Effects of Instrument Assisted Soft Tissue Mobilization in Patients With Chronic Mechanical Low Back Pain

NCT ID: NCT05709925

Last Updated: 2023-02-02

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-08-11

Study Completion Date

2023-06-30

Brief Summary

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This study is a Randomized Control Trial in which participants aged 18-50 years having diagnosed chronic mechanical low back pain will be recruited into two groups. Group A will be receiving myofascial release using stripping technique whereas, Group B will be receiving Instrument Assisted Soft Tissue Mobilization using long bar tool. Afterwards, post-treatment stretching would be performed in both the groups. Final assessment of pain, range of motion and disability will be done on last treatment session.

Detailed Description

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Low Back Pain is a major cause of disability worldwide, affecting both genders equally at some point in their lives. 95% of low back pain is mechanical in origin which is the pain originating from spine, intervertebral discs and surrounding soft tissue structures. A total of 50 participants will be divided into two groups by coin toss method, based on the eligibility criteria. Baseline assessment of pain using NPRS, range of motion using Gravity-Based Inclinometer and disability using Oswestry Disability Index will be done on 1st session for both the groups. Group A will be receiving moist heat for 10 minutes followed by myofascial release and post-treatment stretching. Whereas, on the other hand, Group B will be receiving moist heat for 10 minutes followed by Instrument Assisted Soft Tissue Mobilization using Graston G6 long bar tool for 5-7 minutes with gentle horizontal stroking at an angle of 45 degrees over lumbar area followed by post-treatment stretching. Total treatment plan will be of 3 weeks, consisting of total 9 sessions, 3 sessions on alternate days. Final assessment will be done for pain, range of motion and disability on last session at 3rd week. Gentle icing would be recommended in case of itching and bruising over the treated area.

Conditions

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Low Back Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Parallel Group Randomized Control Trial
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants
Participants will be unaware of the type of the intervention they would be receiving.

Study Groups

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Group A

Group A will be receiving moist heat for 10 minutes followed by myofascial release through stripping technique to the lumbar region. After that post-treatment stretching would be performed. Total treatment plan would be of 30 minutes, comprising of total 9 sessions (3 weeks), 3 sessions on alternate days

Group Type OTHER

myofascial release

Intervention Type PROCEDURE

myofascial release through stripping technique to the lumbar region.

Group B

Group B will be receiving moist heat for 10 minutes followed by Instrument Assisted Soft Tissue Mobilization using long bar tool for 5-7 minutes with gentle horizontal stroking at an angle of 45 degrees. After that, post treatment stretching consisting of 2-3 sets of 10 repetitions of the targeted muscle group will be performed.Total treatment plan will be of 3 weeks comprising of total 9 sessions, 3 sessions on alternate days.

Group Type EXPERIMENTAL

Instrument Assisted Soft Tissue Mobilization

Intervention Type PROCEDURE

The Graston Technique which is the Instrument Assisted Soft Tissue Mobilization is the use of a firm instrument to break tissue adhesions and mobilize scar tissue thus improving pain, range of motion and disability.

Interventions

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Instrument Assisted Soft Tissue Mobilization

The Graston Technique which is the Instrument Assisted Soft Tissue Mobilization is the use of a firm instrument to break tissue adhesions and mobilize scar tissue thus improving pain, range of motion and disability.

Intervention Type PROCEDURE

myofascial release

myofascial release through stripping technique to the lumbar region.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Individuals aged 18-50 years with diagnosed chronic mechanical low back pain.
* Males and females both.
* Participants having symptoms of duration more than 3 months.
* Numeric Pain Rating Scale (NPRS) score of 5 or more.

Exclusion Criteria

* Patient with a history of recent spinal surgery and related trauma.
* Participants with a history of pregnancy.
* Participants with a history of infection, tumor and spinal fracture.
* Participants with diagnosed Psychiatric Disorder.
Minimum Eligible Age

18 Years

Maximum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Foundation University Islamabad

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Foundation University College of Physical Therapy

Rawalpindi, Punjab Province, Pakistan

Site Status

Countries

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Pakistan

References

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Gul S, Bashir S, Kayani NM, Sabir Z, Qurat-Ul-Ain H. Effects of instrument assisted soft tissue mobilisation in patients with chronic mechanical low back pain----A randomized control trial. J Pak Med Assoc. 2025 Feb;75(2):181-185. doi: 10.47391/JPMA.11511.

Reference Type DERIVED
PMID: 39948773 (View on PubMed)

Other Identifiers

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FUI/CTR/2022/18

Identifier Type: -

Identifier Source: org_study_id

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