Immediate Effects of Bowen Technique Versus Dynamic Soft Tissue Mobilization on Hamstrings Tightness in Chronic Non-specific Low Back Pain.

NCT ID: NCT05935163

Last Updated: 2023-07-07

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

42 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-01-01

Study Completion Date

2023-08-01

Brief Summary

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Low back pain (LBP) is leading cause of disability and its burden is growing worldwide with an increasing and ageing of population. Poor flexibility or tightness of hamstring muscle has been associated with low back pain. It is a prominent cause of activity limitations and work absenteeism throughout world. Hence this study was designed to find out superior form of effective technique on active knee extension and experience of pain and disability in chronic nonspecific low back pain.

Detailed Description

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Low back pain (LBP) is leading cause of disability and it is most leading cause of work absenteeism throughout world. Poor flexibility or tightness of hamstring muscle has been associated with low back pain. Hence this study was designed to find out superior form of effective technique on hamstrings tightness and experience of pain and disability in chronic nonspecific low back pain. This study will also assist to set the foundation for further more studies designing magnificent protocols of treatment for affected population.

Conditions

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Hamstring Tightness

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Group A (Coventional treatment with Bowen Therapy)

Group A will be treated with Bowen Technique in addition to conventional treatment. One session, 45 minutes for technique along with conventional treatment will be given. Technique will be performed for 10 minutes on each limb. The data will be collected at baseline and at 4th week. Follow up will be performed for 4 weeks and 3 sessions will be given each week.

Group Type EXPERIMENTAL

Conventional therapy for hamstring tightness

Intervention Type PROCEDURE

Conventional Physical therapy will include TENS , hot pack , Hamstring self stretch , Calf self stretching , bridging exercise , piriformis stretch , prone on hands and prone on elbows.

Bowen Technique

Intervention Type PROCEDURE

Bowen Technique:

1. The patient will assume a full prone-lying position on the plinth.
2. Sequence of short gentle moves will be applied over hamstrings. Firstly, the thumbs will be placed on top of the hamstrings muscle and the tightness is assessed.
3. Then, the muscle will be hooked by the thumbs from its lateral edge. Then, gentle pressure will be applied to the point of resistance to challenge the muscle in medial direction, as the thumbs will be flattened in medial direction, the muscle will pluck under the thumbs.
4. First with the thumbs, then will be followed by the fingers. Often, the hands are placed with a distance of inch of space between the thumbs and fingers so that the hands performed the technique on the muscle easily.
5. The whole procedure will be repeated again. The treatment time for each session will be 20 minutes for each side.

Group B (Conventional treatment with DSTM)

Group B will be treated with Dynamic Soft Tissue Mobilizations (DSTM) in addition to conventional treatment. One session, 45 minutes for technique along with conventional treatment will be given. Technique will be performed for 10 minutes on each limb. The data will be collected at baseline and at 4th week. Follow up will be performed for 4 weeks and 3 sessions will be given each week.

Group Type ACTIVE_COMPARATOR

Conventional therapy for hamstring tightness

Intervention Type PROCEDURE

Conventional Physical therapy will include TENS , hot pack , Hamstring self stretch , Calf self stretching , bridging exercise , piriformis stretch , prone on hands and prone on elbows.

Dynamic Soft Tissue Mobilization (DSTM):

Intervention Type PROCEDURE

1. To access the hamstring muscle group, the subject will be asked to attain prone position and deep longitudinal strokes will be applied to the entire muscle group. Once the specific area of hamstring muscle tightness will be located, the remaining treatment will be limited to this target area.
2. To execute the dynamic intervention, the subject will be requested to move in the supine position with the hip and knee flexed to 90 degree.
3. Deep longitudinal strokes will be applied in a distal to proximal direction to the area of hamstring tightness and the leg will be passively moved to knee extension. Five strokes will be applied and 20 seconds of shaking is performed at the completion of this technique.
4. This treatment will be given for 20 minutes on each side.

Interventions

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Conventional therapy for hamstring tightness

Conventional Physical therapy will include TENS , hot pack , Hamstring self stretch , Calf self stretching , bridging exercise , piriformis stretch , prone on hands and prone on elbows.

Intervention Type PROCEDURE

Bowen Technique

Bowen Technique:

1. The patient will assume a full prone-lying position on the plinth.
2. Sequence of short gentle moves will be applied over hamstrings. Firstly, the thumbs will be placed on top of the hamstrings muscle and the tightness is assessed.
3. Then, the muscle will be hooked by the thumbs from its lateral edge. Then, gentle pressure will be applied to the point of resistance to challenge the muscle in medial direction, as the thumbs will be flattened in medial direction, the muscle will pluck under the thumbs.
4. First with the thumbs, then will be followed by the fingers. Often, the hands are placed with a distance of inch of space between the thumbs and fingers so that the hands performed the technique on the muscle easily.
5. The whole procedure will be repeated again. The treatment time for each session will be 20 minutes for each side.

Intervention Type PROCEDURE

Dynamic Soft Tissue Mobilization (DSTM):

1. To access the hamstring muscle group, the subject will be asked to attain prone position and deep longitudinal strokes will be applied to the entire muscle group. Once the specific area of hamstring muscle tightness will be located, the remaining treatment will be limited to this target area.
2. To execute the dynamic intervention, the subject will be requested to move in the supine position with the hip and knee flexed to 90 degree.
3. Deep longitudinal strokes will be applied in a distal to proximal direction to the area of hamstring tightness and the leg will be passively moved to knee extension. Five strokes will be applied and 20 seconds of shaking is performed at the completion of this technique.
4. This treatment will be given for 20 minutes on each side.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* The patients aged 18-45 years will be included in the study.
* Patients with chronic low back pain (more than 3 months) will be included.
* Both genders.
* 20 to 40 degrees active knee extension loss with hip in 90 degree flexion
* Pain Intensity (moderate to severe) NPRS (4-6 intensity)

Exclusion Criteria

* Individuals who were receiving treatment for their pain with another(medical treatment) at the same time
* Patients who had undergone vertebral column surgery (less than three months before the time of this study).
* Patients with the infection, neoplasms, metastasis, rheumatoid arthritis, fractures or inflammatory processes were excluded.
* Dislocations of lower limb
* Hypermobility of lower limb joint
* Hamstrings injuries
* Nerve lesions of lower limb
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 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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Fauji Foundation Hospital Department of Rehabilitation

Rawalpindi, Punjab Province, Pakistan

Site Status RECRUITING

Countries

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Pakistan

Central Contacts

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Maryam Tariq, MS MSKPT

Role: CONTACT

+923165360826

Saba Murad

Role: CONTACT

+923478669827

Facility Contacts

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Dr Naureen Tassadaq, MBBS, FCPS

Role: primary

Other Identifiers

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FUI/CTR/2023/10

Identifier Type: -

Identifier Source: org_study_id

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