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IRCT20220626055285N1 IRCT 2023-01-21 Rashid Latif Medical College Effect of Therapeutic Ultrasound versus Muscle Energy Techniques on coccydynia in pregnant females Effect of Therapeutic Ultrasound versus Muscle Energy Techniques of piriformis and iliopsoas for coccydynia in pregnant females 2023-01-28 anticipated 26 Complete https://irct.ir/trial/67950 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Patients were allocated into two groups i.e.; Group A and Group B, by lottery method. Lottery method is a type of simple random sampling. In this method, each participant of the trial is assigned a unique number. In the next step these numbers are written on separate cards which are physically similar in shape, size, color etc. 35 cards were used. Then they are placed in a basket and thoroughly mixed. In the last step the slips are taken out randomly without looking at them and are placed into two sets randomly. Total of 26 cards were taken out, 13 participants in each group, Blinding description: The blinding is achieved by concealment in which the treatment allocation for each patient is not revealed to the patient. This is done to avoid biasness. N/A coccydynia. Intervention 1: Intervention group: Group A will receive Therapeutic ultrasound. Therapeutic ultrasound is used with the intensity of 1.5W/cm2 for 3-5 min with the use of ultrasonic gel and this procedure is done by approaching the patient posteriorly using irregular probe. Intervention 2: Intervention group: Group B will receive muscle energy techniques of piriformis and iliopsoas. For piriformis MET, ask patient to Lay the patient in the supine position and bend the knee of affected side and place the foot of that side on the lateral aspect of the opposite knee. The therapist was at the side of the patient. The therapist will push the knee medially until meeting the restrictive barrier. Ask the patient push against the therapist’s resistance for 3 to 5 sec, allow for a period of isometric relaxation, then engage a new barrier and repeat three times. Then, return the patient to a neutral position. For Iliopsoas MET, Patient position is Supine lying with lower leg hanging off the end of the plinth. The patient flexes the contralateral hip and knee to hug the lower extremity to the chest. Therapist position is Standing on the ipsilateral side of the dysfunction. By Using one hand to keep the contralateral leg flexed, the other hand will provide a downward force immediately proximal to knee until reaching the restrictive barrier. Continue to engage the restrictive barrier and instruct the patient to bring the knee up toward the ceiling to achieve hip flexion for 3 to 5 sec. Instruct the patient to relax and move the hip further into extension by providing a downward force proximal to the knee. Repeat the last two steps 3 to 5 times. After last repetition passively return the patient’s leg to a neutral position. 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 Amber Iqbal
35-Km Ferozepur road Lahore
Lahore Pakistan 54600 +92 321 4632209 iqbalamber50@gmail.com Rashid Latif Medical College scientific Rehana Niazi
35-Km Ferozepur road Lahore
Lahore Pakistan 54600 +92 333 4734783 rehana.niazi@rlmc.edu.pk Rashid Latif Medical College Pakistan Idiopathic coccydynia Subjects willing to undergo muscle energy techniques of piriformis and iliopsoas Age 20-40 years pregnant females 20 years 40 years Female Tumors Trauma Subjects with history of spinal surgery Lumbar disc prolapse M53.3 Sacrococcygeal disorders, not elsewhere classified Treatment - Other Treatment - Other Intervention group: Group A will receive Therapeutic ultrasound. Therapeutic ultrasound is used with the intensity of 1.5W/cm2 for 3-5 min with the use of ultrasonic gel and this procedure is done by approaching the patient posteriorly using irregular probe. Intervention group: Group B will receive muscle energy techniques of piriformis and iliopsoas. For piriformis MET, ask patient to Lay the patient in the supine position and bend the knee of affected side and place the foot of that side on the lateral aspect of the opposite knee. The therapist was at the side of the patient. The therapist will push the knee medially until meeting the restrictive barrier. Ask the patient push against the therapist’s resistance for 3 to 5 sec, allow for a period of isometric relaxation, then engage a new barrier and repeat three times. Then, return the patient to a neutral position. For Iliopsoas MET, Patient position is Supine lying with lower leg hanging off the end of the plinth. The patient flexes the contralateral hip and knee to hug the lower extremity to the chest. Therapist position is Standing on the ipsilateral side of the dysfunction. By Using one hand to keep the contralateral leg flexed, the other hand will provide a downward force immediately proximal to knee until reaching the restrictive barrier. Continue to engage the restrictive barrier and instruct the patient to bring the knee up toward the ceiling to achieve hip flexion for 3 to 5 sec. Instruct the patient to relax and move the hip further into extension by providing a downward force proximal to the knee. Repeat the last two steps 3 to 5 times. After last repetition passively return the patient’s leg to a neutral position. Pain. Timepoint: Pre and Post 1 Month. Method of measurement: Pain is measured before the application of techniques using Numeric Pain Rating Scale (NPRS). Rashid Latif Medical College Approved 2022-10-05 Institutional Review Board of Rashid Latif Medical College 35-Km Ferozepur road Lahore Lahore Punjab Pakistan