Lordosis, Low Back Pain
Conditions
Brief summary
Institute for Clinical Systems Improvement (ICSI) defines sub-acute low back pain as low back pain lasting between 4 and 12 weeks. There is insufficient evidence regarding the comparative effect of muscle energy technique and myofascial mobilization in the management of sub-acute non-specific low back pain with the tightness of quadratus lumborum and erector spinae muscles
Detailed description
A randomized experimental controlled trial will be carried out to compare the effectiveness of muscle energy technique and myofascial mobilization in the management of sub-acute non-specific low back pain. A total of 60 male and female volunteers having subjects with sub-acute nonspecific low back pain will be recruited in this study. Subjects will be assessed at baseline for pain and disability using Visual Analogue Scale and Ronald Morris Disability Questionnaire (RMDQ 0-24) respectively. After baseline assessment, all subjects will be allocated to two groups through computer-generated random sampling. Group 1 will perform Muscle energy technique combined with conventional exercise; Group 2 will receive Myofascial Mobilization combined with conventional exercise. This study will be conducted at the Physiotherapy Department of Sindh Institute of Physical Medicine and Rehabilitation (SIPM&R). Data will be analyzed using SPSS 21 and ANCOVA technique will be used in this study.
Interventions
OTHERPhysiotherapy
Conventional treatment consisted of Transcutaneous Electrical Nerve Stimulation and Progressive Back Strengthening Exercise
OTHERMuscle Energy technique
Muscle Energy Technique (MET) is a technique that was developed in 1948 by Fred Mitchell, Sr, D.O\[1\]. It is a form of manual therapy, widely used in Osteopathy, that uses a muscle's own energy in the form of gentle isometric contractions to relax the muscles via autogenic or reciprocal inhibition and lengthen the muscle.
OTHERMyofacial mobilization
It is a type of gentle, constant massage that releases tightness and pain throughout your myofascial tissues
Sponsors
Dow University of Health Sciences
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
30 Years to 55 Years
Healthy volunteers
No
Inclusion criteria
* Sub-acute low back pain with the range of 7 to 12 weeks of unresolved symptoms. * Positive test of tight Erector spinae muscle and Tight Quadratus Lumboram muscle
Exclusion criteria
* Spinal malignancy * Spinal fracture * Spine foraminal stenosis * Nerve root compression * Radicular symptoms * Sciatica * Cord compression * Paralysis * Muscular dystrophy * Myelopathy * Seizure disorder * Severe trauma * Unexplained weight loss
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visual Analogue Scale | Change from baseline pain intensity at 4 weeks | The visual analogue scale is used for measurement of pain intensity. It is a continuous scale. It comprises a horizontal or vertical 10 centimeters or 100 millimeters line. The participant is asked to indicate a point of pain intensity by placing a line perpendicular to the Visual analogue scale line. The scale is most commonly referred by no pain with score of 0 and worst imaginable pain with score of 100 on the scale. The higher scores shows higher pain intensity and lower scores shows lower pain intensity. |
| Rolland Morris Disability Questionnaire | Change from baseline functional disability at 4 weeks | It is a standard questionnaire with questions regarding pain and the disabling effect on daily activities. Its score ranges from 0 to 24 (no disability to maximum disability) |
Countries
Pakistan
Outcome results
None listed