Low Back Pain, Neck Pain, Shoulder Pain
Conditions
Keywords
Disability, Pain, Range of motion
Brief summary
I aim to study the effects of posterior oblique sling mobilization by 3-D release technique on pain, range of motion and functional disability in layered syndrome
Detailed description
In previous literature a placebo randomized control trial was conducted. To examine how 3D MFR affects lumbar range of motion and a lumbar lordosis angle in people with asymptomatic hyperlordosis. 30 participants with hyperlordosis who met the inclusion criteria were selected. Using a lottery approach, these individuals were randomly assigned to either the experiemental group or control group, keeping a 1:1 ratio. The experimental group received 3D MFR and the control group received sham 3D MFR for six sessions (3 alternate days for 2 weeks). Lumbar range of motion was assessed using modified-modified Schober's test and the lumbar lordosis angle was measured using x-ray and flexicurve.
Interventions
OTHERConventional Physical Therapy
Cervical isometrics and lumbar isometrics 10 repitionsx 1 set, 3 days/week and targeted sustained muscle stretching (pectoralis, upper trapezius, levator scapulae, iliopsoas, rectus femoris and lumbar erector spinae) for 20-30 seconds 10 repititions x 1 set 3 days/week 12 sessions were given in total
OTHERPOS Mobilization
In experimental group, POS mobilization was done along with cervical and lumbar isometrics and stretching. POS mobilization by 3-D release technique along with Cervical isometrics and lumbar isometrics 10 repitionsx 1 set, 3 days/week and targeted sustained muscle stretching (pectoralis, upper trapezius, levator scapulae, iliopsoas, rectus femoris and lumbar erector spinae) for 20-30 seconds 10 repititions x 1 set 3 days/week 12 sessions were given in total
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
20 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
* \+ Craniocervical flexion test * \+ Fleshe test (Occiput to wall distance) * \+ Thomas test * \+ Straight leg raise (SLR) * +Push Up test * +Trunk Curl Up test
Exclusion criteria
* Other conditions involving the shoulder (eg. rheumatoid arthritis, osteoarthritis, damage of the glenohumeral cartilage, Hill-Sachs lesion, osteoporosis, or malignancies in the shoulder region). * Presence of medical conditions such as cardiac disease, infections, coagulation disorder. * The participants with any musculoskeletal injuries in the past 6 months * Cervical dysfunctions affecting upper limbs * Lumbar Dysfunctions * Any fracture or other injury * Any systemic illness * Any neurological disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Neck disability Index | 4rth week | Changes from the baseline NDI is a 10-item questionnaire created by Vernon and Mior in 1991 to assess how neck pain affects daily activities such as lifting, reading, driving, personal care, sleeping, recreation, and concentration. On a scale of 0 to 5, each item has a score; higher scores correspond to more disability. |
| Oswestry Disability Index | 4rth week | Changes from the baseline Oswestry Disability Index (ODI) is regarded as the gold standard for assessing adults with low back pain (LBP) in terms of both disability and quality of life (QOL). The questionnaire is designed to be a self-reported survey, where patients suffering from LBP come across limitations in Activities of Daily Living (ADL's) in several health constructs like personal care, lifting, walking, sitting, standing, sleeping, sexual life, social life, and traveling. The patients indicated the effect of pain on activities. The questions having a score range from 0 to 5, giving a maximum total score of 50. Oswestry Disability Index (ODI). |
| Shoulder Pain and Disability Index | 4rth week | Changes from the baseline SPADI is a self-administered questionnaire designed to evaluate pain and functional impairment related to shoulder disorders. It consists of 13 items, divided into pain and disability subscales, and is often used in both clinical practice and research. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Numeric Pain rating sclae (NPRS) | 4rth week | Changes from the baseline NPRS consists of an 11-point scale ranging from 0 to 10, where 0 represents "no pain" and 10 indicates the "worst imaginable pain." |
| ROM Cervical Spine (Flexion) | 4rth week | Changes from the baseline ROM range of cervical spine flexion was taken |
| ROM Cervical Spine (Extension) | 4rth | Changes from the baseline ROM range of cervical spine extension was taken |
| ROM Cervical Spine (Lateral Flexion) | 4rth | Changes from the baseline ROM range of cervical spine lateral flexion was taken |
| ROM Lumbar Spine (Flexion) | 4rth | Changes from the baseline ROM range of lumbar spine flexion was taken |
| ROM Lumbar Spine (Extension) | 4rth | Changes from the baseline ROM range of lumbar spine extension was taken |
| ROM Shoulder joint (Flexion) | 4rth | Changes from the baseline ROM range of shoulder joint flexion was taken |
| ROM Shoulder joint (Abduction) | 4rth | Changes from the baseline ROM range of shoulder joint abduction was taken |
| ROM Shoulder joint (External Rotation) | 4rth | Changes from the baseline ROM range of shoulder joint external rotation was taken |
Countries
Pakistan
Contacts
PRINCIPAL_INVESTIGATORSaba Rafique, Phd*
Riphah International University
Outcome results
None listed