Restless leg Syndrome (RLS) is a common condition in the elderly population,characterized byan uncontrollable urge to move the leg,often occuring in the evening or at night,which can significantly disturb sleep and daily activities(ADL).
Although various type of stretchings found to be effective on the symptoms of RLS,no study has specifically compared the effects of Proprioceptive Neuromuscular Facilitation stretching technique versus conventional physical therapy on the symptoms of RLS and related sleep disturbances.This study aims to fill this gap by evaluating the effectiveness of PNF stretching compared to conventional physical therapy,on the symptoms of RLS in elderly population.
Age 60 and above.
Male & Females both.
must fulfill the diagnostic criteria of primary RLS.
A history or underlying disease that would contribute to the symptoms of RLS.
Parallel
PNF stretching(Contract relax with agonist contraction)
Procedure/Surgery1.Passively dorsiflex the patient's foot then ask to perform active planterflexion against resistance and hold for 7-10 sec then ask patient to perform dorsiflexion to the maximum available range.
Conventional physical therapy
Procedure/SurgeryStatic Stretching:(Seated Calf Stretch With a Resistance Band) 1. Sit on the floor with your legs extended. 2. Loop a resistance band around one foot, holding both sides of it with your hands. 3. Gently pull your toes toward your shin until you feel the stretch in your calf.Repeat on the other side. Isometric Calf Raise: 1. Stand with feet shoulder-width apart and arms at sides. 2. Engage your abs for stability and roll up onto the balls of your feet, lifting both heels off the floor. 3. Hold for 5 seconds, then return to the starting position. Frequency : 5 reps with 5-7Sec hold,3 days per week for 4 weeks (alternatively)
Severity of restless leg syndrome symptoms
International Restless leg syndrome rating scale is 10 item Questionnaire,each question has 0(None) to 4(very severe) grading.Total score is 40,Mild(1-10),Moderate(11-20),Severe(21-30),Very severe(31-40).Participant will be assessed through this scoring system for the severity of RLS symptoms.
Sleep disturbance related to RLS
5 Item questionnaire related to quality of sleep.Higher score indicate higher sleep disturbance.quality of sleep of participant will be assess through this questionnaire.
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