Transverse Friction Massage Versus Instrumented Assisted Soft Tissue Mobilization in Quadratus Lumborum Syndrome

Riphah International University

Status: Completed

Conditions: Quadratus Lumborum Syndrome

Treatments: Other: Instrument assissted soft tissue mobilization(IASTM); Other: Transverse friction massage

Study type: Interventional

Funder types: Other

Identifiers

NCT06858072

REC/RCR &AHS/24/0127

Details and patient eligibility

About

To find effective therapeutic interventions for QLS, a study is being conducted to compare the efficacy of two promising techniques: Transverse Friction Massage (TFM) and Instrument-Assisted Soft Tissue Mobilization (IASTM) . Participants will be randomly assigned to either the TFM or IASTM groups. Outcome measures will be collected before and after the intervention, including pain levels assessed through NPRS, range of motion using inclinometer and posture by measuring leg length discrepancy with tape method.Non probability convenience sampling will be used and 34 partcipants will be randomly allocated in two groups after meeting inclusion criteria.Both groups will receive hotpack for 10-15min.Stretching quadratus lumborum will also be performed with strengthening on the opposite side of affected quadratus lumborum.This methodology provides a solid assessment of the effectiveness of TFM and IASTM for Quadratus Lumborum Syndrome therapy.

Enrollment: 34 patients

Sex: Male

Ages: 18 to 40 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age group between 18-40years
• Males only with target population was office workers
• NPRS>4
• Patients with a positional fault of the pelvis (lateral tilt)
• Patients having chronic LBP for more than six months
• Hyperirritable spot or taut band
• Positive jump sign for trigger points/ Referred pain related to the trigger point area
• Positive Lewis's functional palpation test for QL overactivity
• At least one trigger point in Quadratus lumborum
• Leg length discrepancy due to QL tightness

Exclusion criteria

• Congenital or acquired spinal deformities
• Spinal stenosis or radiculopathy
• Diagnosed disc prolapse
• Rheumatoid arthritis
• Any malignancy
• Recent history of surgery less than three months
• Acute infections

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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34 participants in 2 patient groups

Instrument assisted soft tissue mobilization

Experimental group

Description:

IASTM (Instrument-Assisted Soft Tissue Mobilization) in four specific body areas for four weeks. The quadratus lumborum, posterior fascia, sacrum, hip lateral rotators, and hamstring bilaterally

Treatment:

Other: Instrument assissted soft tissue mobilization(IASTM)

Transverse friction massage

Active Comparator group

Description:

therapist will perform the transverse friction massage using their thumb to apply pressure across the muscle fibers of Quadratus Lumborum

Treatment:

Other: Transverse friction massage