Musculoskeletal Diseases
Conditions
Interventions
Active release technique
Chiropractic manipulation and Active release technique
not applicable
Sponsors
University of Johannesburg Health Science Ethics Committee
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: To be included in the study, potential participants must meet the following criteria: Present with chronic mechanical low back pain for more than 3 months with pain reported anywhere from the lower margin of the rib cage to the lower gluteal fold which may occur with or without referral into the lower extremity. Active trigger points identified in the gluteus medius muscle upon flat palpation with the following diagnostic criteria: The presence of a hyper-irritable taut band within the gluteus medius muscle, palpation tenderness or an involuntary contraction of the muscle in response to flat palpation, a characteristic referral pain presenting medial towards the sacrum, superiorly along the iliac crest and throughout the buttock with pressure application to the gluteus medius muscle. Did not participate in activities or have an occupation that included vigorous activity that may perpetuate or aggravate the existing problem. Male or female participants between ages of 18-40 years old to exclude any degenerative diseases that may alter the study results. Have an initial pain score of at least 3/10 on the Visual Analogue Scale (VAS). On examination, it must be confirmed, using Gillet’s motion palpation technique that the participants have a restricted sacroiliac joint .
Exclusion criteria
Exclusion criteria: Potential participants are excluded if : Participants present with a possibility of a serious spinal or pathologic disorder that may alter the study results. Participants have a history of spinal surgery. Participants who present with contra-indications to chiropractic manipulative therapy of the sacroiliac joint as determined by history taking, physical examination and lumbar spine regional examination. Participants who have received any form of treatment to the lumbar spine, including the sacroiliac joint or active gluteus medius trigger points in the last three months, prior to the study, including manual therapy such as massage, physiotherapy and medications such as analgesics, muscle relaxants or non-steroidal anti-inflammatory drugs. Participants who present with contra-indications to soft tissue therapies such as active release technique.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Possible outcomes of this study could show an additive effect of active release technique of the gluteus medius muscle with chiropractic manipulation of the sacroiliac joint and if they are as effective as each other in the treatment for the relief of symptoms caused by chronic mechanical low back pain. | — |
Secondary
| Measure | Time frame |
|---|---|
| If both treatments are as effective as each other in the treatment for the relief of symptoms caused by chronic mechanical low back pain. | — |
Countries
South Africa
Contacts
Public ContactChris Yelverton
Head of department
Outcome results
None listed