The Effects of Myofascial Release Technique

Ahi Evran University Education and Research Hospital

Status: Completed

Conditions: Elderly; Exercise; Low Back Pain

Treatments: Other: Core Stability Exercise plus Myofascial Release Technique Group; Other: Core Stability Exercise

Study type: Interventional

Funder types: Other

Identifiers

NCT03898089

2019100

Details and patient eligibility

About

This study is designed as a single blind randomized controlled trial. Thirty-six elderly with non-specific low back pain (NSLBP) will be recruited. The participants will randomly divided two parallel groups as control and intervention. Traditional physiotherapy methods will be applied to all participants. Traditional physiotherapy will include heat modality (a hot pack for 15 minutes), electrotherapy (transcutaneous electrical nerve stimulation (TENS), a 50 Hz conventional TENS with a pulse duration <150 microseconds). For the control group, core stability exercise will be applied 3 days/week, 6 weeks. For the intervention group, in addition to the core stabilization exercises myofascial relaxation technique will be performed with roller massager ((Thera-Band; The Hygenic Corporation, Akron, OH) 3 days/week, 6 weeks. The myofascial relaxation technique will be performed along the superficial back line. To the best of our knowledge, there is no randomized controlled study investigating the effect of the myofascial release technique combined with core stabilization in elderly with NSLBP. This study aimed to investigate the myofascial release technique combined with core stabilization exercise in elderly with NSLBP.

Full description

Low back pain is a symptom that is an important health problem throughout the world. Non-specific low back pain (NSLBP) is the most widespread form of the low back pain. The NSLBP is called low back pain without recognisable specific underlying pathology. The lifetime prevalence of low back pain is up to 84%. The prevalence and burden the low back pain of increases with aging.

The use of various methods of non-pharmacological and non-invasive especially exercise, mobilization, and manipulation in low back pain. Core stability exercise is a common exercise modality in the treatment of low back pain. Core stability exercises improve trunk strength and low back disability in elderly with NSLBP. However, the studies have showed that decreasing strength in the deep muscles (such as the transverse abdominis and multifidus) is accompanied by increased activation in the superficial muscles (such as the erector spina) in patients with low back pain. Therefore, myofascial release technique on superficial muscles can be effective in NSLBP.

To the best of our knowledge, there is no randomized controlled study investigating the effect of the myofascial release technique combined with core stabilization in elderly with NSLBP. Therefore, this study aimed to investigate the myofascial release technique combined with core stabilization exercise in elderly with NSLBP.

Enrollment: 36 patients

Sex: All

Ages: 65 to 84 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Ongoing low back pain for at least 3 months
• Having no neurological, rheumatological or musculoskeletal problems
• Standardized Mini-Mental State score greater than or equal to 24 points

Exclusion criteria

• Low back pain originating from various pathologies
• Presence of cord compression,
• Radiculopathy,
• Osteoporosis or osteopenia (t score>-1),
• Long-term use of anticoagulant or corticosteroid drugs,
• Patients who had received any treatment for their low back pain.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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36 participants in 2 patient groups

Core Exercise Group

Other group

Description:

The participants in the core stability exercise group will be included in a treatment program for 3 days per week for 6 weeks.

Treatment:

Other: Core Stability Exercise

Core Exercise plus Myofascial Relaxation Group

Experimental group

Description:

In addition to the core stabilization exercises myofascial relaxation technique will be performed with roller massager (Theraband®, The Hygenic Corporation, Akron, OH.) for 3 days per week for 6 weeks.

Treatment:

Other: Core Stability Exercise plus Myofascial Release Technique Group