Efficacy of Muscle Energy Techniques in the Treatment of Chronic Non-specific Low Back Pain

NCT ID: NCT05939024

Last Updated: 2023-08-16

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 100 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-02-01
• Study Completion Date: 2023-07-31

Brief Summary

Chronic Non-Specific Low Back Pain is characterized as a tension, soreness and stiffness. Various studies, defined MET as a manual medicine treatment procedure that involves the voluntary contraction of the subject's muscle in a precisely controlled direction, at varying levels of intensity, against a distinctly executed counterforce applied by the therapist.

Detailed Description

Chronic Non-specific LBP is located in region below lower costal margins and above inferior gluteal margins with or without any referred pain in legs, an essentially non-attributable to any specific cause. It may lasting for more than 7-12 months and affect individual over a long period of time once in a lifetime at least. METs is useful in increasing extensibility and range of motion of various joints and provides good results in the patients with back pain. These techniques are used as the treatment of weakened muscles, restricted joints, reducing pain reliving muscle tension & spasm, & increased strength of the muscle. MET is a verstile, safe, gentle technique traditionally used to address muscular strain, PAIN, local edema and joint dysfunction. It was reported that post isometric relaxation is considered a highly effective therapy for back dysfunction patients.

Conditions

Low Back Pain, Mechanical

Study Design

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

Study Groups

Conventional Physical Therapy (CPT) Group

Patients in this group will receive Conventional Physical therapy only, which includes hot pack, TENS, Ultrasonic, stretching and strengthening exercises.

Group Type: ACTIVE_COMPARATOR

Conventional Physical Therapy

Intervention Type: OTHER

Conventional Physical Therapy consists of hot pack, TENS, Ultrasonic along with stretching and exercises of back musculature.

Muscle Energy Technique plus Conventional Physical Therapy Group

In this group, Post Isometric Relaxation of the Muscle Energy Techniques will be applied to the Spinal Stabilizers and Mechanoreceptors in addition to Conventional Physical Therapy.

Group Type: EXPERIMENTAL

Muscle Energy Technique plus Conventional Physical Therapy

Intervention Type: OTHER

Post-Isometric Relaxation of the Muscle Energy Techniques will be applied to Spinal Stabilizers and Mechanoreceptors. Hold time will be 7 seconds with 5 seconds rest between two performance x 3 times /session. Whereas, Conventional Physical Therapy consists of hot pack, TENS, Ultrasonic along with stretching and exercises of back musculature.

Interventions

Muscle Energy Technique plus Conventional Physical Therapy

Post-Isometric Relaxation of the Muscle Energy Techniques will be applied to Spinal Stabilizers and Mechanoreceptors. Hold time will be 7 seconds with 5 seconds rest between two performance x 3 times /session. Whereas, Conventional Physical Therapy consists of hot pack, TENS, Ultrasonic along with stretching and exercises of back musculature.

Intervention Type: OTHER

Conventional Physical Therapy

Conventional Physical Therapy consists of hot pack, TENS, Ultrasonic along with stretching and exercises of back musculature.

Intervention Type: OTHER

Other Intervention Names

Post-Isometric Relaxation Technique plus Conventional Physical Therapy

Eligibility Criteria

Inclusion Criteria

1. Age: 18 - 45 years

2. Gender : both genders

3. Low Back Pain of more than 3 months duration

4. ODI Score between 20-80%

5. BMI: 25-29 Kg/m2

6. VAS: Initial Pain Score > 3

7. Pain Localized to Lower Lumbar Region

8. Decreased Lumbar ROM

Exclusion Criteria

1. Red Flag Signs of Low Back Pain (Metabolic Bone Disease, Malignancy, Cardiovascular Disorder, Pregnancy)

2. Patient with Paraesthesia or Numbness

3. Disturbed Reflexes (Hypo/Hyper Reflexia)

4. Motor Weakness

5. H/O Low Back Surgery

6. H/O Recent Trauma < 2 Months

7. H/O Rheumatoid Arthritis, Osteoporosis and Fracture

8. Joint hyper mobility.

9. Psychological Mental Disorders

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 45 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

University of Lahore

OTHER

Sponsor Role: lead

Responsible Party

Ayesha Jamil

Assistant Professor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Prof. Dr Ashfaq Ahmed, PhD

Role: STUDY_CHAIR

University of Lahore

Rashid Hafeez Nasir, M. Phil

Role: PRINCIPAL_INVESTIGATOR

University of Lahore

Locations

The University of Lahore

Lahore, Punjab Province, Pakistan

Countries

Pakistan

Other Identifiers

Rashid

Identifier Type: -

Identifier Source: org_study_id