Post Isometric Relaxation Versus Post Facilitation Stretch Techniques in Chronic Low Back Pain
NCT ID: NCT07026045
Last Updated: 2025-06-18
Study Results
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Basic Information
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RECRUITING
NA
42 participants
INTERVENTIONAL
2025-05-01
2025-09-28
Brief Summary
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Detailed Description
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Compared to other diseases, it is the primary cause of medical consultations, affects quality of life and performance at work, and occurs in a proportion that is similar in all cultures and ethnicities. Over 20% of people globally suffer from chronic LBP, and 24-80% of individuals experience a relapse during the first year. The prevalence of chronic low back pain (CLBP) in Pakistan is a significant health concern. A national survey conducted in 2021 found that 18% of individuals experiencing chronic pain reported low back pain as their primary complaint. This survey, involving 4,801 participants, highlighted the substantial impact of CLBP on daily life and the need for better pain management and awareness among patients (Journal of the Medical Association).
Management of CLBP typically involves a combination of pharmacological and non-pharmacological treatments. Pharmacological interventions include nonsteroidal anti-inflammatory drugs (NSAIDs), muscle relaxants, and analgesics to manage pain and inflammation. In some cases, antidepressants and anticonvulsants are prescribed for their pain-modulating effects. Non-pharmacological approaches are crucial for improving mobility and function. Physical therapy, including exercise programs designed to strengthen core muscles and improve flexibility, plays a vital role in rehabilitation. Manual therapy techniques, such as spinal manipulation and massage, and cognitive-behavioral therapy (CBT) to address the psychological aspects of chronic pain are also important. Lifestyle modifications, such as weight management, ergonomic adjustments, and activity modifications, are essential components of a comprehensive treatment plan.
Chronic low back pain (CLBP) is a prevalent and serious problem that affects millions of people, disrupting their daily activities and quality of life. To manage this condition effectively, strategies that reduce pain, improve movement, and lessen disability are needed. Post Isometric Relaxation (PIR) and Post Facilitation Stretch (PFS) are two techniques that can help with these goals. This study aims to compare the effects of PIR and PFS on pain, mobility, and disability in patients with CLBP. By finding out which method is more effective, clinicians can choose better treatments, improve patient outcomes, create better treatment guidelines, and enhance the quality of life for those suffering from chronic low back pain. This approach can also help lower healthcare costs by reducing the need for more invasive treatments and long-term medication use.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
DOUBLE
Study Groups
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Group A
Post isometric relaxation (Lewit,s)
Post isometric relaxation (Lewit,s)
Post-isometric relaxation technique for the erector spinae, Iliopsoas, Quadratus Lumborum
Group B
Post facilitation stretch (Janda's technique)
Post-Facilitation Stretch Technique (Janda's technique)
Post-Facilitation Stretch Technique for the erector spinae, Iliopsoas, Quadratus Lumborum
Interventions
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Post isometric relaxation (Lewit,s)
Post-isometric relaxation technique for the erector spinae, Iliopsoas, Quadratus Lumborum
Post-Facilitation Stretch Technique (Janda's technique)
Post-Facilitation Stretch Technique for the erector spinae, Iliopsoas, Quadratus Lumborum
Eligibility Criteria
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Inclusion Criteria
* Both gender
* (LBP) for more than 3 months
* Diagnosis of Chronic Low Back Pain (CLBP)
* Negative SLR, negative faber test, negative lumber quadrant
* Lumber extension test positive, positive scobber test
* Having low back pain below the costal margin and above inferior gluteal folds and suffering from low back pain
* Disability level of more than 14% and less than 50% according to Oswestry questionnaire
* NPRS score of \>3 to ≤7
Exclusion Criteria
* Any neurological symptoms involving Prolapsed Intervertebral Disc, Radiculopathy Back pain with trauma
* History of recent abdominal, back surgeries and pregnancy
18 Years
45 Years
ALL
No
Sponsors
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Riphah International University
OTHER
Responsible Party
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Principal Investigators
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Syed Shakil ur Rehman, PhD
Role: PRINCIPAL_INVESTIGATOR
Riphah International University
Locations
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Riphah Rehabilitation Clinic
Lahore, Punjab Province, Pakistan
Countries
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Central Contacts
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Facility Contacts
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References
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van Tulder MW, Koes BW, Bouter LM. Conservative treatment of acute and chronic nonspecific low back pain. A systematic review of randomized controlled trials of the most common interventions. Spine (Phila Pa 1976). 1997 Sep 15;22(18):2128-56. doi: 10.1097/00007632-199709150-00012.
Amjad MA, Siddiqui AM, Bashir K, Ghafoor AU, Durrani RS. Prevalence of chronic pain in Pakistan - a national survey. J Pak Med Assoc. 2023 Jun;73(6):1217-1220. doi: 10.47391/JPMA.6671.
Koes BW, van Tulder MW, Thomas S. Diagnosis and treatment of low back pain. BMJ. 2006 Jun 17;332(7555):1430-4. doi: 10.1136/bmj.332.7555.1430. No abstract available.
Other Identifiers
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Rao Irfan- REC/RCR&AHS 24/0136
Identifier Type: -
Identifier Source: org_study_id
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