Effect of Strain Counter Strain Technique in Treatment of Lower Back Myofascial Pain Syndrome

NCT ID: NCT06138860

Last Updated: 2024-03-05

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 30 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-12-01
• Study Completion Date: 2024-02-29

Brief Summary

This study aims to investigate the impact of impact of strain counterstrain technique on pain, lumbar range of motion and functional impairment in patients with lower back Myofascial pain syndrome.

Detailed Description

Myofascial Pain Syndrome (MPS) is a prevalent form of musculoskeletal pain that impedes everyday activities and reduces productivity.Those who experience difficulties with regional pain frequently report myofascial pain. According to statistics, between 85% and 93% of patients who attend specialized pain treatment facilities and between 21% and 30% of people with regional pain who visit a general medical clinic also have it.Trigger points, which are hyperirritable tender spots in palpably tense bands of skeletal muscles, are what define it. These spots can cause referred pain patterns, painfully limited range of motion, stiffness, muscle fatigue, and autonomic dysfunction.

Numerous clinical therapies as well as training regimens have been developed to combat trigger points. Strain counterstrain technique (SCS), is one of several manual methods for trigger points, which is a passive method that opens shortened tissues and reduces musculoskeletal pain. It may be possible to activate the Golgi tendon organ, which relaxes tense and tight muscles, by positioning shortened and painful tissues in a comfortable way, which would result in a reduction in the sensitivity of the trigger point.

Hence, the purpose of this study is to ascertain how SCS affects pain, ROM, and functional disability in individuals suffering from lower back myofascial pain syndrome.

Conditions

Lower Back Myofascial Pain Syndrome

Study Design

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

Study Groups

strain counter strain technique

the patients will receive strain counter strain technique plus physical therapy exercises three times a week for four weeks

Group Type: EXPERIMENTAL

strain counter strain technique

Intervention Type: OTHER

It will be done in accordance with the technique principles in which the therapist will locate trigger point, and then find a position of comfort or mobile point (at least a 70% decrease in tenderness),monitored the tender point, holding the position o f comfort for 90 seconds, It will be conducted three times per session, for twelve sessions three times per week every other day over the course of a month.

physical therapy exercises

Intervention Type: OTHER

Physical therapy exercises for twelve sessions, three times a week, over the course of a month.

Exercises will include:

stretching exercises for the hamstring, calf muscles, and back muscles.

strengthening exercises for back muscles and abdominal muscles.

physical therapy exercises

the patients will receive physical therapy exercise three times a week for four week

Group Type: ACTIVE_COMPARATOR

physical therapy exercises

Intervention Type: OTHER

Physical therapy exercises for twelve sessions, three times a week, over the course of a month.

Exercises will include:

stretching exercises for the hamstring, calf muscles, and back muscles.

strengthening exercises for back muscles and abdominal muscles.

Interventions

strain counter strain technique

It will be done in accordance with the technique principles in which the therapist will locate trigger point, and then find a position of comfort or mobile point (at least a 70% decrease in tenderness),monitored the tender point, holding the position o f comfort for 90 seconds, It will be conducted three times per session, for twelve sessions three times per week every other day over the course of a month.

Intervention Type: OTHER

physical therapy exercises

Physical therapy exercises for twelve sessions, three times a week, over the course of a month.

Exercises will include:

stretching exercises for the hamstring, calf muscles, and back muscles.

strengthening exercises for back muscles and abdominal muscles.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

1. The patients age from 20 to 40 years for both genders.

2. Patients (office worker) with mechanical back pain for 3 months ago and has not been diagnose as a specific disease or spinal abnormality.

3. Patients suffering from active MTrPS in lower back muscle.

4. According to the Oswestry Low Back Pain Disability Questionnaire, patients suffered moderate disability care (20-40%).

5. Patients capable of doing ROM assessment of Lumbar Spine (flexion, extension, as well as side binding) within the limit of pain.

Exclusion Criteria

1. Neurological, systemic illness and infectious diseases such as rheumatologic diseases, tumor.

2. Psychiatric/mental deficit.

3. Patients who had a previous surgical history (within 6 months) were also excluded prior to the baseline assessment.

4. Vertebral compression fracture

5. Pregnancy and lactation.

6. Existing lower limb symptoms.

7. Activity intolerance due to cardiopulmonary disease.

• Minimum Eligible Age: 20 Years
• Maximum Eligible Age: 40 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

King Khalid University

OTHER

Sponsor Role: collaborator

Cairo University

OTHER

Sponsor Role: lead

Responsible Party

Doaa Ayoub Elimy Mohammed

Lecturer of physical therapy for basic science department., faculty of physical Therapy

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Ghada MR Koura, Ass. prof

Role: STUDY_DIRECTOR

King Khalid University, Saudi Arabia

Locations

Ghada Mohamed Rashad Koura

Abhā, , Saudi Arabia

Countries

Saudi Arabia

Other Identifiers

ECM#2023-1101; HAPO-06-B-001

Identifier Type: -

Identifier Source: org_study_id