Back Pain
Conditions
Keywords
Back ache, Manual therapy, Soft tissue techniques
Brief summary
Recommended treatment for chronic non-specific LBP is exercise therapy, behavioral therapy including pain management, or a combination of these; There is not enough evidence to establish recommendations for which one is the most appropriate. The primary objective of this study is to explore the effects of Ilio-psoas Release on Sub-acute back pain, ROM & functional disability
Detailed description
Following the screening, participants will be randomized to receive the experimental or the controlled treatment in a1:1 ratio. Computer-generated random numbers will be used for Randomization. After obtaining the basic information, a unique code will be provided to each included patient. The outcome assessor will be blinded to the type of treatment. Patients and investigator could not be blinded due to the nature of treatment. Group A (experimental group) will receive Positional Release Technique on Painful Iliopsoas(Both if Necessary) Group B (control group) will receive conventional physical therapy treatment consisting of hot pack, TENS, Ultra Sound along with back strengthening exercises. All patients will be Assessed for Pain , ROM and Functional Activities before and after treatment sessions. Visual Analogue Scale(VAS) and Modified Schober Test will be used for pain and ROM respectively. Roland-Morris Questionnaire (RMQ) will be used for functional activities.
Interventions
OTHERIliopsoas Positional release therapy
Group A(Iliopsoas Positional release group) Patient supine, with both hips are fully extended .Find a Tender point in Iliopsoas muscle, at the initiation of pain Passively try combination of flexion Adduction/Abduction medial or lateral rotation at hip joint and stop where pain start to diminished. Hold this position of relief for 30 seconds until minimum of 75% of relief is achieved. Apply three times, than passively take lower limb in extension. Administered on both limbs.
OTHERConventional exercises
Group B (conventional Physical therapy) For Ultra sonic therapy Patient prone lying, Aqua-sonic gel is applied to lumbosacral area and ultrasonic head is moved in circular motion. For TENS Electrodes are placed in crossed pattern, Paravertebral at L1 and L5 (Box Pattern)with circuit crossing at L3 and current is applied for 10 minutes, Hot pack which is kept in hydro-collateral at 70°C and 75°C is, wrapped in several towel layers, applied for 10 minutes.
Sponsors
Sindh Institute of Physical Medicine and Rehabilitation
University of Karachi
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
* Sub-acute (pain for \> 1.5 month) * Age 18-40 years * Willing to participate * Both gender will be recruited.
Exclusion criteria
* Any history related to spinal surgery * Previous administration of epidural injections * LBP due to specific pathology * Neurological deficits (like stroke) * Clinical disorder contraindicated to exercise
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| VAS Visual Analogue Scale VAS Visual Analogue Scale | Baseline and After Four weeks of Treatment | 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 higher scores shows higher pain intensity and lower scores shows lower pain intensity. |
| Modified Schober's test | Baseline and After Four weeks of Treatment | It is used during physical examination to assess the lumbar range of movement. It is highly co-related with lumbar range of movement measured through radiograph. Higher score reflect better range of motion of Spine. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Roland-Morris Disability Questionnaire | Baseline and After Four weeks of Treatment | The Roland-Morris is a 24-item self-report questionnaire about how low-back pain affects functional activities.0 Score means No disability and score 24 means severe disability. Each question is worth one point so scores can range from 0 (no disability) to 24 (severe disability).Reduction in score shows Improvement |
Countries
Pakistan
Outcome results
None listed