Exercise, Lordosis, Low Back Pain, Lumbar
Conditions
Keywords
Myofascial Release Therapy, Exercise, Low Back Pain, Lumbar, Lordosis
Brief summary
Low back pain is a complex of musculoskeletal disorders or muscular imbalance and one of the most common problems of patients referred to physiotherapy clinics, but still diagnosis and especially the provision of special back pain therapy is a challenge. According to the studies, 84% of the population at least once in a lifetime. Non-specific Lower back pain NSLBP does not have any specific cause and almost 90% of patients experience undiagnosed pathologic LBP. It is multifactorial and has different causes depends on the type of injury. Common etiologies behind NSLBP are muscular weakness, postural instability, fascial restriction, lumbo-pelvic muscle imbalance, change in spinal curvature and abnormal tilting of pelvic.
Detailed description
A randomized controlled trail will be conducted to demonstrate the mutual effects of McGill exercise with and without 3-Dimensional Myofascial release technique on pain, lumbar hyperlordosis LHL and pelvic tilt in patients with NSLBP. Sample size is calculated through Epitool,38 subjects of age 18-55years will be taken. Non-probability convenient sampling will be used to collect data from Riphah rehabilitation clinic Lahore and Private clinical setups of Lahore, by using Numeric pain rating scale (NPRS) for pain, Flexicurve rubber ruler for hyperlordosis, Inclinometer for anterior pelvic tilt from the patients having present complain of LBP without history of traumatic low back injury. A written consent form will be taken from participants meeting inclusion criteria and will be randomly allocated into two groups consisting equal members. One group will receive 3-Dimentional myofascial release with McGill and other group will just receive with McGill exercise. The session will be provided for 40-45minutes, 3 days/week for 6 weeks. All participants will be evaluated at baseline and after 6 weeks. Data will be statistically analyzed by using SPSS Version 29.
Interventions
OTHERMcGill exercise without 3-D MFR
Perform McGill's big 3 core exercises initially 2 sets of 10rep then progress with increasing sets and repetitions. Patient will get total 3 sessions per week of 40- 45minutes for 6 weeks.
OTHERMcGill exercise with 3 D Myofascial Release.
Treatment will include McGill's big 3 core exercises initially 2 sets of 10rep then progress with increasing sets and repetitions. And 3-D Myofascial release stretches, each for 90sec. 1 set of 3rep in every physiotherapy session. Patient will get 3 sessions of 40-45minutes, per week for 6 weeks.
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Intervention model description
Participants received McGill exercise with and without 3-Dimensional Myofascial release technique.
Eligibility
Sex/Gender
ALL
Age
18 Years to 55 Years
Healthy volunteers
Yes
Inclusion criteria
* Pain rate 3-7 on NPRS. * Localized back pain between the 12th rib and the gluteal folds. * Hyperlordotic curvature of lumber spine beyond range 37° to 42°. * No radiating pain or paresthesia during SLR. * No evidence of congenital anomalies. * Diagnosed hyprlordotic lumbar. * Positive special test (mini 2): Thomas test, wall test, The modified Schöber technique test (MST), The fingertip-to-floor test and Straight leg raise test.
Exclusion criteria
* Individual with diagnosed neurological and rheumatologically disorder. * History of abdominal, lumber or sacral spine, recent spinal surgery. * Person on painkillers during last 3 months. * Having history of spinal fracture. * Females in post-partum period or pregnancy. * History of Severe osteoporosis, Tumor. * Severe heart failure or respiratory failure, active drug addiction, active psychiatric pathology. * Intervertebral disc pathology.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Inclinometer: | 8 WEEKS | An inclinometer (or clinometer), is an instrument used for measuring the angles of slope/tilt and elevation/depression of an object with respect to gravity. The average ranges of anterior tilting are 13.0 ± 4.9° degree. The inter-class reliability showed that there was a low 16 reliability of absolute angular error by digital inclinometer (with ICC=0.467 and Pvalue=0.004). |
| Numerical Pain Rating Scale (NPRS): | 8 WEEKS | Tool for the assessment of pain intensity (NPRS) will be used. This scale ranges from 0 to 10, where 0 indicates "no pain" at all and 10 indicates "worst pain". NPRS have shown high test- retest reliability (r = 0.96 and 0.95, respectively). |
| Flexicurve | 8 WEEKS | The Flexicurve (portable flexible rubber ruler) is a non-invasive and inexpensive tool used to perform the quick assessment of spinal curvatures. Therefore, it is some time consider as the valuable instrument to evaluate kyphosis and lordosis in the clinical set-up. According to the literature, it is reliable and valid with 85% Sensitivity and 97% specificity. |
Countries
Pakistan
Contacts
PRINCIPAL_INVESTIGATORFaiza Taufiq
Riphah International University
Outcome results
None listed