Effects of Diaphragmatic and Iliopsoas Myofascial Release in Patients With Chronic Low Back Pain

NCT ID: NCT04415021

Last Updated: 2022-05-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

42 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-02-01

Study Completion Date

2021-01-06

Brief Summary

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The aim of this study is to effectively investigate the relaxation of the diaphragm and iliopsoas muscle with myofascial technique in patients with chronic low back pain.

Detailed Description

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Low back pain is a common health problem that can be seen as a symptom and symptom of many diseases in the clinic.

Myofascial release technique is thought to be effective in patients with chronic low back pain. Therefore, when the literature is examined, it has been observed that the myofascial release technique has studies on pain, range of motion, functionality, muscle stiffness and shortness.

This study will be performed on patients with a total of 42 low back pain. The cases will be divided into 2 groups of 21 people by simple random sampling.

Group 1 (control) will be used with sham diaphragm and iliopsoas muscle myofascial release technique and traditional physiotherapy method.

The second group (experiment) will apply the diaphragm and the myofascial release technique of the iliopsoas muscle and the traditional physiotherapy method.

Patients will be treated for 4 weeks. Traditional physiotherapy method will be applied a total of 20 sessions 5 days a week. A total of 12 sessions will be performed, with the myofascial release technique of the diaphragm and iliopsoas muscle applied 3 days a week.

The study focuses on the analysis of the following variables:

Pain : Numerical Pain Scale

Joint Range of Motion: Goniometer

Flexibility: Tape Measure

Pulmonary Function Test: Spirometer

Anxiety and Depression: Beck Depression inventory

Kinesiophobia: Tampa Kinesiophobia Scale

Disability: Roland-Morris Disability Questionnaire

The results of these pre-intervention and post-intervention variables will be compared between the two groups .

Conditions

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Low Back Pain, Recurrent

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Diaphragmatic and İliopsoas Myofascial Release Techniques

Subjects in this arm will receive different myofascial release techniques aimed to relaxation the myofascial tension of the diaphragmatic and iliopsoas muscles.

Group Type EXPERIMENTAL

Experimental: Diaphragmatic and İliopsoas Myofascial Release Techniques

Intervention Type OTHER

Subjects in this arm will receive different myofascial release techniques aimed to relaxation the myofascial tension of the diaphragmatic and iliopsoas muscles.

Sham Myofascial Release Techniques

Subjects in this arm will receive the same manual techniques of the diaphragmatic and iliopsoas myofascial release group, but without the myofascial stimulus.

Group Type SHAM_COMPARATOR

Sham Comparator: Sham Myofascial Release Techniques

Intervention Type OTHER

Subjects in this arm will receive the same manual techniques of the diaphragmatic and iliopsoas myofascial release group, but without the myofascial stimulus.

Interventions

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Experimental: Diaphragmatic and İliopsoas Myofascial Release Techniques

Subjects in this arm will receive different myofascial release techniques aimed to relaxation the myofascial tension of the diaphragmatic and iliopsoas muscles.

Intervention Type OTHER

Sham Comparator: Sham Myofascial Release Techniques

Subjects in this arm will receive the same manual techniques of the diaphragmatic and iliopsoas myofascial release group, but without the myofascial stimulus.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patients with chronic low back pain diagnosed by the physician between the ages of 20-50
* Both genders
* People who have low back pain for 3 months or more
* Persons who have not received physical therapy application for the past 6 months, who have not used analgesics and non-streoids
* Volunteer patients

Exclusion Criteria

* Having had surgery for the lumbar region or had a surgical diagnosis
* Spondylolisthesis and inflammatory symptoms in the spine
* Pregnant patients
* Other contraindicated conditions determined by the physician:

1. Those with systemic infections
2. Those with undiagnosed breathing difficulties
3. Those with undiagnosed bowel and bladder problems
Minimum Eligible Age

20 Years

Maximum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Istanbul Medipol University Hospital

OTHER

Sponsor Role collaborator

Ümit SIĞLAN

OTHER

Sponsor Role lead

Responsible Party

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Ümit SIĞLAN

Principal Investigator

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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ÜMİT SIĞLAN

Role: STUDY_CHAIR

İstanbulMUH

Locations

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Istanbul Medipol University Hospital

Istanbul, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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McKenney K, Elder AS, Elder C, Hutchins A. Myofascial release as a treatment for orthopaedic conditions: a systematic review. J Athl Train. 2013 Jul-Aug;48(4):522-7. doi: 10.4085/1062-6050-48.3.17. Epub 2013 Apr 3.

