Low Back Pain
Conditions
Brief summary
This study aims to determine the difference between the effect of kinesiotape and myofascial release in the treatment of postnatal low back pain.
Detailed description
Postpartum back pain may occur in up to 44% of women after childbirth. People who have chronic back pain may have a limited range of motion and/or tenderness upon touch. Therapeutic KT can benefit a wide variety of musculoskeletal and sports injuries, plus inflammatory conditions. According to the Kinesiotape Method Manual, this traction promotes an elevation of the epidermis and reduces pressure on the mechanoreceptors located below the dermis, thereby reducing nociceptive stimuli and low back pain. Myofascial release (MFR) is a treatment that uses gentle pressure and stretching to facilitate the release of fascial restrictions caused by accidents, injury, stress, repetitive use, and traumatic or surgical scarring. Myofascial release is a form of soft tissue therapy used to treat somatic dysfunction and accompanying pain and restriction of motion. This is accomplished by relaxing the contracted muscle, increasing circulation, increasing venous and lymphatic drainage, and stimulating the stretch reflex of muscles and overlying fascia so, reducing low back pain.
Interventions
OTHERKinesiotape
Postnatal women with low back pain will be treated with kinesiotape, three times per week for 4 weeks
OTHERMyofascial release
Postnatal women with low back pain will be treated with myofascial release for 25 minutes three times per week for 4 weeks
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
20 Years to 35 Years
Healthy volunteers
Yes
Inclusion criteria
* Their ages will be ranged from 20 to 35 years old. * Their body mass index (BMI) will not exceed 30 kg/m2. * Women will be postnatal period by 6-8 weeks. * All women will be diagnosed by the physician as postnatal low back pain.
Exclusion criteria
* Spinal fracture or any other neurological disorders. * Lumbar disc herniation or degenerative disc disease * Lumbar spinal stenosis from lumbar disc herniation, degenerative joint disease, or spondylolisthesis * Women with BMI exceed 30 kg/m2. * Patients who have polyneuropathy or other neurological disorders. * Skin disease interferes with kinesiotape or myofascial release application.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain intensity level | 4 weeks | The intensity of postnatal low back pain will be assessed using a visual analogue scale (VAS) for all participants in both groups before and after treatment, which is a method of representing subjects' pain on a 10 cm linear scale. A score of 0 means no pain and 10 means very high degree of pain |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Lumbar flexion range of motion | 4 weeks | The modified Schober test will be used to measure the lumbar flexion range of motion (ROM) by using the tape measurement. Each participant will be asked to stand erect with her feet about shoulder-width apart to stabilize the pelvis. Then, the posterior superior iliac spines(PSIS) will be determined by the therapist's both thumbs, and then an ink line will be drawn along the midline of the lumbar spines horizontal to the PSIS to mark the midpoint between the two PSIS. Then tape will be used to identify and mark two points: one is 10 cm superior to the midpoint (A), and another is 5 cm inferior to the midpoint (B). The participant will be instructed to bend forward as much as she can while keeping both knees straight, the new distance between superior and inferior skin marking will be measured in centimeters. The increased distance along the tape due to lumbar flexion is normally about 6-7 cm (less than 5 cm should be considered abnormal). |
| Lumbar extension range of motion | 4 weeks | The modified Schober test will be used to measure the lumbar extension range of motion (ROM) by using the tape measurement while the patient is in a standing position. The participant will be instructed to put her hands on her buttocks and bend backward into full lumbar extension and the new distance between the superior and inferior skin markings will be measured in centimeters by the tape measurement. The change in the difference between the marks is used to indicate the amount of lumbar extension. The increased distance along the tape due to the extension of the lumbar spine is normally about 2-3 cm (less than 1cm should be considered abnormal). |
| Lumbar lateral flexion range of motion | 4 weeks | The participant will be asked to stand erect with her feet about shoulder-width apart. Both right and left lateral flexion will be measured by the tape as the distance from the tip of the index finger to the floor at maximal comfortable lateral flexion. The participant will be instructed to bend her trunk laterally as much as she can. The normal value of lateral spinal flexion is 16.2-28.0 cm. |
Countries
Egypt
Outcome results
None listed