Myofascial Release Technique vs Posterior-anterior Glide on Non-specific Low Back Pain
NCT ID: NCT05167435
Last Updated: 2022-03-08
Study Results
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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COMPLETED
NA
80 participants
INTERVENTIONAL
2021-09-15
2021-12-30
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Group A (Intervention)
Myofascial release (Following Cross-hand release techniques of myofascial release in a manner of 2 minutes approach:
Cross-Hand Release of Back \[For Thoracolumbar Fascia\] Cross-Hand Release of the Lumbosacral Junction \[L5-S1\] Cross-Hand Release of Lateral low back area \[for quadratus lumborum\]) will be provided with conventional therapy including stretching exercises (Stretching of Latissimus Dorsi \[10 seconds hold, 10 reps, 2 sets\], Quadratus Lumborum Stretching \[10 seconds hold, 3 reps, 1 set bilaterally\], Lower Back Stretching \[10 seconds hold, 10 reps, 2 sets\], Hamstring Stretching \[10 seconds hold, 10 reps, 2 sets bilaterally\], Tensor Fasciae Latae Stretching \[10 sec hold, 10 reps, 2 sets bilaterally\] with duration rest will be of thirty seconds after five minutes) and Thermotherapy will be given for 20 minutes
Myofascial Release Experimental
Myofascial release is a gentle sustained pressure that elongates fascial adhesions so that tissue can return to proper realignment.
Group B (Control)
Posterior-anterior glide: Grade 1-4 \[depending on tolerance\] (120 oscillations per minute x 3 sets, Duration of rest between each set: 30 seconds) will be provided with the same conventional therapy as in Group A (Intervention)
Posterior-Anterior Glide
Posterior-anterior mobilization is a standard assessment and treatment technique for most clinicians. It is a mobilization technique that involves passive oscillatory movements applied to a vertebral segment in a posteroanterior direction (Back to front).
Interventions
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Myofascial Release Experimental
Myofascial release is a gentle sustained pressure that elongates fascial adhesions so that tissue can return to proper realignment.
Posterior-Anterior Glide
Posterior-anterior mobilization is a standard assessment and treatment technique for most clinicians. It is a mobilization technique that involves passive oscillatory movements applied to a vertebral segment in a posteroanterior direction (Back to front).
Eligibility Criteria
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Inclusion Criteria
8 and 45 years of age
IPMR and civil musculoskeletal outpatient department patients
Without referred leg pain
Exclusion Criteria
Uncontrolled diabetes or hypertension
Pregnant females
Spondylolisthesis, spinal stenosis, spondylolysis, ankylosing spondylitis, structural deformity, congenital deformation, disc disease, sacroiliitis, severe structural deformity, scoliosis, active structural deficit, and severe postural abnormality
Acute coronary disease
Asthmatic patients
Any contraindication prescribed for myofascial treatment
18 Years
45 Years
ALL
No
Sponsors
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Dow University of Health Sciences
OTHER
Responsible Party
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Syeda Waniya Riaz
Syeda Waniya Riaz
Locations
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Dow University of Health Sciences
Karachi, Sindh, Pakistan
Dr. Ruth.K.M.Pfau Civil Hospital
Karachi, Sindh, Pakistan
Sindh Institute o Physical Medicine and Rehabilitation
Karachi, Sindh, Pakistan
Countries
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References
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Hoy D, Brooks P, Blyth F, Buchbinder R. The Epidemiology of low back pain. Best Pract Res Clin Rheumatol. 2010 Dec;24(6):769-81. doi: 10.1016/j.berh.2010.10.002.
Arguisuelas MD, Lison JF, Sanchez-Zuriaga D, Martinez-Hurtado I, Domenech-Fernandez J. Effects of Myofascial Release in Nonspecific Chronic Low Back Pain: A Randomized Clinical Trial. Spine (Phila Pa 1976). 2017 May 1;42(9):627-634. doi: 10.1097/BRS.0000000000001897.
Laimi K, Makila A, Barlund E, Katajapuu N, Oksanen A, Seikkula V, Karppinen J, Saltychev M. Effectiveness of myofascial release in treatment of chronic musculoskeletal pain: a systematic review. Clin Rehabil. 2018 Apr;32(4):440-450. doi: 10.1177/0269215517732820. Epub 2017 Sep 28.
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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.
