Myofascial Release and Mobilization With Impulse Technique Torsion in Low Back Pain

Universidad de Almeria

Status and phase: Completed; Phase 1

Conditions: Chronic Disease; Low Back Pain

Treatments: Other: Mobilization with impulse technique.; Other: Myofascial Soft Tissue Release

Study type: Interventional

Funder types: Other

Identifiers

NCT02065531

UAL-021

Details and patient eligibility

About

The purpose of the current randomized clinical trial was to compare the effectiveness of myofascial soft tissue release versus mobilization with impulse technique torsion (anterior) on pain, disability, and kinesiophobia in individuals with chronic non-specific low back pain.

Full description

Design: Randomized Clinical Trial. Objective: to determine the effects of myofascial soft tissue release versus mobilization with impulse technique torsion (anterior) on pain, disability and kinesiophobia in individuals with chronic non-specific low back pain.

Methods and Measures: sixty-four individuals will be randomly assigned to one of two groups.

Intervention: For 12-week, the group 1 will undergo treatment comprising a myofascial soft tissue release protocol (1/week) and the group 2 will receive a mobilization with impulse technique torsion (anterior) (1/week).

Main Outcome Measures: Intensity of pain, disability, fear of movement, isometric endurance of trunk flexor muscles and lumbar mobility in flexion data will be collected at baseline, and 24hr after the last manual therapy application. Mixed-model analyses of variance will be used to examine the effects of the treatment on each outcome measure.

Enrollment: 64 patients

Sex: All

Ages: 18 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Score ≥4 on the Roland Morris Disability Questionnaire
• Inability to achieve lumbar muscle flexion-relaxation in trunk flexion
• Low back pain for ≥3 months
• Not undergoing another physical therapy treatment

Exclusion criteria

• Disease of the central or peripheral nervous system
• Having previously undergone spinal manipulative therapy
• Contraindication to low back thrust manipulation
• A history of spinal surgery
• Treatment with corticosteroid in the past two weeks
• Clinical signs of radiculopathy
• Presence of lumbar stenosis
• Diagnosis of spondylolisthesis

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Single Group Assignment

Masking: Single Blind

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64 participants in 2 patient groups

Myofascial Soft Tissue Release

Experimental group

Description:

Protocol: Transverse Plane-Level Clavicular Release. Diaphragmatic Transverse Plane Release. Square the Lumbar Fascia Release. Gluteal Fascia Release. Hint Of Pubic Region Release. Fascia Psoas Release. Lumbo-sacral Decompression. Pelvic Floor Release.

Treatment:

Other: Myofascial Soft Tissue Release

Mobilization with impulse technique

Active Comparator group

Description:

Subject in lateral decubitus with extension and lower limb traction contact the couch with contralateral lower limb was performed triple flexion and left trunk rotation. This technique reduces the slack (tension joints) of the ventral pelvis, head and into the contralateral side of the sacrum support (base) with the forearm.

Treatment:

Other: Mobilization with impulse technique.