Muscle Energy Technique Versus Back Stretching Among Non-specific Low Back Pain-subacute

NCT ID: NCT05360121

Last Updated: 2022-05-04

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: NA
• Total Enrollment: 60 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2021-09-15
• Study Completion Date: 2022-04-30

Brief Summary

This study will highlight LBP management using MET and stretching application among subacute type of back pain

Detailed Description

This study will explore effects of two approaches , out of two MET has not been used in clinical practice more often, therefore this study will explore its physiological impact among back pain

Conditions

Low Back Pain

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Muscle energy technique+ Thermotherapy +Back Strengthening exercise

Group Type: EXPERIMENTAL

Muscle energy technique of erector spinae muscle

Intervention Type: OTHER

Therapist will develop cross hand position left hand on lower thoracic and right hand on sacrum. Patient will asked to lift shoulder out of couch to contract the lumber erector spinae and apply force twenty percent against therapist force and keep this position of muscle contraction 7 to 10 seconds then 5 second relax .

Then therapist will take new position of muscle restriction by slacking and will hold 30 second that position at the end of restriction then will finally end stretch with three repetition. Muscle energy technique of erector spinae muscle.

Muscle energy technique of quadratus lumborum muscle

Intervention Type: OTHER

Therapist will take step over the patient off leg and squeezes gently with their thigh. Patient will abduct leg with 20 percent force against the resistance of therapists thigh for 7 to 10 second. the therapist gently and passively will move patient leg towards adduction by squatting down slowly. Therapist at same time with both hands cradling the iliac crest of pelvic for 30 second stretch and 3 repetition.

Back strengthening exercises

Intervention Type: OTHER

1. Supine Abdominal Draw In

2. Supine Butt Lift with Arms at Side

3. Abdominal Draw In with Heel Slide

4. Abdominal Draw In with Knee to Chest

5. Abdominal Draw In with feet on the ball

6. Abdominal Draw In with feet on the ball- add movement

Thermotherapy

Intervention Type: OTHER

Ten minute duration of hot pack given on low back for local superficial heat.

General stretching+ Thermotherapy +Back Strengthening exercise

Group Type: ACTIVE_COMPARATOR

Stretching of erector spinae muscle

Intervention Type: OTHER

The therapist standing on the side in a way to place his elbow placed on erector spine and apply stretching on the muscle belly in the direction of longitudinal or transverse plane( figure 1).Duration of stretch will be 15 seconds and four repetition.

Stretching of quadratus lumborum muscle

Intervention Type: OTHER

Placing patient's legs to one side of the table and upper body also move to the same side in lateral flexion. This position generate a basic gentle stretch of the muscle. The therapist use elbow on tight/ flat part of muscle belly to stretch out the muscle(figure 2). Duration of stretch will be 15 seconds and four repetition

Back strengthening exercises

Intervention Type: OTHER

1. Supine Abdominal Draw In

2. Supine Butt Lift with Arms at Side

3. Abdominal Draw In with Heel Slide

4. Abdominal Draw In with Knee to Chest

5. Abdominal Draw In with feet on the ball

6. Abdominal Draw In with feet on the ball- add movement

Thermotherapy

Intervention Type: OTHER

Ten minute duration of hot pack given on low back for local superficial heat.

Interventions

Muscle energy technique of erector spinae muscle

Therapist will develop cross hand position left hand on lower thoracic and right hand on sacrum. Patient will asked to lift shoulder out of couch to contract the lumber erector spinae and apply force twenty percent against therapist force and keep this position of muscle contraction 7 to 10 seconds then 5 second relax .

Then therapist will take new position of muscle restriction by slacking and will hold 30 second that position at the end of restriction then will finally end stretch with three repetition. Muscle energy technique of erector spinae muscle.

Intervention Type: OTHER

Muscle energy technique of quadratus lumborum muscle

Therapist will take step over the patient off leg and squeezes gently with their thigh. Patient will abduct leg with 20 percent force against the resistance of therapists thigh for 7 to 10 second. the therapist gently and passively will move patient leg towards adduction by squatting down slowly. Therapist at same time with both hands cradling the iliac crest of pelvic for 30 second stretch and 3 repetition.

Intervention Type: OTHER

Stretching of erector spinae muscle

The therapist standing on the side in a way to place his elbow placed on erector spine and apply stretching on the muscle belly in the direction of longitudinal or transverse plane( figure 1).Duration of stretch will be 15 seconds and four repetition.

Intervention Type: OTHER

Stretching of quadratus lumborum muscle

Placing patient's legs to one side of the table and upper body also move to the same side in lateral flexion. This position generate a basic gentle stretch of the muscle. The therapist use elbow on tight/ flat part of muscle belly to stretch out the muscle(figure 2). Duration of stretch will be 15 seconds and four repetition

Intervention Type: OTHER

Back strengthening exercises

1. Supine Abdominal Draw In

2. Supine Butt Lift with Arms at Side

3. Abdominal Draw In with Heel Slide

4. Abdominal Draw In with Knee to Chest

5. Abdominal Draw In with feet on the ball

6. Abdominal Draw In with feet on the ball- add movement

Intervention Type: OTHER

Thermotherapy

Ten minute duration of hot pack given on low back for local superficial heat.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• low back pain (subacute)

• VAS score( more than 3 cm)
• Quadratus lumborum and erector spinae tightness present

Exclusion Criteria

• back pain (specific)

• Minimum Eligible Age: 20 Years
• Maximum Eligible Age: 45 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Dow University of Health Sciences

OTHER

Sponsor Role: lead

Responsible Party

Abdul Rehman

Principal Investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Sindh Institute of physical medicine and rehabilitation

Karachi, Sindh, Pakistan

Site Status: RECRUITING

Countries

Pakistan

Facility Contacts

Saeed Akhter, MSPT

Role: primary

saeed787@hotmail.com

+923312049179

Other Identifiers

ARehman

Identifier Type: -

Identifier Source: org_study_id