Comparison of Positional Release and Manual Pressure Technique in Chronic Low Back Pain

NCT ID: NCT06240949

Last Updated: 2024-02-05

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

RECRUITING

Clinical Phase

NA

Total Enrollment

46 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-11-05

Study Completion Date

2024-02-05

Brief Summary

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The purpose of the study is to compare the effect of positional release technique and manual pressure technique of hip flexors on pain, range of motion, lumbosacral angle and disability in patients with chronic low back pain

Detailed Description

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This will be Randomized clinical trial. Individuals who met inclusion criteria will be included in this study. All participants will go through randomization and divided into two groups. Pre intervention assessment is made for both groups. Then intervention will apply to both groups. Group A will receive positional release technique and Group B will be treated by manual pressure technique and pain, range of motion, lumbosacral angle and functional disability will be measured before and after the treatment using NPRS, Inclinometer and ODI. Estimated time of treatment protocol will be 30 minutes per session, 4 times/week for 4 weeks in the hospital setting. Subjects will be evaluated at baseline and 4th week assessment will be the final.

Conditions

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Chronic Low-back Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Positional release technique

Positional release technique will be applied on iliopsoas muscle.

Group Type EXPERIMENTAL

Positional Release Technique

Intervention Type DEVICE

Positional Release Technique will be applied on iliopsoas muscle. Treatment time will be 30 minutes per session, 4 times/week for 4 weeks in the hospital setting.

Manual pressure technique

Manual pressure technique will be applied on iliopsoas muscle.

Group Type EXPERIMENTAL

Manual Pressure Technique

Intervention Type DEVICE

Manual Pressure Technique will be applied on iliopsoas muscle. Treatment time will be 30 minutes per session, 4 times/week for 4 weeks in the hospital setting.

Interventions

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Positional Release Technique

Positional Release Technique will be applied on iliopsoas muscle. Treatment time will be 30 minutes per session, 4 times/week for 4 weeks in the hospital setting.

Intervention Type DEVICE

Manual Pressure Technique

Manual Pressure Technique will be applied on iliopsoas muscle. Treatment time will be 30 minutes per session, 4 times/week for 4 weeks in the hospital setting.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Males and females
* age group 25 to 40yrs
* Atraumatic chronic low back pain more than 3 months
* Patients with Anterior pelvic tilt
* Patients with lumbosacral angle \> than 50 degrees

Exclusion Criteria

* Pregnancy
* history of vertebral fracture
* History of any spinal surgery
* Disc disease
* Osteoporosis
* Bone disease
* Patient unable to give consent
Minimum Eligible Age

25 Years

Maximum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Riphah International University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Saba Rafique, phD

Role: PRINCIPAL_INVESTIGATOR

Riphah International University, Lahore

Faiza Alzaf

Role: PRINCIPAL_INVESTIGATOR

Riphah International University, Lahore

Locations

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DHQ and tertiary hospitals

Khanewal, , Pakistan

Site Status RECRUITING

Countries

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Pakistan

Central Contacts

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Imran Amjad, phD

Role: CONTACT

03324390125

Facility Contacts

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Faiza Altaf

Role: primary

References

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Juker D, McGill S, Kropf P, Steffen T. Quantitative intramuscular myoelectric activity of lumbar portions of psoas and the abdominal wall during a wide variety of tasks. Med Sci Sports Exerc. 1998 Feb;30(2):301-10. doi: 10.1097/00005768-199802000-00020.

Reference Type BACKGROUND
PMID: 9502361 (View on PubMed)

Avrahami D, Potvin JR. The clinical and biomechanical effects of fascial-muscular lengthening therapy on tight hip flexor patients with and without low back pain. J Can Chiropr Assoc. 2014 Dec;58(4):444-55.

Reference Type BACKGROUND
PMID: 25550670 (View on PubMed)

Aslan H, Buddhadev HH, Suprak DN, San Juan JG. ACUTE EFFECTS OF TWO HIP FLEXOR STRETCHING TECHNIQUES ON KNEE JOINT POSITION SENSE AND BALANCE. Int J Sports Phys Ther. 2018 Aug;13(5):846-859.

Reference Type BACKGROUND
PMID: 30276017 (View on PubMed)

Hoy D, Brooks P, Blyth F, Buchbinder R. The Epidemiology of low back pain. Best Pract Res Clin Rheumatol. 2010 Dec;24(6):769-81. doi: 10.1016/j.berh.2010.10.002.

Reference Type BACKGROUND
PMID: 21665125 (View on PubMed)

Naik Prashant P, Anand H, Khatri Subhash M. Comparison of muscle energy technique and positional release therapy in acute low back pain-RCT. Physiotherapy and Occupational Therapy. 2010;32

Reference Type BACKGROUND

Deyo RA, Von Korff M, Duhrkoop D. Opioids for low back pain. BMJ. 2015 Jan 5;350:g6380. doi: 10.1136/bmj.g6380.

Reference Type BACKGROUND
PMID: 25561513 (View on PubMed)

Gonzalez-Galvez N, Gea-Garcia GM, Marcos-Pardo PJ. Effects of exercise programs on kyphosis and lordosis angle: A systematic review and meta-analysis. PLoS One. 2019 Apr 29;14(4):e0216180. doi: 10.1371/journal.pone.0216180. eCollection 2019.

Reference Type BACKGROUND
PMID: 31034509 (View on PubMed)

Santaguida PL, McGill SM. The psoas major muscle: a three-dimensional geometric study. J Biomech. 1995 Mar;28(3):339-45. doi: 10.1016/0021-9290(94)00064-b.

Reference Type BACKGROUND
PMID: 7730392 (View on PubMed)

Licciardone JC, Kearns CM, Crow WT. Changes in biomechanical dysfunction and low back pain reduction with osteopathic manual treatment: results from the OSTEOPATHIC Trial. Man Ther. 2014 Aug;19(4):324-30. doi: 10.1016/j.math.2014.03.004. Epub 2014 Mar 18.

Reference Type BACKGROUND
PMID: 24704126 (View on PubMed)

Chaitow L. Positional Release Techniques E-Book: Elsevier health sciences; 2007

Reference Type BACKGROUND

Ibraheem EEMAE. Conventional therapy versus positional release technique in the treatment of chronic low back dysfunction. Int J Physiother Res. 2017;5(5):2325-31

Reference Type BACKGROUND

Hanson P, Magnusson SP, Simonsen EB. Differences in sacral angulation and lumbosacral curvature in black and white young men and women. Acta Anat (Basel). 1998;162(4):226-31. doi: 10.1159/000046437.

Reference Type BACKGROUND
PMID: 9831771 (View on PubMed)

Mosner EA, Bryan JM, Stull MA, Shippee R. A comparison of actual and apparent lumbar lordosis in black and white adult females. Spine (Phila Pa 1976). 1989 Mar;14(3):310-4. doi: 10.1097/00007632-198903000-00011.

Reference Type BACKGROUND
PMID: 2711246 (View on PubMed)

Naik MS, Shah DN. Prevalence of tightness in hip joint muscles in middle aged women engaging in prolonged desk job: Descriptive study. Age. 2022;43:6.077908

Reference Type BACKGROUND

AWATEF ML, ALI FAM, SHIMAA T, MAGDA GS. Effect of lumbar hyperlordosis correction on craniovertebral angle in low back pain patients. The Medical Journal of Cairo University. 2020;88(December):2051-7.

Reference Type BACKGROUND

Other Identifiers

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REC/RCR & AHs/23/0168

Identifier Type: -

Identifier Source: org_study_id

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