Effect Of Different Diaphragmatic Myofascial Release Approaches On Low Back Pain And Quality Of Life Among Young Females With Irritable Bowel Syndrome

NCT ID: NCT06907407

Last Updated: 2025-06-04

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 90 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-04-01
• Study Completion Date: 2025-05-30

Brief Summary

this study will be conducted to investigate the effect of different diaphragmatic myofascial release approaches on low back pain and quality of life among young females with irritable bowel syndrome

Detailed Description

Irritable bowel syndrome (IBS) is a functional gastrointestinal disorder linked to disruptions in autonomic nervous system regulation, gut inflammation, alterations in stool frequency, and visceral hypersensitivity. Irritable bowel syndrome (IBS) is a chronic condition affects 7 to 21% of the general population.The symptoms usually include abdominal cramping, discomfort or pain, bloating, loose or frequent stools and constipation.The diaphragm has a fundamental role in defining posture, its maintenance, and body position changes; dysfunction of the diaphragm is one of the recognized be causes of low back and sacroiliac joint pain. People with low back pain often experience early fatigue of the diaphragm muscle, altered and reduced excursion during respiration, and inadequate proprioceptive activation.

Conditions

Irritable Bowel Syndrome

Study Design

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

Study Groups

Diaphragmatic Myofascial Release

thirty female will receive diaphragmatic breathing exercise, different diaphragmatic myofascial release approaches, visceral mobilization techniques, irritable bowel syndrome medication under supervision of a physician for 50 minutes twice a week for 4 weeks

Group Type: EXPERIMENTAL

Diaphragmatic Myofascial Release

Intervention Type: OTHER

six technique will be applied; 1-Diaphragmatic transverse plane, 2-Anteroposterior equilibrium technique, 3-Supra and infrahyoid fascial induction, 4-Psoas fascial induction,5-Diaphragm stretching technique and 6-Phrenic centre inhibition. diaphragmatic breathing, Mobilization of the ascending colon, descending colon, sigmoid colon, and sphincters (cardiac, pyloric, Oddi, duodenojejunal and ileocecal) with the patient in the supine position, knees flexed, feet supported and abdomen exposed. Contact was made with the region to be treated, leading it in the direction of immobility, with pressure maintained for one minute on each region with intensity based on the sensitivity to tension observed on the feedback of the individual plus medication

irritable bowel syndrome medication

Intervention Type: OTHER

the patients will receive irritable bowel syndrome medication

visceral mobilization techniques

thirty female will receive visceral mobilization techniques and irritable bowel syndrome medication under supervision of a physician for 50 minutes twice a week for 4 weeks

Group Type: EXPERIMENTAL

visceral mobilization techniques

Intervention Type: OTHER

Mobilization of the ascending colon, descending colon, sigmoid colon, and sphincters (cardiac, pyloric, Oddi, duodenojejunal and ileocecal) with the patient in the supine position, knees flexed, feet supported and abdomen exposed. Contact was made with the region to be treated, leading it in the direction of immobility, with pressure maintained for one minute on each region with intensity based on the sensitivity to tension observed on the feedback of the individual plus medication

irritable bowel syndrome medication

Intervention Type: OTHER

the patients will receive irritable bowel syndrome medication

irritable bowel syndrome medication

thirty female will receive irritable bowel syndrome medication under supervision of a physician for 50 minutes twice a week for 4 weeks

Group Type: ACTIVE_COMPARATOR

irritable bowel syndrome medication

Intervention Type: OTHER

the patients will receive irritable bowel syndrome medication

Interventions

Diaphragmatic Myofascial Release

six technique will be applied; 1-Diaphragmatic transverse plane, 2-Anteroposterior equilibrium technique, 3-Supra and infrahyoid fascial induction, 4-Psoas fascial induction,5-Diaphragm stretching technique and 6-Phrenic centre inhibition. diaphragmatic breathing, Mobilization of the ascending colon, descending colon, sigmoid colon, and sphincters (cardiac, pyloric, Oddi, duodenojejunal and ileocecal) with the patient in the supine position, knees flexed, feet supported and abdomen exposed. Contact was made with the region to be treated, leading it in the direction of immobility, with pressure maintained for one minute on each region with intensity based on the sensitivity to tension observed on the feedback of the individual plus medication

Intervention Type: OTHER

visceral mobilization techniques

Mobilization of the ascending colon, descending colon, sigmoid colon, and sphincters (cardiac, pyloric, Oddi, duodenojejunal and ileocecal) with the patient in the supine position, knees flexed, feet supported and abdomen exposed. Contact was made with the region to be treated, leading it in the direction of immobility, with pressure maintained for one minute on each region with intensity based on the sensitivity to tension observed on the feedback of the individual plus medication

Intervention Type: OTHER

irritable bowel syndrome medication

the patients will receive irritable bowel syndrome medication

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Subjects with irritable bowel syndrome
• Young female subjects
• All patients will have low back pain.
• All subjects will be clinically and medically stable when attending the study

Exclusion Criteria

• Lack of attention and cooperation
• History of cancer and any systemic disease
• Pregnancy
• History of any structural gastrointestinal pathology or surgery
• History of repeated inflammatory gastrointestinal pathology
• Diabetes mellitus and lactose intolerance.
• Abuse of laxative
• Depression
• Celiac disease
• Endocrine disorders as hypothyroidism and hyperthyroidism.
• Gastrinoma
• Recent/unhealed rib fracture
• History of any lumbar spine serious pathology ( tumor, infection fracture, osteoporosis , long term use of steroid, rheumatoid arthritis and surgery )

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 30 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: No

Sponsors

Cairo University

OTHER

Sponsor Role: lead

Responsible Party

Noha Hamdy Abd El-Khaleq Teama

principle investigator : noha hamdy abd elkhaleq

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Faculty of physical therapy

Giza, , Egypt

Countries

Egypt

Other Identifiers

P.T.REC/012/003707

Identifier Type: -

Identifier Source: org_study_id