-22 Ethical Committee of The University of Lahore 1 km Raiwand Road, The University of Lahore Lahore Punjab Pakistan Approved 2021-11-22 Ethical Committee of The University of Lahore Institutional Review Board 1 km Raiwand Road, The University of Lahore Lahore Punjab Pakistan