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Clinical trial information and results are updated daily from ClinicalTrials.gov. The latest data update was conducted on 01/15/2021.

Suboccipitalis Myofascial Release in Hamstring Tightness in Patients With Anterolisthesis

Clinicaltrials.gov identifier NCT03940339

Recruitment Status Terminated (Due to COVID-19 lockdown)

First Posted May 7, 2019

Last update posted June 16, 2020

Study Description

Brief summary:

Background: Anterolisthesis presents with tightness of hamstring muscle which is a major contributing factor for low back pain and disability. Suboccipital Myofascial release decreases the tension in the fascia and helps to amend the muscle imbalance. There is a presence of superficial backline between suboccipitalis and hamstring muscle. Aim: The purpose of the study is to find out the effect of sub occipital myofascial release on hamstring tightness along with pain and disability associated with it in Anterolisthesis. Methods: The study will recruit individuals with Anterolisthesis between the age of 35- 55. Pathologies which will limit or interfere with the test outcome shall be excluded. The samples will be collected using criterion based sampling. Procedure will be explained prior to the intervention Data analysis: Normality of the collected data will be established by Shapiro Wilk Test. Based on the normality, descriptive statistics data will be expressed as mean ± standard deviation or median and intra quartile range. Within group comparison will be done by paired t test or Wilcoxon signed rank test and between group comparison will be done through independent t test or Mann Whitney U test.

  • Condition or Disease:Anterolisthesis
  • Intervention/Treatment: Other: Suboccipital myofascial release
    Other: Conventional Physiotherapy
  • Phase: N/A
Detailed Description

1. Introduction: Anterolisthesis refers to an anterior displacement of a vertebra over subjacent vertebra causing low back pain, radiculopathy and hamstring tightness. Hamstring tightness causes improper patterns in the lumbopelvic region. There is a dura matter which connects suboccipitalis and hamstring muscle and reduction in the tone of suboccipitalis will thus cause decrease in tone of hamstring muscle. Myofascial release is a manipulative treatment that attempts to release tension in fascia and has an effect to decrease soreness of muscle. 1.1.Problem statement: Generally in patients with anterolisthesis a single component is considered as a treatment, this study thus aims to be a bridge filling the gap in the scientific cognizance 1.2.Purpose of the study:The target of the study is to see the outcome of sub occipitalis myofascial release on tightness of hamstring muscle, pain and disability. 1.3.Objectives of the study: To evaluate the efficacy of suboccipital myofascial release and conventional physiotherapy treatment in tightness of hamstring muscle, pain and disability 2. Procedure: Total male (n) and female (n) patients between the age of 35 and 55 years with grade 1 and 2 Anterolisthesis will be selected on the basis of inclusion and exclusion criteria. The suitable sample will be randomly allocated into 2 groups - experimental and control group respectively. The popliteal angle test will be carried out to assess hamstring length and modified oswestry disability index will be used to quantify disability for low back pain. Visual analogue scale will be used to measure intensity of pain. All the necessary measures will be taken among the participants of experimental group.The MFR technique will be given in the upper cervical region with the patient in supine position. The MFR will be given for three repetitions per session, three times per week for the period of four weeks. The control group will be receiving conventional physiotherapy treatment for hamstring tightness which includes static stretching, modified hold-relax stretching and contract relax technique.

Study Design
  • Study Type: Interventional
  • Actual Enrollment: 32 participants
  • Allocation: Randomized
  • Intervention Model: Parallel Assignment
  • Intervention Model Description: Two group pretest posttest randomized control design
  • Masking: Single (Participant)
  • Primary Purpose: Treatment
  • Official Title: Effect of Suboccipital Muscle Myofascial Release on Hamstring Muscle Length, Pain and Disability in Patients With Anterolisthesis
  • Actual Study Start Date: September 2019
  • Actual Primary Completion Date: March 2020
  • Actual Study Completion Date: March 2020
Arms and interventions
Arm Intervention/treatment
Experimental: Suboccipital myofascial release
Treatment will be given for 3 minutes, 3 days per week for 4 weeks.
Other: Suboccipital myofascial release
The MFR technique will be given in the upper cervical region with the patient in supine position. The MFR will be given for three repetitions per session, three times per week for the period of four weeks.
Active Comparator: Coventional Physiotherapy
Treatment will be given for 3 days per week for 4 weeks
Other: Conventional Physiotherapy
The control group will be receiving conventional physiotherapy treatment for hamstring tightness which includes static stretching, modified hold-relax stretching and contract relax technique.
Outcome Measures
  • Primary Outcome Measures: 1. Popliteal Angle Test [ Time Frame: 2 weeks ]
    Popliteal angle is an assessment of the tone of the hamstring muscles. The thigh is flexed on the abdomen with one hand and then the other hand straightens the leg by pushing on the back of the ankle until there is firm resistance to the movement. Popliteal angle is measured in degrees.
  • 2. Modified Oswerstry Disability Index [ Time Frame: 2 weeks ]
    It is an extremely important tool used to measure a patient's permanent functional disability. The total score range from 0-50.
  • Secondary Outcome Measures: 1. Visual Analogue Scale [ Time Frame: 2 weeks ]
    It is a quantifying instrument for subjective characteristics or attitudes of pain that cannot be directly measured. The total score range from 0-10.
Eligibility Criteria
  • Ages Eligible for Study: 35 to 55 Years (Adult)
  • Sexes Eligible for Study: All
  • Accepts Healthy Volunteers: No
Criteria

Inclusion criteria:

Patients aged between 35-55 years Both male and female Individuals with Hamstring tightness
Individual with Anterolisthesis Individual with pain and disability

Exclusion Criteria:

Individuals with neck pain Patients with history of neck trauma Fracture of lower limb
Cervical ligament instability Spinal fractures in the past 6 months Open wounds and skin
allergies in the back

Contacts and Locations
Contacts
Locations

India, Haryana
Maharishi Markandeshwar Hospital, Mullana
Ambala

Sponsors and Collaborators

Asir John Samuel

Investigators

Principal Investigator: Bishaka Pradhan, BPT, (MPT) Department of Musculoskeletal Physiotherapy, MMIPR

More Information
  • Publications of Results

    Vatsal DK, Kainth R, Kainth R, Husain PM. Original Article A clinico-etiological study of spondylolisthesis in north Indian population. Int J Med Sci Clin Invent. 2017;4(5):2884-7.

  • Responsible Party: Asir John Samuel
  • ClinicalTrials.gov Identifier: NCT03940339 History of Changes
  • Other Study ID Numbers: MMDU/IEC/1369, U1111-1232-1359
  • First Posted: May 7, 2019 Key Record Dates
  • Last Update Posted: June 16, 2020
  • Last Verified: June 2020
  • Individual Participant
    Data (IPD) Sharing
    Statement:
  • Plan to Share IPD: No
  • Plan Description: It is not yet decided
  • Studies a U.S. FDA-regulated Drug Product: No
  • Studies a U.S. FDA-regulated Device Product: No
  • Keywords provided by Asir John Samuel: Hamstring muscles
    Pain measurement
    Low back pain
  • Additional relevant MeSH terms: Spondylolisthesis