Integrated Neuromuscular Inhibition Versus Instrument Assisted Soft Tissue Mobilization in Chronic Back Pain

NCT ID: NCT06116058

Last Updated: 2023-11-03

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: NA
• Total Enrollment: 45 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-11-01
• Study Completion Date: 2024-03-01

Brief Summary

this study will be conducted to identify the difference between the effect of integrated neuromuscular inhibition technique and instrument assisted soft tissue mobilization on back pain, pain threshold, back rang of motion ,back proprioception and back disability in chronic non specific low back pain

Conditions

Chronic Non Specific Low Back Pain

Study Design

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

Study Groups

Group A: integrated neuromuscular inhibition technique

Group A: patient will receive integrated neuromuscular inhibition technique and conventional physical therapy program for 3 sessions /week over 4 weeks periods

Group Type: EXPERIMENTAL

Experimental: Group A: integrated neuromuscular inhibition technique

Intervention Type: OTHER

will receive integrated neuromuscular inhibition in addition to conventional treatment,INIT which included IC, SCS, and MET for the low back region for the quadratus lumborum( QL) and erector spinae (ES) muscles

Group B :Instrument assissted soft tissue mobilization

Group B : patient will receive Instrument assissted soft tissue mobilization technique and conventional physical therapy program for 3 sessions /week over 4 weeks periods

Group Type: EXPERIMENTAL

Experimental: Group B :Instrument assissted soft tissue mobilization

Intervention Type: OTHER

IASTM performed on lumbar posterior muscle erector spinae (iliocostalis, longissimus), and quadratus lumborum(QL) The IASTM treatment was applied for approximately 20-seconds in a direction parallel to the muscle fibers being treated with the instrument at a 45° angle. Followed immediately by treating the muscles in a direction perpendicular to the muscle fibers with the instrument at a 45° angle for an additional 20-seconds, resulting in a total treatment time of approximately 40 seconds.

Group C:conventional physical therapy

Group C: patient will receive conventional physical therapy only in the form of ( stretch for hamstring ,illiopoaps ,low back muscle and strenghtning for abdominal ,back muscles and side support exercise and quadriped exercise)

Group Type: ACTIVE_COMPARATOR

control group C conventional physical therapy

Intervention Type: OTHER

. The control group will applied general exercise. General exercise were applied with stretching exercises and stationary bicycling for 10-15 minutes14, 15) . Three sets of fifteen repetitions will performed, with rest times of 1 minute between sets during 4 weeks.

Interventions

Experimental: Group A: integrated neuromuscular inhibition technique

will receive integrated neuromuscular inhibition in addition to conventional treatment,INIT which included IC, SCS, and MET for the low back region for the quadratus lumborum( QL) and erector spinae (ES) muscles

Intervention Type: OTHER

Experimental: Group B :Instrument assissted soft tissue mobilization

IASTM performed on lumbar posterior muscle erector spinae (iliocostalis, longissimus), and quadratus lumborum(QL) The IASTM treatment was applied for approximately 20-seconds in a direction parallel to the muscle fibers being treated with the instrument at a 45° angle. Followed immediately by treating the muscles in a direction perpendicular to the muscle fibers with the instrument at a 45° angle for an additional 20-seconds, resulting in a total treatment time of approximately 40 seconds.

Intervention Type: OTHER

control group C conventional physical therapy

. The control group will applied general exercise. General exercise were applied with stretching exercises and stationary bicycling for 10-15 minutes14, 15) . Three sets of fifteen repetitions will performed, with rest times of 1 minute between sets during 4 weeks.

Intervention Type: OTHER

Other Intervention Names

technique; instrument; exercise

Eligibility Criteria

Inclusion Criteria

• 1. The patient's age ranged from 18 to 30 years.(Geogre et al, 2021) 2. Patients with low back pain for more than 3 months (pain felt between T12 and the gluteal fold).

3. Patient with chronic low back pain 4. Normal body mass index from 18 -25kg/m2.

Exclusion Criteria

• The subjects will be excluded if they have any of the followings:

1. Lumbar discogenic lesions or any inflammatory arthritis, tumors, infection involving the lumbar spine.

2. Patients with decreased range of motion secondary to congenital anomalies, muscular contracture, or bony block.

3. Previous lumbar or hip surgery or trauma.

4. Any hip structural abnormality such as malformations, impingements and degeneration.

5. Patients With cognitive impairments that would limit their participation

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 30 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Cairo University

OTHER

Sponsor Role: lead

Responsible Party

Heba Salama Mansour Mousa

Principal investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Central Contacts

Heba S mousa, master

Role: CONTACT

salamaheba734@gmail.com

01128524303

heba S mousa

Role: CONTACT

heba.salama@cu.edu.eg

01128524303

Other Identifiers

P.T.REC/012/004714

Identifier Type: -

Identifier Source: org_study_id