Effects Of Post Isometric Relaxation And Post Facilitation Stretching On ROM, Pain And Functional Limitations

Study Overview
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Brief Summary
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Study Design: Randomized Controlled Trial treatment techniques: post isometric relaxation and post facilitation stretching technique sample size: 35 in each group single blinded Before giving either treatment to each group, baseline data will be collected from each participant and then after 4th week of treatment.

Detailed Description
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To compare the effects of post isometric relaxation and post facilitation stretching on Rom, pain and functional disability in patients with erector spinae tightness.Study Setting: Bahria International Hospital, Lahore Data will be analyzed using SPSS version 26.The quantitative variables like range of motion will be presented in the form of mean ±SD and qualitative variables like pain and functional disability will be presented in the form of frequency and percentage.

Official Title
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Comparative Effects Of Post Isometric Relaxation And Post Facilitation Stretching On Range Of Motion, Pain And Functional Limitations In Patients With Erector Spinae Tightness: A Randomized Controlled Trial

Conditions
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Erector Spinae Tightness

Intervention / Treatment
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* Other: POST ISOMETRIC RELAXATION
* Other: POST FACILITATION STRETCHING


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: • Pain in lower back for atleast 4 weeks but less than 1 year. Pain relieved by rest. Decreased flexion, extension and lateral flexion of lumbar spine. Individuals having no signs of nerve root irritation (dermatomal pain and paresthesia) and nerve root compression (dermatomal sensory loss, myotomal weakness, loss of reflex) Age group: 30 - 45 years Both male and female Exclusion Criteria: Individuals having other lumbar pathologies like disc problems, ligamentous strains, sciatica etc Individuals having any inflammation and malignancy. Pregnancy Individuals having recent trauma, fracture, or surgery

Ages Eligible for Study
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Minimum Age: 30 Years
Maximum Age: 45 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 ISOMETRIC RELAXATION<br> | Other: POST ISOMETRIC RELAXATION<br>* Group A (Post Isometric Relaxation + Conventional Physiotherapy): This group will receive Muscle Energy Technique in addition to conventional physiotherapy for the treatment of erector spinae tightness. The treatment will be given on alternate days for four weeks with 8 - 10 repetitions of METs per session.<br>|
| Experimental: POST FACILITATION STRETCHING<br> | Other: POST FACILITATION STRETCHING<br>* Group B (Post Facilitation Stretching + Conventional Physiotherapy): This group will receive Post Facilitation Stretching Technique in addition to conventional physiotherapy for the treatment of erector spinae tightness. The treatment will be given on alternate days for four weeks with 8 - 10 repetitions of METs per session.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| goniometer | Range of motion will be measured by using universal standard goniometer.The goniometer comprises a body (rotation axis) with two arms attached to it, one being fixed and the other movable. The measurement of the ROM is performed by direct reading of the angle between the axis of rotation at the end of the active ROM of the movement assessed. | 4 WEEKS | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| visual analog scale | The Visual Analogue Scale (VAS) is an instrument for the measurement of subjective characteristics or attitudes that cannot be measured directly. It consists of a horizontal line with markings from 0 - 10 where 0 represents no pain and 10 represents worst pain possible. The patient is asked to mark the number on the scale which best describes the level of his/her pain. | 4 WEEKS |