Effects of Sub Occipital Muscle Inhibition Technique on Hamstring Flexibility in Post-laminectomy Patients

NCT06584682 | Completed DMC

• 1 other identifier: REC 01935 Safia Gul
• Study Type: interventional
• Target: 38
• Locations: 1 country
• Sites: 1

Brief Summary

to find out the effects of sub-occipital muscle inhibition technique in combination with upper cervical spine exercises on hamstring muscle flexibility in post-laminectomy patients.

Conditions

Hamstring Tightness

Keywords

Sub-occipital muscle inhibition technique; cervical traction; muscle energy technique

Outcome Measures

Primary Outcomes (3)

• Active knee extension test

  Patient is supine, unaffected limb on support surface and the examined limb elevated so that hip in 90 degree of flexion and knee to extended position perpendicular to ground. A lag of 20 degrees is considered normal from full extension, less than 20 degrees is considered as hamstring muscle tightness

  two weeks

• Numeric pain rating scale

  The NPRS is a self-reported, or clinician administered, measurement tool consisting of a numerical point scale with extreme anchors of 'no pain' to 'extreme pain'. The scale is typically set up on a horizontal or vertical line, ranges most commonly from 0-10 or 0-100, and can be administered in written or verbal form.

  two weeks

• Modified Oswestry disability index

  The Oswestry Disability Index (aka the Oswestry Low Back Pain Disability Questionnaire) is an extremely important tool that researchers and disability evaluators use to measure a patient's permanent functional disability. There are 10 questions, for each question there is a possible 5 points; 0 for the first answer, 1 for the second answer, etc.

  two weeks

Study Arms (2)

Sub-occipital muscle inhibition technique

EXPERIMENTAL

Therapist puts finger pads just beneath the superior nuchal line (below the occiput and above the C2 vertebra), and lifts the patient head slightly and apply an anterior force with cephalic traction on cervical spine this area. Then straighten the fingers to press the finger tips into muscle and hold until relaxation(30 sec) and then drop the head into palm in new position, give this technique in 10 rep/2 sets (each set have 5 repetitions).hot packs for 15 minutes prior to session, cervical muscle stretching,cervical mechanical traction for 8-10 minutes, force is applied 1/6th of the patient body weight, for C1-C2 at 0 degree of cervical flexion and for below C2 at 20 degree of cervical spine flexion. and cervical muscle Muscle Energy Techniques.

Other: Sub-occipital muscle inhibition technique

conventional therapy

OTHER

stretching of hamstring muscle, METs, sciatic nerve glides, lower limb neurodynamic.

Other: conventional therapy

Interventions

Sub-occipital muscle inhibition technique OTHER

Therapist puts finger pads just beneath the superior nuchal line (below the occiput and above the C2 vertebra), and lifts the patient head slightly and apply an anterior force with cephalic traction on cervical spine this area. Then straighten the fingers to press the finger tips into muscle and hold until relaxation(30 sec) and then drop the head into palm in new position, give this technique in 10 rep/2 sets (each set have 5 repetitions).hot packs for 15 minutes prior to session, cervical muscle stretching,cervical mechanical traction for 8-10 minutes, force is applied 1/6th of the patient body weight, for C1-C2 at 0 degree of cervical flexion and for below C2 at 20 degree of cervical spine flexion and cervical muscle METs

Sub-occipital muscle inhibition technique

conventional therapy OTHER

stretching of hamstring muscle, METs, sciatic nerve glides, lower limb neurodynamics.

conventional therapy

Eligibility Criteria

• Age: 35 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Hamstring muscle tightness, (AKE \< 80) or (more than 20 degree lag in knee extension).
• Back of the thigh pain.
• Prior laminectomy surgical procedure at lumber spine.
• Patients who are willing to participate.

You may not qualify if:

• Prior femur and back related fracture,
• Bilateral lower limb pain,
• Any systemic issue.
• Visual hamstring swelling.
• Individual with cervical ligaments instability and migraine.
• Unable to understand the consent form,
• Patients who are not willing to participate in procedure

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Health and wellness rehabilitation center

Swābi, KPK, Pakistan

Location

Study Officials

• maria Khalid, MSOMPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 2, 2024
• First Posted: September 5, 2024
• Study Start: August 1, 2024
• Primary Completion: December 2, 2024
• Study Completion: January 10, 2025
• Last Updated: February 21, 2025

Record last verified: 2025-02

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)