Comparison of Post Facilitation Stretch Versus Reciprocal Inhibition in Quadratus Lumborum Syndrome: a Randomized Controlled Trial

Foundation University Islamabad

Status: Enrolling

Conditions: Quadratus Lumborum Syndrome

Treatments: Other: Reciprocal Inhibition; Other: Conventional Physical Therapy; Other: Post Facilitation Stretch

Study type: Interventional

Funder types: Other

Identifiers

NCT06534853

FUI/CTR/2024/22

Details and patient eligibility

About

This study is a randomised control trial and the purpose of this study is to determine the effects Post facilitation stretch versus reciprocal inhibition on pain, lumbar range of motion, apparent leg length discrepancy and lumbar lordotic angle in Quadratus Lumborum Syndrome.

Full description

The purpose of this study is to determine the difference between Post facilitation, stretch versus reciprocal inhibition on pain, lumbar range of motion, apparent leg length discrepancy and lumber lordotic angle in Quadratus Lumborum Syndrome.

The individual of Age 18-35 years among both genders, who experiences pain of 3 ≤ on NPRS from at least 3 months and whose pain decreases on supine lying; along with any two of the following findings positive of quadratus lumborum on physical examination i.e., Taut bands, Local tenderness, Patient's pain recognition, Pain referral to greater trochanter, Local twitch response & Jump sign will be recruited in the study as patients of Quadratus lumborum syndrome.

Pain levels will be assessed using the Numeric Pain Rating Scale (NPRS). Inclinometer will be used for measuring lumber ranges. To assess apparent leg length discrepancy measuring tape will be used. The lumbar lordotic angle will be measured using 60 cm flexible ruler. Participants of interest would be approached and explained about the research. Informed written consent will be taken. It is a non-blinded study and randomization will be done through sealed envelope. Both groups will receive conventional intervention. Additionally, Group A will receive quadratus lumborum post facilitation stretches while Group B will receive Reciprocal inhibition. Baseline and post intervention scores would be recorded for both groups.

Enrollment: 42 estimated patients

Sex: All

Ages: 18 to 35 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age 18-35 years

• Both genders

• Having pain of ≤ 8 on NPRS from at least 3 months

• Pain decreases on supine lying

• Any two of the following findings positive of unilateral quadratus lumborum on physical examination:

  1. Taut bands
  2. Local tenderness
  3. Patient's pain recognition
  4. Pain referral to greater trochanter
  5. Local twitch response

Exclusion criteria

• Painful isometric muscle testing of hip flexors, abductors, adductors, and extensors
• Previous surgery of lower limb
• Centralization/peripheralization
• Lower back trauma
• Positive SLR
• Radiculopathy
• Fracture/surgery of pelvic and/or hip region
• Diagnosed fibromyalgia or other rheumatic diseases.
• Lactating women
• Intrauterine device
• Pregnant women
• Use of psychiatric medications

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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42 participants in 2 patient groups

PFS Group

Experimental group

Description:

Group A along with Post facilitation stretch of quadratus lumborum will a comprehensive therapeutic regimen that includes a 10-minute session of hot pack therapy specifically targeted at the low back region. In addition to this, participants will receive trigger point release therapy to alleviate muscle tension. The treatment plan also incorporates a tailored exercise protocol designed to enhance back health and strength. This protocol includes: 1. Back isometric exercises 2. Bridging exercises 3. Cat and camel stretches 4. Prone press-ups 5. Abductor strengthening exercises

Treatment:

Other: Post Facilitation Stretch

Other: Conventional Physical Therapy

RI Group

Experimental group

Description:

Group B along with Reciprocal inhibition of quadratus lumborum will a comprehensive therapeutic regimen that includes a 10-minute session of hot pack therapy specifically targeted at the low back region. In addition to this, participants will receive trigger point release therapy to alleviate muscle tension. The treatment plan also incorporates a tailored exercise protocol designed to enhance back health and strength. This protocol includes: 1. Back isometric exercises 2. Bridging exercises 3. Cat and camel stretches 4. Prone press-ups 5. Abductor strengthening exercises

Treatment:

Other: Conventional Physical Therapy

Other: Reciprocal Inhibition