Yu SH, Sim YH, Kim MH, Bang JH, Son KH, Kim JW, Kim HJ. The effect of abdominal drawing-in exercise and myofascial release on pain, flexibility, and balance of elderly females. J Phys Ther Sci. 2016 Oct;28(10):2812-2815. doi: 10.1589/jpts.28.2812. Epub 2016 Oct 28.
Buchbinder R, Blyth FM, March LM, Brooks P, Woolf AD, Hoy DG. Placing the global burden of low back pain in context. Best Pract Res Clin Rheumatol. 2013 Oct;27(5):575-89. doi: 10.1016/j.berh.2013.10.007. Epub 2013 Oct 12.
Fouquet N, Bodin J, Descatha A, Petit A, Ramond A, Ha C, Roquelaure Y. Prevalence of thoracic spine pain in a surveillance network. Occup Med (Lond). 2015 Mar;65(2):122-5. doi: 10.1093/occmed/kqu151. Epub 2014 Oct 24.
Roland M, Fairbank J. The Roland-Morris Disability Questionnaire and the Oswestry Disability Questionnaire. Spine (Phila Pa 1976). 2000 Dec 15;25(24):3115-24. doi: 10.1097/00007632-200012150-00006. No abstract available.
Dworkin RH, Turk DC, Trudeau JJ, Benson C, Biondi DM, Katz NP, Kim M. Validation of the Short-form McGill Pain Questionnaire-2 (SF-MPQ-2) in acute low back pain. J Pain. 2015 Apr;16(4):357-66. doi: 10.1016/j.jpain.2015.01.012. Epub 2015 Jan 29.
Nadler SF, Weingand K, Kruse RJ. The physiologic basis and clinical applications of cryotherapy and thermotherapy for the pain practitioner. Pain Physician. 2004 Jul;7(3):395-9.
Qaseem A, Wilt TJ, McLean RM, Forciea MA; Clinical Guidelines Committee of the American College of Physicians; Denberg TD, Barry MJ, Boyd C, Chow RD, Fitterman N, Harris RP, Humphrey LL, Vijan S. Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline From the American College of Physicians. Ann Intern Med. 2017 Apr 4;166(7):514-530. doi: 10.7326/M16-2367. Epub 2017 Feb 14.
Baig AAM, Ahmed SI, Ali SS, Rahmani A, Siddiqui F. Role of posterior-anterior vertebral mobilization versus thermotherapy in non specific lower back pain. Pak J Med Sci. 2018 Mar-Apr;34(2):435-439. doi: 10.12669/pjms.342.12402.
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Anderson RU, Wise D, Sawyer T, Glowe P, Orenberg EK. 6-day intensive treatment protocol for refractory chronic prostatitis/chronic pelvic pain syndrome using myofascial release and paradoxical relaxation training. J Urol. 2011 Apr;185(4):1294-9. doi: 10.1016/j.juro.2010.11.076. Epub 2011 Feb 22.
Hodges PW, Danneels L. Changes in Structure and Function of the Back Muscles in Low Back Pain: Different Time Points, Observations, and Mechanisms. J Orthop Sports Phys Ther. 2019 Jun;49(6):464-476. doi: 10.2519/jospt.2019.8827.
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Bae HI, Kim DY, Sung YH. Effects of a static stretch using a load on low back pain patients with shortened tensor fascia lata. J Exerc Rehabil. 2017 Apr 30;13(2):227-231. doi: 10.12965/jer.1734910.455. eCollection 2017 Apr.
Related Links
Access external resources that provide additional context or updates about the study.
Arun B. Effects of myofascial release therapy on pain related disability, quality of sleep and depression in older adults with chronic low back pain. Int J Physiother Res 2014;2(1):318-23.
Duncan R. myofascial release hands-on guides for therapists. 1st ed. Florida, United States of America: Hum Kinet Inc 2014.
Thomas Scioscia M. Back Muscles and Low Back Pain. Spine-health. 2021.
Morán Esquerdo O, Arechabala I. Stretching Exercises Encyclopedia. Maidenhead: Meyer \& Meyer Sport; 2013.
Raza S, Awan WA, Ghauri MW, Mahmood T, Abbas S. Effectiveness of spinal stabilization exercises with and without stretching of Latissimus dorsi Muscle in chronic mechanical low back pain. RMJ. 2020; 45(4): 857-862.
Sauer S, Biancalana M. Trigger point therapy for low back pain. New Harbinger Publications; 2010.
Other Identifiers
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Swaniya
Identifier Type: -
Identifier Source: org_study_id
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