Non Specific Low Back Pain
Conditions
Keywords
Muscle Energy Technique, Kinesiotherapy, Range of motion, Non specific low back pain
Brief summary
The study was conducted to determine the comparative effect of muscle energy technique and kinesiotherapy on the patients of non specific low back pain
Interventions
OTHERStandard Physical therapy
Core stability exercises Pelvic tilt exercises This exercise was done by keeping both hands behind the buttocks and pressing on them by flattening the spine and bending the pelvis up slightly, then holding for up to 10 seconds with 20 times of repetitions. Partial curl The patient was in a supine position with knee bent and arms behind the head, the feet slightly away from the buttocks, then patient raise the upper body from the ground approximately 30 to 40 degrees, the abdominal muscles begin to contract, then the upper body was in lower to the ground 3\. Back extension exercise The patient needs to lie in a prone position on a mat with legs straightening with a pronated forearm, then lift the upper back. Hips should be pressed into the mat with the head and neck in a neutral position. Hot pack for 10 mins on low back in prone position.
OTHERMuscle energy technique
The muscle energy techniques which involved isometric contraction of the agonist muscle for 10s. This contraction started just short of the restriction range. After that, the patient was asked to relax for 2-3 s, and then, the examiner stretched the contracted muscle in the opposite direction for 10 s. This was repeated three repetitions for each muscle bilaterally. This technique was applied to the quadratus lumborum, hamstring, and lower back muscles three times per week.
OTHERKinesiotherapy
Kinesiotherapy treatment will be performed using a therapeutic ball therapy kinesiotherapy protocol will perform weekly. For 1º to 4º weeks: stretches in chains Anterior, Posterior and Lateral performed at the beginning and end of the sessions; paravertebral strengthening in isometry; abdominals (straight anterior and oblique) concentric and eccentric, all performed on the therapeutic ball with increasing time and repetitions progressively. For 5º to 8º weeks: stretching exercises were repeated first month, increasing the degree of difficulty. Strengthening exercises have evolved for isotonic (concentric and eccentric) exercises, with increasing degree of difficulty.
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
20 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
Gender both male and female Age 20yr-40yr Prolong sitting hour (greater or equal to 3hr) Pain rating scale 4-6 on NPRS Individuals having localized lumber region pain (L1-L5) ODI score of ≥5 to ≤24 of having mild to moderate disability Negative Lasegue test
Exclusion criteria
* Spine pathology Spine surgery Spinal stenosis Trauma Neurological disorder Psychological issue Systemic disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Oswestry Disability Index (ODI) | From enrollment till the end of treatment at 6 weeks. | Oswestry Disability Index (ODI), English version, was used to assess functional disability; it was a disease specific questionnaire that measures disability associated with low back pain. ODI is divided into 10 questions, which cover various areas of daily living activities and the scores are in percentage, the higher the score, the more disability a person |
| Numeric Pain Rating Scale (NPRS) | From enrollment till the end of treatment at 6 weeks | The intensity of pain was determined by means of Numeric Pain Rating Scale (NPRS), which is a 11-point self-report rating scale with a range of 0 to 10, where 10 is the worst imaginable pain and 0 is no pain. The respondents were requested to assess their present pain at res |
| Inclinometer for ROM | From enrollment till the end of treatment at 6 weeks . | A reflection of lumbar range of motion was established with the help of a handheld inclinometer, which is an objective measure of the spinal movement in degrees of lumbar flexion, lumbar extension, and side bending. |
Countries
Pakistan
Contacts
PRINCIPAL_INVESTIGATORSaba Rafiq
Riphah International University
Outcome results
None listed