Myofascial Release Technique vs Posterior-anterior Glide on Non-specific Low Back Pain

Dow University of Health Sciences

Status: Completed

Conditions: Low Back Pain

Treatments: Other: Myofascial Release Experimental; Other: Posterior-Anterior Glide

Study type: Interventional

Funder types: Other

Identifiers

NCT05167435

Swaniya

Details and patient eligibility

About

The objective of this randomized control trial is to determine the effectiveness of myofascial release in patients with nonspecific low back pain to improve Pain, Disability, and Quality of life This study is being conducted at the Outpatient Physiotherapy department of Sindh Institute of Physical Medicine and Rehabilitation, Karachi (former institute of Dow University of Health Sciences) and Musculoskeletal outpatient department of Dr. Ruth K. M. Pfau, Civil Hospital Karachi among 72 patients with nonspecific back pain on the basis of non-probability purposive sample technique with screening for study criteria through a consultant physician (blinded). After taking informed consent, all participants will be randomly allocated into two groups through a second researcher who is not involved in screening, baseline assessment, and providing intervention. Group 1 will receive myofascial release with generalized low back stretching and thermotherapy and Group 2 will receive Posterior-anterior glide with generalized low back stretching and thermotherapy. A total of 18 sessions will be provided. Outcomes will be assessed at baseline, at the last session, and after 12 weeks of follow-up.

Enrollment: 80 patients

Sex: All

Ages: 18 to 45 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

Nonspecific low back pain > 3 months

8 and 45 years of age

IPMR and civil musculoskeletal outpatient department patients

Without referred leg pain

Exclusion criteria

Any trauma, spinal infection or tumor, spinal fracture, previous spinal surgery, systemic disease, fibromyalgia, cauda equine syndrome, serious chronic disease, specific neurological disease (stroke, MS, and Parkinson's disease)

Uncontrolled diabetes or hypertension

Pregnant females

Spondylolisthesis, spinal stenosis, spondylolysis, ankylosing spondylitis, structural deformity, congenital deformation, disc disease, sacroiliitis, severe structural deformity, scoliosis, active structural deficit, and severe postural abnormality

Acute coronary disease

Asthmatic patients

Any contraindication prescribed for myofascial treatment

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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80 participants in 2 patient groups

Group A (Intervention)

Experimental group

Description:

Myofascial release (Following Cross-hand release techniques of myofascial release in a manner of 2 minutes approach: Cross-Hand Release of Back \[For Thoracolumbar Fascia\] Cross-Hand Release of the Lumbosacral Junction \[L5-S1\] Cross-Hand Release of Lateral low back area \[for quadratus lumborum\]) will be provided with conventional therapy including stretching exercises (Stretching of Latissimus Dorsi \[10 seconds hold, 10 reps, 2 sets\], Quadratus Lumborum Stretching \[10 seconds hold, 3 reps, 1 set bilaterally\], Lower Back Stretching \[10 seconds hold, 10 reps, 2 sets\], Hamstring Stretching \[10 seconds hold, 10 reps, 2 sets bilaterally\], Tensor Fasciae Latae Stretching \[10 sec hold, 10 reps, 2 sets bilaterally\] with duration rest will be of thirty seconds after five minutes) and Thermotherapy will be given for 20 minutes

Treatment:

Other: Myofascial Release Experimental

Group B (Control)

Active Comparator group

Description:

Posterior-anterior glide: Grade 1-4 \[depending on tolerance\] (120 oscillations per minute x 3 sets, Duration of rest between each set: 30 seconds) will be provided with the same conventional therapy as in Group A (Intervention)

Treatment:

Other: Posterior-Anterior Glide