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IRCT20220510054807N1 IRCT 2022-05-17 Faisal Institute of Health Sciences 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 CHRONIC LOW BACK PAIN 2022-05-15 anticipated 36 Complete https://irct.ir/trial/63447 interventional Randomization: Not randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment. N/A 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.. Intervention 1: 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. Intervention 2: 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. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is There is no further information
public Dr. Farwa Ahmad Khan Rai
673-A,Canal Road E, A Block, Peoples Colony no:1, Faisal Hospital, Faisalabad
Faisalabad Pakistan 38000 009241856999 farwa6095@gmail.com Faisal Institute of Health Sciences scientific Dr. Ramesha Tahir ;PT
673-A,Canal Road E, Faisal Hospital, Peoples Colony No :1 Faisalabad, Punjab, Pakistan
Faisalabad Pakistan 03822 +92 41 8536999 drramishatahir@gmail.com Faisal Institute of Health Sciences Pakistan Pakistan Pakistan 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 18 years 45 years Both 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 M54.5 Low back pain Rehabilitation Rehabilitation 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 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 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. 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. 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. 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. Self Financed Approved 2022-03-20 Ethics committee of Faisal Institute of Health Sciences 673-A Lower canal Road E , Block A Peoples Colony no 1, Faisal Hospital, Faisalabad Faisalabad Punjab Pakistan