Reference Type RESULT
PMID: 23725488 (View on PubMed)

Ajimsha MS, Al-Mudahka NR, Al-Madzhar JA. Effectiveness of myofascial release: systematic review of randomized controlled trials. J Bodyw Mov Ther. 2015 Jan;19(1):102-12. doi: 10.1016/j.jbmt.2014.06.001. Epub 2014 Jun 13.

Reference Type RESULT
PMID: 25603749 (View on PubMed)

Kolar P, Sulc J, Kyncl M, Sanda J, Cakrt O, Andel R, Kumagai K, Kobesova A. Postural function of the diaphragm in persons with and without chronic low back pain. J Orthop Sports Phys Ther. 2012 Apr;42(4):352-62. doi: 10.2519/jospt.2012.3830. Epub 2011 Dec 21.

Reference Type RESULT
PMID: 22236541 (View on PubMed)

Janssens L, Brumagne S, McConnell AK, Hermans G, Troosters T, Gayan-Ramirez G. Greater diaphragm fatigability in individuals with recurrent low back pain. Respir Physiol Neurobiol. 2013 Aug 15;188(2):119-23. doi: 10.1016/j.resp.2013.05.028. Epub 2013 May 31.

Reference Type RESULT
PMID: 23727158 (View on PubMed)

Gonzalez-Alvarez FJ, Valenza MC, Torres-Sanchez I, Cabrera-Martos I, Rodriguez-Torres J, Castellote-Caballero Y. Effects of diaphragm stretching on posterior chain muscle kinematics and rib cage and abdominal excursion: a randomized controlled trial. Braz J Phys Ther. 2016 Jun 16;20(5):405-411. doi: 10.1590/bjpt-rbf.2014.0169.

Reference Type RESULT
PMID: 27333481 (View on PubMed)

Marizeiro DF, Florencio ACL, Nunes ACL, Campos NG, Lima POP. Immediate effects of diaphragmatic myofascial release on the physical and functional outcomes in sedentary women: A randomized placebo-controlled trial. J Bodyw Mov Ther. 2018 Oct;22(4):924-929. doi: 10.1016/j.jbmt.2017.10.008. Epub 2017 Oct 25.

Reference Type RESULT
PMID: 30368336 (View on PubMed)

Nachemson A. Electromyographic studies on the vertebral portion of the psoas muscle; with special reference to its stabilizing function of the lumbar spine. Acta Orthop Scand. 1966;37(2):177-90. doi: 10.3109/17453676608993277. No abstract available.

Reference Type RESULT
PMID: 5911492 (View on PubMed)

Park RJ, Tsao H, Claus A, Cresswell AG, Hodges PW. Recruitment of discrete regions of the psoas major and quadratus lumborum muscles is changed in specific sitting postures in individuals with recurrent low back pain. J Orthop Sports Phys Ther. 2013 Nov;43(11):833-40. doi: 10.2519/jospt.2013.4840. Epub 2013 Oct 11.

Reference Type RESULT
PMID: 24175597 (View on PubMed)

Avrahami D, Potvin JR. The clinical and biomechanical effects of fascial-muscular lengthening therapy on tight hip flexor patients with and without low back pain. J Can Chiropr Assoc. 2014 Dec;58(4):444-55.

Reference Type RESULT
PMID: 25550670 (View on PubMed)

Stefanidi AV, Skoromets AA, Dukhovnikova IM. [Acute myofascial low back pain as a consequence of functional disorganization between flexors and extensors of the body]. Zh Nevrol Psikhiatr Im S S Korsakova. 2009;109(6):33-7. Russian.

Reference Type RESULT
PMID: 19672224 (View on PubMed)

Savage RA, Whitehouse GH, Roberts N. The relationship between the magnetic resonance imaging appearance of the lumbar spine and low back pain, age and occupation in males. Eur Spine J. 1997;6(2):106-14. doi: 10.1007/BF01358742.

Reference Type RESULT
PMID: 9209878 (View on PubMed)

Siglan U, Colak S. Effects of diaphragmatic and iliopsoas myofascial release in patients with chronic low back pain: A randomized controlled study. J Bodyw Mov Ther. 2023 Jan;33:120-127. doi: 10.1016/j.jbmt.2022.09.029. Epub 2022 Sep 29.

Reference Type DERIVED
PMID: 36775506 (View on PubMed)

Other Identifiers

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10840098-604.01.01-E.1060

Identifier Type: -

Identifier Source: org_study_id

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