- ICH GCP
- Registro degli studi clinici negli Stati Uniti
- Sperimentazione clinica NCT07642089
Effects of Static Stretching and Strength Training on Antenatal Restless Leg Syndrome
Effects of Statics Stretching With and Without Strength Training on Symptom Severity, Fatigue and Sleep Quality in Antenatal Restless Leg Syndrome
Restless Legs Syndrome (RLS) is a prevalent sensorimotor disorder affecting pregnant women, particularly in the third trimester, and is associated with sleep disturbances, fatigue and reduced quality of life. Non-pharmacological strategies such as stretching and strength training offer promising alternatives during pregnancy. This randomized controlled trial aims to compare the effects of static stretching alone and static stretching combined with strength training on sleep quality, symptom severity and fatigue in antenatal women with RLS.
Thirty pregnant women meeting the diagnostic criteria for RLS will be recruited from National Hospital and medical center and randomly assigned into two groups. Group A will receive static stretching exercises, while Group B will receive static stretching and lower limb strength training exercises for 6 weeks, three sessions per week. Data will be analyzed using SPSS, with a p-value < 0.05 considered statistically significant.
Panoramica dello studio
Stato
Condizioni
Intervento / Trattamento
Descrizione dettagliata
Tipo di studio
Iscrizione (Stimato)
Fase
- Non applicabile
Contatti e Sedi
Contatto studio
- Nome: Imran Amjad, PHD*
- Numero di telefono: 03324390125
- Email: imran.amjad@riphah.edu.pk
Backup dei contatti dello studio
- Nome: Imran Amjad, PHD*
- Numero di telefono: 0515481826
- Email: imran.amjad@riphah.edu.pk
Luoghi di studio
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Punjab Province
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Lahore, Punjab Province, Pakistan, 54000
- Reclutamento
- National Hospital
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Contatto:
- Ghulam Fatima, PhD*
- Numero di telefono: 03034073057
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Criteri di partecipazione
Criteri di ammissibilità
Età idonea allo studio
- Adulto
Accetta volontari sani
Descrizione
Inclusion Criteria:
- Pregnant women aged 18-35 years.
- Gestational age between 24 and 32 weeks.
- Diagnosed with RLS based on the International Restless Legs Syndrome Study Group (IRLSSG) criteria.
- Experiencing sleep disturbances and fatigue related to RLS.
Exclusion Criteria:
- High-risk pregnancies or obstetric complications.
- Pre-existing neurological or musculoskeletal disorders.
- Engagement in regular exercise routines prior to the study.
- Contraindications to exercise as determined by a healthcare provider.
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Trattamento
- Assegnazione: Randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Separare
Armi e interventi
Gruppo di partecipanti / Arm |
Intervento / Trattamento |
|---|---|
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Sperimentale: Group A (Static Stretching)
Group A will perform static stretching exercises targeting the lower limb muscles
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Each session for Group A will begin with a brief warm-up consisting of five minutes of light walking, followed by static stretching of major lower limb muscles including the hamstrings, quadriceps, calf muscles, hip flexors, tibialis anterior, and lower back muscles. The hamstrings can be stretched by sitting or standing forward bends; the quadriceps can be extended by standing from heel to buttocks; and the calf muscles can be stretched by lunging against a wall. Additionally, a kneeling lunge position will be used to stretch the hip flexors, and toe-point or sitting plantarflexion stretches will be used to target the tibialis anterior muscles. The Cat-Cow movement and Child's Pose will help increase lower back flexibility. Each stretch will be held for 20-30 seconds and repeated 2-3 times per muscle group. |
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Comparatore attivo: Group B (Static Stretching + Strength Training)
group B will perform the same static stretching exercises as Group A. along with that they will also engage in strength training exercises using resistance bands focusing on lower limb muscles.
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Group B will receive the same stretching protocol as Group A but will also engage in a structured strength training program targeting the lower limbs.
Each strengthening exercise session will include seated ankle dorsiflexion using resistance bands to activate the tibialis anterior muscle, standing calf raises to strengthen the gastrocnemius and soleus muscles and glute bridges to target the gluteal and hamstring groups.
Additionally, participants will perform wall squats to engage the quadriceps and core muscles in a low-impact manner, and seated leg extensions using resistance bands to strengthen the knee extensors.
Each exercise will be performed in 2-3 sets of 10-12 repetitions, with 30-60 seconds rest between sets.
