Effect of Thoracic Mobilization in Females With Coccydynia

Study Overview
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Brief Summary
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Coccydynia is common and prevalent among the females and several types of exercises and electrotherapy are advised. Pain can reduced significantly with both short wave diathermy and muscles stretches. There is limited evidence on indirect method like thoracic mobilization techniques to improve coccydynia. This study will determine the effects of thoracic mobilization techniques on coccydynia.

Detailed Description
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Coccydynia, refers to pain in the coccyx region. it can be caused by various factor including trauma or injury (such as falls or child birth ), repetitive strain, prolong sitting on hard surface, or even idiopathic reasons. Treatment options for Coccydynia may include conservative measures, such as pain medication, using cushion or donut-shaped pillows to relieve pressure, applying heat or cold packs, and avoiding activities that's exacerbate the pain. Physical therapy including exercises such as stretching, Muscle Energy Technique (MET) can also be beneficial in some cases. Thoracic manual therapy, which involves hands-on techniques applied to the thoracic spine, can indeed be beneficial for improving spine mobility. While it may not directly target the coccyx itself, improving overall spinal mobility can have indirect effects on coccyx pain and dysfunction.

Official Title
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Effects of Thoracic Manual Mobilization Techniques in Females of Coccydynia

Conditions
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Coccyx Disorder

Intervention / Treatment
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* Other: Thoracic Sustained Natural Apophyseal Glides
* Other: Muscle Energy Techniques


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Diagnosed females coccydynia patients. Exclusion Criteria: Pregnancy 6 Months past Surgery, fracture or dislocation of coccyx. Malignancy or cyst in the pelvic area.

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 50 Years

Sexes Eligible for Study
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Female

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 |
| --- | --- |
| Active Comparator: Experimental Group<br>Sustained Natural Apophyseal Glides will be performed with Muscle Energy Technique and Short Wave Diathermy as experimental group. | Other: Thoracic Sustained Natural Apophyseal Glides<br>* Sustained Natural Apophyseal Glides 3 sets of 10 reps with 1 min rest btw sets.<br>|
| Active Comparator: Control Group<br>Short wave diathermy will be given with Muscle Energy Techniques. | Other: Muscle Energy Techniques<br>* Short wave diathermy for 10 to 15 mins Muscle Energy Techniques of following muscles will be performed, Hip flexors muscles, Quadrates lamborum muscles, Erector spinae muscles, Piriformis muscles, PFS technique of METs Isometric hold 5-7 sec, Stretching 15 sec, Rest 30 sec.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Numeric Pain Rating Scale | Changes from the baseline Numeric Pain Rating Scale will be used to assess pain. • The Numeric Pain Rating Scale is an eleven-point measure of pain: the patient rates pain from 0 (no pain) to 10 (worst imaginable pain). The NPRS has shown good responsiveness in shoulder pain. | 8th Week | 
| Modified OSWESTRY Low Back pain Index | Changes from the baseline ODI is a disease specific disability measure is used to establish a level of disability stage on a patient activity status and monitor change over the time. The ODI is made up of 10 questions. Each question is scored from (o-5) m | 8th Week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Coccyx Disorder, thoracic