Comparative effects of Post Isometric Relaxation and Strain Counterstrain Technique on Pain, Range of Motion and Functional Activities among individuals with Gastrocnemius Tightness
To Compare the effects of post isometric relaxation and strain-counterstrain technique on pain, Range of motion and functional activities among individuals with gastrocnemius tightness.
Design
Single blinded randomized clinical trial with parallel assignment of 44 participants to two groups equally.
Settings and conduct
The study will be conducted at Arif Memorial Teaching Hospital. Outcome assessor will be kept blind.
Participants/Inclusion and exclusion criteria
Inclusion Criteria:
Participants from age group of 18-40 who present with gastrocnemius tightness.
Patients with positive silfverskiold test.
Exclusion Criteria:
Systemic disease causing musculoskeletal issue.
Any other type of connection tissue disorder.
With history of neurological disorder.
Having recent lower limb or spine fracture causing change in gait pattern.
Intervention groups
Group A: Participants of group A received exercise post isometric relaxation exercise, 3 times a week for 4 weeks.
Group B: Participants of group B received strain-counterstain technique, 3 times a week for 4 weeks.
Main outcome variables
Pain: The intensity of pain will be measured by the numeric pain rating scale [NPRS].
Range of motion: ROM will be measured using a Universal Goniometer.
Functional activities: Functional activities will be examined by foot functional index.
General information
Reason for update
Acronym
IRCT registration information
IRCT registration number:IRCT20220701055331N4
Registration date:2024-06-15, 1403/03/26
Registration timing:prospective
Last update:2024-06-15, 1403/03/26
Update count:0
Registration date
2024-06-15, 1403/03/26
Registrant information
Name
Ifra Zulqarnain Awan
Name of organization / entity
Rashid Latif Medical College
Country
Pakistan
Phone
+92 333 4975431
Email address
ifra.awan@rlmc.edu.pk
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2024-06-20, 1403/03/31
Expected recruitment end date
2024-11-20, 1403/08/30
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Comparative effects of Post Isometric Relaxation and Strain Counterstrain Technique on Pain, Range of Motion and Functional Activities among individuals with Gastrocnemius Tightness
Public title
Comparative effects of Post Isometric Relaxation and Strain Counterstrain Technique on Pain, Range of Motion and Functional Activities among individuals with Gastrocnemius Tightness
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Both male and female Participants between age of 18-40 years with gastrocnemius tightness
Patients with positive silfverskiold test
Exclusion criteria:
Patients with Any Systemic disease
Patients with any other type of connection tissue disorder
Patients With history of neurological disorder
Patients Having recent lower limb or spine fracture causing change in gait pattern
Age
From 18 years old to 40 years old
Gender
Both
Phase
N/A
Groups that have been masked
Outcome assessor
Sample size
Target sample size:
44
Randomization (investigator's opinion)
Randomized
Randomization description
Randomization will be done with random computer number generator. Assign unique identification numbers to participants, then use a reliable software tool to generate a list of random numbers. Match these numbers to participant IDs and allocate individuals to different study groups based on the sorted random numbers. Ensure that the randomization process is concealed and documented for transparency and integrity.
Blinding (investigator's opinion)
Single blinded
Blinding description
It will be a Single blinded study. outcome assessor will be blind to the intervention received by the participants. To achieve single blinding, the outcome assessor is not informed about the treatment allocation of the participants and remains unaware of which group received the intervention being studied.
Placebo
Not used
Assignment
Parallel
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Institutional Review Board of Rashid Latif Medical College, Lahore.
Street address
35-KM Ferozepur Road Lahore
City
Lahore
Postal code
54600
Approval date
2023-12-25, 1402/10/04
Ethics committee reference number
IRB/2023/136
Health conditions studied
1
Description of health condition studied
Gastrocnemius tightness
ICD-10 code
ICD-10 code description
Primary outcomes
1
Description
Pain
Timepoint
Before intervention and 4 weeks after intervention
Method of measurement
Numeric pain rating scale
2
Description
Range of motion
Timepoint
Before intervention and 4 weeks after intervention
Method of measurement
Universal goniometer
3
Description
Functional activities
Timepoint
Before intervention and 4 weeks after intervention
Method of measurement
Foot functional index
Secondary outcomes
empty
Intervention groups
1
Description
Intervention group A: post isometric relaxation: Participants of group A received post isometric relaxation exercise, 3 times a week for 4 weeks.
Category
Rehabilitation
2
Description
Intervention group B: strain-counterstain technique: Participants of group B received strain-counterstain technique, 3 times a week for 4 weeks.
Category
Rehabilitation
Recruitment centers
1
Recruitment center
Name of recruitment center
Arif Memorial Teaching Hospital
Full name of responsible person
Dr. Ifra Zulqarnain Awan
Street address
35-km ferozepur road Lahore
City
Lahore
Postal code
54600
Phone
+92 333 4975431
Email
ifra.awan@rlmc.edu.pk
Sponsors / Funding sources
1
Sponsor
Name of organization / entity
Rashid Latif Medical College
Full name of responsible person
Dr. Ifra Zulqarnain Awan
Street address
35-km ferozepur road Lahore
City
Lahore
Postal code
54600
Phone
+92 333 4975431
Email
ifra.awan@rlmc.edu.pk
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Rashid Latif Medical College
Proportion provided by this source
100
Public or private sector
Private
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic
Person responsible for general inquiries
Contact
Name of organization / entity
Rashid Latif Medical College
Full name of responsible person
Aimen Tahir
Position
Physiotherapist
Latest degree
Bachelor
Other areas of specialty/work
Physiotherapy
Street address
Rashid Latif Medical College 35-km Ferozpur Road Lahore
City
Lahore
Province
Punjab
Postal code
54600
Phone
+92 333 4975431
Fax
Email
ifra.awan@rlmc.edu.pk
Person responsible for scientific inquiries
Contact
Name of organization / entity
Rashid Latif Medical College
Full name of responsible person
Dr. Ifra Zulqarnain Awan
Position
Lecturer/Physiotherapist
Latest degree
Master
Other areas of specialty/work
Physiotherapy
Street address
Rashid Latif Medical College 35-km Ferozpur Road Lahore
City
Lahore
Province
Punjab
Postal code
54600
Phone
+92 333 4975431
Fax
Email
ifra.awan@rlmc.edu.pk
Person responsible for updating data
Contact
Name of organization / entity
Rashid Latif Medical College
Full name of responsible person
Dr. Ifra Zulqarnain Awan
Position
Lecturer/Physiotherapist
Latest degree
Master
Other areas of specialty/work
Physiotherapy
Street address
Rashid Latif Medical College 35-km Ferozpur Road Lahore
City
Lahore
Province
Punjab
Postal code
54600
Phone
+92 333 4975431
Fax
Email
ifra.awan@rlmc.edu.pk
Sharing plan
Deidentified Individual Participant Data Set (IPD)
Undecided - It is not yet known if there will be a plan to make this available
Study Protocol
Undecided - It is not yet known if there will be a plan to make this available
Statistical Analysis Plan
Undecided - It is not yet known if there will be a plan to make this available
Informed Consent Form
Undecided - It is not yet known if there will be a plan to make this available
Clinical Study Report
Undecided - It is not yet known if there will be a plan to make this available
Analytic Code
No - There is not a plan to make this available
Data Dictionary
Undecided - It is not yet known if there will be a plan to make this available