Effect of Thoracic Mobilization in Females With Coccydynia

Not Applicable

Recruiting

• Conditions: Coccyx Disorder
• Interventions: Other: Thoracic Sustained Natural Apophyseal Glides; Other: Muscle Energy Techniques

• Registration Number: NCT05969769
• Lead Sponsor: Riphah International University

Brief Summary

Coccydynia is common and prevalent among the females and several types of exercises and electrotherapy are advised. Pain can reduced significantly with both short wave diathermy and muscles stretches. There is limited evidence on indirect method like thoracic mobilization techniques to improve coccydynia. This study will determine the effects of thoracic mobilization techniques on coccydynia.

Detailed Description

Coccydynia, refers to pain in the coccyx region. it can be caused by various factor including trauma or injury (such as falls or child birth ), repetitive strain, prolong sitting on hard surface, or even idiopathic reasons. Treatment options for Coccydynia may include conservative measures, such as pain medication, using cushion or donut-shaped pillows to relieve pressure, applying heat or cold packs, and avoiding activities that's exacerbate the pain. Physical therapy including exercises such as stretching, Muscle Energy Technique (MET) can also be beneficial in some cases. Thoracic manual therapy, which involves hands-on techniques applied to the thoracic spine, can indeed be beneficial for improving spine mobility. While it may not directly target the coccyx itself, improving overall spinal mobility can have indirect effects on coccyx pain and dysfunction.

Study Timeline

• Study First Submitted: 2023-07-23
• Study First Submitted QC: 2023-07-23
• Status Verified: 2023-08
• Study Start: 2023-08-01
• Study First Posted: 2023-08-01
• Last Update Submitted: 2023-08-18
• Last Update Posted: 2023-08-22
• Primary Completion: 2024-01-01
• Study Completion: 2024-02-01

Recruitment & Eligibility

• Status: RECRUITING
• Sex: Female
• Target Recruitment: 44

Inclusion Criteria

• Diagnosed females coccydynia patients.

Exclusion Criteria

• Pregnancy
• 6 Months past Surgery, fracture or dislocation of coccyx.
• Malignancy or cyst in the pelvic area.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Experimental Group	Thoracic Sustained Natural Apophyseal Glides	Sustained Natural Apophyseal Glides will be performed with Muscle Energy Technique and Short Wave Diathermy as experimental group.
Control Group	Muscle Energy Techniques	Short wave diathermy will be given with Muscle Energy Techniques.

Primary Outcome Measures

Name	Time	Method
Numeric Pain Rating Scale	8th Week	Changes from the baseline Numeric Pain Rating Scale will be used to assess pain. • The Numeric Pain Rating Scale is an eleven-point measure of pain: the patient rates pain from 0 (no pain) to 10 (worst imaginable pain). The NPRS has shown good responsiveness in shoulder pain.
Modified OSWESTRY Low Back pain Index	8th Week	Changes from the baseline ODI is a disease specific disability measure is used to establish a level of disability stage on a patient activity status and monitor change over the time. The ODI is made up of 10 questions. Each question is scored from (o-5) m

Trial Locations

Locations (1)

Rahman Medical Hospital; 🇵🇰 Peshawar, KPK, Pakistan