Resistance bands will be used and progressively upgraded over the weeks based on individual tolerance.
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Cosa sta misurando lo studio?
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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International Restless Legs Syndrome Rating Scale (IRLS-RS)
Lasso di tempo: 6 weeks
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The IRLS-RS is a 10-item self-reported questionnaire developed by the International Restless Legs Syndrome Study Group to assess the severity of RLS symptoms. Each item is rated on a 5-point Likert scale from 0 (no symptoms) to 4 (very severe symptoms), with a total possible score of 40. Scores between 0-10 are classified as mild, 11-20 moderate, 21-30 severe, and 31-40 very severe RLS. The IRLS-RS has demonstrated strong internal consistency (Cronbach's α = 0.81) and interrater reliability (ICC = 0.87), making it suitable for use in antenatal populations. |
6 weeks
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Pittsburgh Sleep Quality Index (PSQI)
Lasso di tempo: 6 weeks
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Sleep quality will be assessed using the Pittsburgh Sleep Quality Index (PSQI), a 19-item questionnaire that measures seven domains of sleep, including sleep latency, duration, efficiency, disturbances, and daytime dysfunction.
The total score ranges from 0 to 21, with scores above 5 indicating poor sleep quality.
The PSQI is widely used in both clinical and research settings and has demonstrated strong psychometric properties, including a Cronbach's alpha of 0.83 and test retest reliability of 0.85.
It is also validated for use in pregnant populations
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6 weeks
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Fatigue Severity Scale (FSS)
Lasso di tempo: 6 weeks
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Fatigue levels will be measured using the Fatigue Severity Scale (FSS), a 9-item instrument assessing the impact of fatigue on daily life.
Each item is scored from 1 (strongly disagree) to 7 (strongly agree), and the final score is the average of all items.
A score of ≥4 indicates clinically significant fatigue.
The FSS has high internal consistency (Cronbach's α ranging from 0.88 to 0.93) and has been validated in various populations, including pregnant and neurological patients.
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6 weeks
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Collaboratori e investigatori
Sponsor
Investigatori
- Investigatore principale: Fatima Javed, MS*, Riphah International University
Pubblicazioni e link utili
Pubblicazioni generali
- Krauthammer C, Klerman GL. Mania secondary to thyroid disease. Lancet. 1979 Apr 14;1(8120):827-8. doi: 10.1016/s0140-6736(79)91348-5. No abstract available.
- Brodsky L, Zuniga J. Nitrous oxide: a psychotogenic agent. Compr Psychiatry. 1975 Mar-Apr;16(2):185-8. doi: 10.1016/0010-440x(75)90065-6. No abstract available.
- Freyschmidt J, Saure D, Hagemann G. [New intensifying screens in clinical radiology. II. Examinations in clinical practice]. Rofo. 1976 Sep;125(3):279-84. doi: 10.1055/s-0029-1230462. German.
- Cuttino JT, Scatliff JH. First year radiology residents: PGI vs. PGII. AJR Am J Roentgenol. 1979 May;132(5):855-6. doi: 10.2214/ajr.132.5.855. No abstract available.
Studiare le date dei record
Studia le date principali
Inizio studio (Effettivo)
Completamento primario (Stimato)
Completamento dello studio (Stimato)
Date di iscrizione allo studio
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Effettivo)
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Termini MeSH pertinenti aggiuntivi
- Malattie del sistema nervoso
- Disordini mentali
- Disturbi del sonno e della veglia
- Disturbi del sonno, intrinseci
- Dissonnie
- Parasonnie
- Disturbi dell'inizio e del mantenimento del sonno
- Sindrome delle gambe agitate
- Attività motoria
- Movimento
- Fenomeni fisiologici muscoloscheletrici
- Fenomeni fisiologici muscoloscheletrici e neurali
- Terapie
- Modalità di terapia fisica
- Cura del paziente
- Terapia di esercizio
- Riabilitazione
- Assistenza post -terapia
- Continuità della cura del paziente
- Condizionamento fisico, umano
- Esercizio
- Allenamento di resistenza
- Esercizi di stretching muscolare
Altri numeri di identificazione dello studio
- REC/RCR & AHS/25/0524
Piano per i dati dei singoli partecipanti (IPD)
Hai intenzione di condividere i dati dei singoli partecipanti (IPD)?
Informazioni su farmaci e dispositivi, documenti di studio
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Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .
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