Post Facilitation Stretch Versus Active Isolated Stretching Along With Deep Friction Massage in Wallet Sciatica.

Study Overview
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Brief Summary
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To compare the effects of post facilitation stretch and active isolated stretch along with deep friction massage on pain pressure threshold of trigger points, disability, muscle length, and hip joint range of motion in wallet sciatica.

Detailed Description
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Literature shows the effectiveness of both techniques post facilitation stretch and active isolated stretch but didn't report any comparison. In this study, investigator diagnosed the patients with wallet sciatica who came with the complaint of low back pain. Both techniques were compared to determine the effectiveness in patients with wallet sciatica having trigger points.

Official Title
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Effects of Post Facilitation Stretch Versus Active Isolated Stretching Along With Deep Friction Massage in Wallet Sciatica.

Conditions
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Wallet Sciatica

Intervention / Treatment
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* Other: Post Facilitation stretch
* Other: Active Isolated Stretching


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Pain (Grade greater than 3) Chronic pain (greater than 3 months) buttock pain. Patients with piriformis tightness less than 40 degrees. Patients with active trigger points of the piriformis. Exclusion Criteria: Patient with tumor Patients with cognitive problems. Recent or history of hip trauma or injury. Recent abdominal surgery. Any other orthopedic or neurological condition of hip and lumbar spine

Ages Eligible for Study
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Minimum Age: 25 Years
Maximum Age: 60 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Post Facilitation stretch<br>Hot pack, TENS, Post Facilitation stretch, Deep friction massage | Other: Post Facilitation stretch<br>* Hot pack 10 mins/ 1set/ (3 days/ week), TENS 10 mins/ 1 set/ (3 days/ week), Post facilitation stretch 15 secs isometric hold/ 15 secs stretch/ 30 secs relax/ 5 reps/ 1 set/ (3 days/ week), Deep friction massage 5 minutes/ (3 days/ week). A total of 6 weeks (18 sessions, 3 days/ week) were given each consisting of 30 mins.<br>|
| Active Comparator: Active Isolated Stretching<br>Hot pack, TENS, Active Isolated Stretching, Deep friction massage | Other: Active Isolated Stretching<br>* Hot pack 10 mins/ 1set/ (3 days/ week), TENS 10 mins/ 1 set/ (3 days/ week), Active Isolated Stretching 2 secs hold/ 10 reps/ 1 set/ (3 days/ week), Deep friction massage 5 minutes/ (3 days/ week). A total of 6 weeks (18 sessions, 3 days/ week) were given each consisting of 30 mins.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pain pressure threshold | Changes from baseline, Pain pressure threshold was measured through Algometer. | 18 days | 
| Disability | Changes from baseline, Disability was measured through lower extremity functional scale. It consists of 20 questions. Minimum score is 0 and Maximum 80. minimum score shows greater disability and maximum indicate decreased disability. | 18 days | 
| Piriformis Muscle Length | Changes from baseline, Piriformis Muscle Length was measured through Goniometer by performing stretch test. Less than 40 degree internal rotation at hip indicates piriformis tightness. | 18 days | 
| Hip joint range of motion | Changes from baseline, Hip joint range of motion was measured through Goniometer. | 18 days | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Active Isolated stretching, Deep friction massage, Post Facilitation stretching, Piriformis syndrome