Effects of Post-Isometric Relaxation Versus Static Stretching in Patients With Levator Scapulae Syndrome.

Effects of Post-Isometric Relaxation Versus Static Stretching on Pain, Range of Motion, Disability and Muscle Length in Patients With Levator Scapulae Syndrome.

Group A will be treated with Postisometric relaxation technique and Group B will be treated with Static stretching technique. Postisometric relaxation will be performed with the frequency of 5 times, such that it includes (30 isometric contraction of the muscle to be stretched for 10 seconds, followed by rest period of 5 seconds and then a stretch of 10 seconds hold. Stretching exercise will be performed with 30 second hold and with 5 repetitions. All Exercises will be performed 3 times per week for total of 4 weeks. Outcome measures will be conducted through pain, range of motion, disability and muscle length after 4 weeks.

Study Overview

• Status: Recruiting
• Conditions: Levator Scapulae Syndrome
• Intervention / Treatment: Other: Post-Isometric Relaxation Technique; Other: Static Stretching

Detailed Description

A Randomized Clinical Trial will be conducted at Tehsil Head Quarter Hospital Daska through consecutive sampling technique on 42 patients which will be allocated using computer generated sampling (random number table) into Group A and Group B. Group A will be treated with Postisometric relaxation technique and Group B will be treated with Static stretching technique. Postisometric relaxation will be performed with the frequency of 5 times, such that it includes (30 isometric contraction of the muscle to be stretched for 10 seconds, followed by rest period of 5 seconds and then a stretch of 10 seconds hold. Stretching exercise will be performed with 30 second hold and with 5 repetitions. All Exercises will be performed 3 times per week for total of 4 weeks. Outcome measures will be conducted through pain, range of motion, disability and muscle length after 4 weeks. Data will be analyzed during SPSS software version 25. The normality of data will be assessed by Shapiro-wilk test after which it will be decided either parametric or non-parametric test will be used within a group or between two groups.

• Study Type: Interventional
• Enrollment (Estimated): 42
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Imran Amjad, Phd PT; Phone Number: 03324390125; Email: imran.amjad@riphah.edu.pk

Study Locations

• Pakistan
  • Punjab
    • Daska, Punjab, Pakistan
      • Recruiting
      • Tehsil Headquarter Hospital Daska
      • Contact: Ali Raza, DPT; Phone Number: 03326099065; Email: ali.raza65@gmail.com
      • Principal Investigator: Aiman Tariq, DPT

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Both males and females.
• Age range of 24-59 years.
• Neck and medial border scapular pain for at least 3 months.
• NPRS score greater than 3.
• Reduced side flexion and rotation of neck.
• Symptoms persisted for at least 3 months.
• Positive levator scapulae length test.
• Have suffered from myofascial pain

Exclusion Criteria:

• Neuropathies.
• Vertebral fractures.
• Pregnancy.
• Fibromyalgia.
• Cancer.
• Traumatic neck injury.
• Previous cognitive and functional disorders.
• Coagulopathy(

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Post Isometric Relaxation Technique; Postisometric relaxation will be performed with the frequency of 5 times, such that it includes 30 isometric contraction of the muscle to be stretched for 10 seconds, followed by rest period of 5 seconds and then a stretch of 10 seconds hold.	Other: Post-Isometric Relaxation Technique; Post isometric relaxation will be performed with the frequency of 5 times, such that it includes 30 isometric contraction of the muscle to be stretched for 10 seconds, followed by rest period of 5 seconds and then a stretch of 10 seconds hold.
Experimental: Static Stretching; Stretching exercise will be performed with 30 second hold and with 5 repetitions. All Exercises will be performed 3 times per week for total of 4 weeks.	Other: Static Stretching; Static Stretching

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Pain Level	Numeric Pain Rating Scale	Pre & Post 6 weeks
Disability Level	Neck Disability Index	Pre & Post 6 weeks
Range of Motion	Goniometer	Pre & Post 6 weeks
Muscle Length	Levator Scapulae Index	Pre & Post 6 weeks

Collaborators and Investigators

• Sponsor: Riphah International University
• Investigators: Principal Investigator: Muhammad Hassan, MSPT, Riphah International University

Study record dates

Study Major Dates

• Study Start (Actual): April 24, 2024
• Primary Completion (Estimated): January 24, 2025
• Study Completion (Estimated): February 24, 2025

Study Registration Dates

• First Submitted: November 12, 2024
• First Submitted That Met QC Criteria: November 12, 2024
• First Posted (Estimated): November 13, 2024

Study Record Updates

• Last Update Posted (Estimated): November 13, 2024
• Last Update Submitted That Met QC Criteria: November 12, 2024
• Last Verified: November 1, 2024

More Information

Terms related to this study

• Keywords: Pain; Range of Motion; Disability; Muscle Length
• Additional Relevant MeSH Terms: Pathologic Processes; Disease; Syndrome
• Other Study ID Numbers: REC/RCR&AHS/24/0117

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No