Maitland Mobilization and Lumbopelvic Coordination Exercises in Patients With Post Colonoscopy Coccydynia .
Combined Effects of Maitland Mobilization and Lumbopelvic Coordination Exercises on Pain, Range of Motion and Quality of Life in Patients With Post Colonoscopy Coccydynia .
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
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-
Punjab Province
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Multan Khurd, Punjab Province, Pakistan, 60810
- Ali Rehabilitation and Pain relieve center Multan
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
Accepts Healthy Volunteers
Description
INCLUSION CRITERIA
- Males and Females between 18 to 60
- Diagnosed with post colonoscopy coccydynia
- Pain in the lower back and around coccyx area without palpation and radiation
- Pain level of 3 at the scale of 10
- No history of trauma to the coccyx
- Ability to participate in the study
EXCLUSION CRITERIA
- Present of neurological disorders
- Any trauma or surgery
- Pregnancy
- Cyst or cancer in the pelvic region
- Diabetes mellitus
- Major ligament injuries in the pelvic region
- Any type of fractures
- Diagnosed psychological disorders
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Maitland mobilization and lumbopelvic coordination exercises
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group A received maitland mobilization technique 3 times per week which aimed to reduce pain and improve overall mobility and function .
Intervention involve streching the hip flexors muscles (ilipsoas, rectus femoris ,sartorius) performed as 2sets of 30seconds.
strengthening exercises such as pelvic tilts and bridges were performed using 3 sets of 10 repetitions.
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Active Comparator: Standard Physical Therapy
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group B was given hot pack for 10min to reduce pain and promote tissue relaxation followed by stretching of the superficial and coccygeal muscles around the pelvis and lower back performed 3 times for 30 sec each.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
numeric pain scale
Time Frame: from enrollment to 4 sessions per week for total duration of 4 week
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the scale was used to determine the patient level of pain .
the range of this scale is from 0 to 10. no pain is represented by ''O"'and worst pain is represented by ''10''.
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from enrollment to 4 sessions per week for total duration of 4 week
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inclinometer
Time Frame: from enrollment to 4 sessions per week to total duration of 4 weeks.
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The range of motion will be measured using inclinometer that has an inter-rater reliability (ICC2,2 = 0.92 to 0.96) and in case of coccydynia, the range of motion will be assessed in the sacroiliac joint, lumbar spine and pelvic region
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from enrollment to 4 sessions per week to total duration of 4 weeks.
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SF 36 questionnaire
Time Frame: from enrollement to 4 sessions per week for total duration of 4 weeks.
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One of the most widely used tools for assessing health-related quality of life is the 36-item Short Form Health Survey (SF-36).
Physical functioning (10 items), physical role limitations (4 items),bodily pain (2 items), general health perceptions (5 items), energy/vitality (4 items), social functioning (2 items), and emotional role limitations (3 items) are the eight domains of health status that are measured by the 36-item SF-36 scale
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from enrollement to 4 sessions per week for total duration of 4 weeks.
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: iqra ghafoor, Ph.D*, Riphah International University
Publications and helpful links
General Publications
- Zaidi F, Ahmed I. Effectiveness of muscle energy technique as compared to Maitland mobilisation for the treatment of chronic sacroiliac joint dysfunction. J Pak Med Assoc. 2020 Oct;70(10):1693-1697. doi: 10.5455/JPMA.43722.
- Mosaad EH, Mohamed AY, Fawzy AA, Mohamed MH. The effect of adding kinesiotaping versus pelvic floor exercise to conventional therapy in the management of post-colonoscopy coccydynia: a single-blind randomized controlled trial. Afr Health Sci. 2023 Mar;23(1):575-583. doi: 10.4314/ahs.v23i1.60.
- Mohanty PP, Pattnaik M. Effect of stretching of piriformis and iliopsoas in coccydynia. J Bodyw Mov Ther. 2017 Jul;21(3):743-746. doi: 10.1016/j.jbmt.2017.03.024. Epub 2017 Mar 29.
- Shojaei I, Salt EG, Bazrgari B. A prospective study of lumbo-pelvic coordination in patients with non-chronic low back pain. J Biomech. 2020 Mar 26;102:109306. doi: 10.1016/j.jbiomech.2019.07.050. Epub 2019 Aug 7.
- Yan H, Zhao P, Guo X, Zhou X. The effects of Core Stability Exercises and Mulligan's mobilization with movement techniques on sacroiliac joint dysfunction. Front Physiol. 2024 Apr 18;15:1337754. doi: 10.3389/fphys.2024.1337754. eCollection 2024.
- Riaz H, Kazmi YA, Khaliq S, Ahmad MZ, Azfar H, Younas Z. Effectiveness of Extracorporeal Shockwave Therapy versus Maitland Mobilization on Pain and Sacroiliac Joint Dysfunction. Heal J Physiother Rehabil Sci. 2025;5(2):50-5.
- Sepiddar F, Barati AH, Yarahmadi Y. The effect of pelvic clock exercises on pain reduction and lumbopelvic proprioception in middle-aged women with chronic nonspecific low back pain (CNSLBP). J Bodyw Mov Ther. 2024 Apr;38:615-620. doi: 10.1016/j.jbmt.2023.11.019. Epub 2023 Nov 17.
- Tufekci O, Yilmaz K, Gercek H, Unuvar BS. The effectiveness of manipulation in combination with exercise for patients with coccydynia: Six months follow-up of a randomized controlled trial. Int J Osteopath Med. 2024; 51:100711.
- Jabu NJ. "Effectiveness of specific lumbar stabilization Exercises for low back pain among postpartum Women". Bangladesh Health Professions Institute, Faculty of Medicine, the University …; 2019.
- Kaur H, Sharma M, Hazari A. Effectiveness of Maitland mobilization and mulligan mobilization in sacroiliac joint dysfunction: a comparative study. Crit Rev Phys Rehabil Med. 2019;31(2).
- Sidiq M, Ravichandran H, Janakiraman B, Chahal A, Rai RH, Alotaibi AH, Alotaibi AH, Alotaibi AS, Ibrahim AA, Alharbi EA, Kashoo FZ, Vats H. Effectiveness of physical therapy interventions for coccydynia: a systematic review with a narrative synthesis. Arch Physiother. 2025 Apr 25;15:77-89. doi: 10.33393/aop.2025.3233. eCollection 2025 Jan-Dec.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- REC/RCR&AHS/24/01115
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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