Integrated Neuromuscular Inhibition Versus Instrument Assisted Soft Tissue Mobilization in Chronic Back Pain

Cairo University (CU)

Status: Not yet enrolling

Conditions: Chronic Non Specific Low Back Pain

Treatments: Other: Experimental: Group B :Instrument assissted soft tissue mobilization; Other: Experimental: Group A: integrated neuromuscular inhibition technique; Other: control group C conventional physical therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT06116058

P.T.REC/012/004714

Details and patient eligibility

About

this study will be conducted to identify the difference between the effect of integrated neuromuscular inhibition technique and instrument assisted soft tissue mobilization on back pain, pain threshold, back rang of motion ,back proprioception and back disability in chronic non specific low back pain

Enrollment: 45 estimated patients

Sex: All

Ages: 18 to 30 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• 1. The patient's age ranged from 18 to 30 years.(Geogre et al, 2021) 2. Patients with low back pain for more than 3 months (pain felt between T12 and the gluteal fold).

  2. Patient with chronic low back pain 4. Normal body mass index from 18 -25kg/m2.

Exclusion criteria

• The subjects will be excluded if they have any of the followings:

  1. Lumbar discogenic lesions or any inflammatory arthritis, tumors, infection involving the lumbar spine.
  2. Patients with decreased range of motion secondary to congenital anomalies, muscular contracture, or bony block.
  3. Previous lumbar or hip surgery or trauma.
  4. Any hip structural abnormality such as malformations, impingements and degeneration.
  5. Patients With cognitive impairments that would limit their participation

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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45 participants in 3 patient groups

Group A: integrated neuromuscular inhibition technique

Experimental group

Description:

Group A: patient will receive integrated neuromuscular inhibition technique and conventional physical therapy program for 3 sessions /week over 4 weeks periods

Treatment:

Other: Experimental: Group A: integrated neuromuscular inhibition technique

Group B :Instrument assissted soft tissue mobilization

Experimental group

Description:

Group B : patient will receive Instrument assissted soft tissue mobilization technique and conventional physical therapy program for 3 sessions /week over 4 weeks periods

Treatment:

Other: Experimental: Group B :Instrument assissted soft tissue mobilization

Group C:conventional physical therapy

Active Comparator group

Description:

Group C: patient will receive conventional physical therapy only in the form of ( stretch for hamstring ,illiopoaps ,low back muscle and strenghtning for abdominal ,back muscles and side support exercise and quadriped exercise)

Treatment:

Other: control group C conventional physical therapy