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IRCT20220804055615N4 IRCT 2023-03-29 Memon College of Physical and Rehasbilitaive Medicine Effects of Instrument-Assisted Soft Tissue Mobilization (IASTM) on trigger points versus manual Exercises Effects of Instrument-Assisted Soft Tissue Mobilization (IASTM) on trigger points of the cervical and lumbar region among sedentary individuals 2023-03-15 anticipated 50 Complete https://irct.ir/trial/68956 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Block randomization will be used in this study. This method is used to ensure a balance in sample size across groups over time. Blocks are small and balanced with predetermined group assignments, which keeps the number of participants in each group similar at all times. The block size is determined with 2 treatment groups, a block size of 4. After block size has been determined, all possible balanced combinations of assignment within the block (ie, an equal number for all groups within the block) will be calculated. Blocks are then randomly chosen to determine the participants' assignment into the groups. N/A To treat the myofascial trigger points in cervical and lumbar region. Intervention 1: Twenty five participants will be received instrument-assisted soft tissue mobilization treatment technique using ergon tool. The position of patients will be in prone lying. With the help of ergon tool, we give strokes (sweeping motion) proximal to distal or distal to proximal in both ways over the myofascial restrictions for 10 minutes. Along with ergon technique conventional treatment including hot pack 15 minutes, strengthening exercises of all weak cervical and lumbar muscles with 10-12 repetitions of each muscle would be performed. Stretching exercises of all tight cervical and lumbar muscles 3-6 repetition with 10 seconds hold. Every patient undergoes 45 minutes’ treatment session, 3 sessions/ week for 6 weeks. Assessment will be performed at baseline and at the end of 6th week treatment protocol. Intervention 2: Twenty five participants will be received only conventional treatment including hot pack therapy for 15 minutes. Strengthening exercises of all weak cervical and lumbar muscles with 10-12 repetitions of each muscle would be performed. Stretching exercises of all tight cervical and lumbar muscles, 3-6 repetitions with 10 seconds hold. Every patient undergoes 45 minutes’ treatment session, 3 sessions/ week for 6 weeks. Assessment will be performed at baseline and at the end of 6th week treatment protocol. No - There is not a plan to make this available Justification or reason for not sharing IPD is analytical data will be avail in published article or can be request by email to get the data
public Dr. Mohabbat Ali
Safoora goth
Karachi Pakistan 75270 +92 21 99261810 ramal_209@yahoo.com Memon Medical Institute Hospital scientific Dr. Mohabbat Ali
Safoora
Karachi Pakistan 75270 +92 21 99261810 ramal_209@yahoo.com Memon Medical Institute Hospital Pakistan Age between 18 to 40 years are included Who having cervical and lumbar pain more than 6 months Patients diagnosed with at least active trigger points in cervical & lumbar region Patients having pain intensity of at least 3 in the numeric pain scale 18 years 40 years Both If the pain is related to any trauma or fracture Patients with tuberculosis of spine Patients with any types of wounds History of infections or any other cause of back pain not due to muscles spasm or trigger point If the patients have a history of whiplash injury If the patients have history of head, neck and cervical spinal surgery If the patients have a history of cervical radiculopathy If the patients have diagnosed with fibromyalgia and myopathy If the patients have history of cancer at relevant area of body If the patients get the myofascial physical therapy treatment within the past one month If the patients are taking any anti-psychotic medicine Rehabilitation Rehabilitation Twenty five participants will be received instrument-assisted soft tissue mobilization treatment technique using ergon tool. The position of patients will be in prone lying. With the help of ergon tool, we give strokes (sweeping motion) proximal to distal or distal to proximal in both ways over the myofascial restrictions for 10 minutes. Along with ergon technique conventional treatment including hot pack 15 minutes, strengthening exercises of all weak cervical and lumbar muscles with 10-12 repetitions of each muscle would be performed. Stretching exercises of all tight cervical and lumbar muscles 3-6 repetition with 10 seconds hold. Every patient undergoes 45 minutes’ treatment session, 3 sessions/ week for 6 weeks. Assessment will be performed at baseline and at the end of 6th week treatment protocol. Twenty five participants will be received only conventional treatment including hot pack therapy for 15 minutes. Strengthening exercises of all weak cervical and lumbar muscles with 10-12 repetitions of each muscle would be performed. Stretching exercises of all tight cervical and lumbar muscles, 3-6 repetitions with 10 seconds hold. Every patient undergoes 45 minutes’ treatment session, 3 sessions/ week for 6 weeks. Assessment will be performed at baseline and at the end of 6th week treatment protocol. Instrumental versus manual exercises for trigger point release. Timepoint: The outcomes will be measured at the baseline and re-measured after the 18 sessions. The intervention protocol is based on three sessions per week for six weeks. Method of measurement: Outcome will measure by numeric pain rating scale, neck disability index, pain sensitivity questionnaire and modified somatic perception questionnaire. Muscle power. Timepoint: Before and after 18 session of treatment. Method of measurement: Manual muscle power test. To check range of motion before and after intervention. Timepoint: Before and after 18 session of treatment. Method of measurement: Range of motion will be check by inclinometer. To check pain scale before an after the interventions. Timepoint: Before and after 18 session of treatment. Method of measurement: Pain will be check by numeric pain scale. Memon College of Physical and Rehasbilitaive Medicine Approved 2022-07-14 Institutional Review Board Memon Medical Institute Hospital Safoora Goth Scheme 33 Karachi Sindh Pakistan