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.
調査の概要
詳細な説明
研究の種類
入学 (推定)
段階
- 適用できない
連絡先と場所
研究連絡先
- 名前:Imran Amjad, PHD*
- 電話番号:03324390125
- メール:imran.amjad@riphah.edu.pk
研究連絡先のバックアップ
- 名前:Imran Amjad, PHD*
- 電話番号:0515481826
- メール:imran.amjad@riphah.edu.pk
研究場所
-
-
Punjab Province
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Lahore、Punjab Province、パキスタン、54000
- 募集
- National Hospital
-
コンタクト:
- Ghulam Fatima, PhD*
- 電話番号:03034073057
-
-
参加基準
適格基準
就学可能な年齢
- 大人
健康ボランティアの受け入れ
説明
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.
研究計画
研究はどのように設計されていますか?
デザインの詳細
- 主な目的:処理
- 割り当て:ランダム化
- 介入モデル:並列代入
- マスキング:独身
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
|
実験的:Group A (Static Stretching)
Group A will perform static stretching exercises targeting the lower limb muscles
|
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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アクティブコンパレータ: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.
|
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.
|
この研究は何を測定していますか?
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
International Restless Legs Syndrome Rating Scale (IRLS-RS)
時間枠:6 weeks
|
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
|
|
Pittsburgh Sleep Quality Index (PSQI)
時間枠:6 weeks
|
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
|
6 weeks
|
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Fatigue Severity Scale (FSS)
時間枠: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.
|
6 weeks
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協力者と研究者
捜査官
- 主任研究者:Fatima Javed, MS*、Riphah International University
出版物と役立つリンク
一般刊行物
- 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.
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (推定)
研究の完了 (推定)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
キーワード
追加の関連 MeSH 用語
その他の研究ID番号
- REC/RCR & AHS/25/0524
個々の参加者データ (IPD) の計画
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