NCT04745858

Brief Summary

The aim of this research is to find and compare the effect of Bowen's technique and Muscle energy technique on intensity of pain, active knee extension, limited forward bending and active straight leg raise on hamstrings tightness in patients with chronic non-specific low back pain. A randomized control trial is conducting at Railway General Hospital, Rawalpindi and Al-Ain Hospital, Wah Cantt. The sample size is calculated through open epi is 24. The subjects are divided in two groups, 12 subjects in Bowen's technique group and 12 in Muscle energy technique group. Study duration is of 6 months. Sampling technique applied is non-probability convenient sampling for recruitment and group randomization using sealed envelope method. Only 18-35 years individuals of hamstrings tightness with chronic non-specific low back pain are included. Tools used in the study are Numeric pain rating scale (NPRS), Active knee extension, Sit and reach test, Active straight leg raise and Goniometer. Data will be analyzed through SPSS 21.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
24

participants targeted

Target at below P25 for not_applicable low-back-pain

Timeline
Completed

Started Jan 2021

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

January 25, 2021

Completed
10 days until next milestone

First Submitted

Initial submission to the registry

February 4, 2021

Completed
5 days until next milestone

First Posted

Study publicly available on registry

February 9, 2021

Completed
6 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 15, 2021

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 15, 2021

Completed
Last Updated

September 20, 2021

Status Verified

September 1, 2021

Enrollment Period

7 months

First QC Date

February 4, 2021

Last Update Submit

September 17, 2021

Conditions

Low Back Pain

Keywords

physical therapyHamstringflexibilityMuscle Energy Technique

Outcome Measures

Primary Outcomes (4)

  • Popliteal angle measurement (active knee extension test)

    Changes from base line ROM range of motion of popliteal angle or active knee extension are taken with the help of goniometer.

    12th Day

  • NPRS (Numeric Pain rating scale )

    Changes from base Line Numeric Pain rating scale is a scale for pain starting from 0-10. Where 0 indicate no pain and 10 indicate severe pain.

    12th Day

  • Active Straight Leg Raise (SLR)

    Changes from the Baseline ROM range of Motion of Hip flexion are taken with the Help of Goniometer.

    12th Day

  • Sit And Reach Test

    Changes from the Baseline measurement are taken with the help of measuring tape.

    12th Day

Study Arms (2)

Bowen's Technique

EXPERIMENTAL

Sequence of short gentle moves are applied over Hamstrings.Skin slack is taken to lateral side of muscle. The muscle is hooked by the thumbs from its lateral edge. Skin is carried along and thumb is flattened in a medial direction, the muscle plucks under the thumbs. Three alternate sessions per week are be given for 4 weeks. The treatment time for each session is 20 minutes.

Other: Bowen's Technique

Muscle Energy Technique

ACTIVE COMPARATOR

Isometric contraction of hamstrings is performed by the patient being employing 20% of the strength. This contraction is resisted by the practitioner for 7-10 s. A three second relaxation period is given. This technique is repeated for three times. Three alternate sessions per week is given for 4 weeks.

Other: Muscle Energy Technique

Interventions

Bowen's TechniqueOTHER

In Bowen's Technique, sequence of short gentle moves are applied over Hamstrings. Skin slack is taken to the lateral side of muscle. The muscle is hooked by the thumbs from its lateral edge. Skin is carried along and thumb is flattened in a medial direction, the muscle plucks under the thumbs. Three alternate sessions per week are given for 4 weeks. The treatment time for each session is 20 minutes.

Bowen's Technique
Muscle Energy TechniqueOTHER

Isometric contraction of hamstrings is performed by the patient being employing 20% of the strength. This contraction is resisted by the practitioner for 7-10 s. A three second relaxation period is given. This technique is repeated for three times. Three alternate sessions per week is given for 4 weeks.

Muscle Energy Technique

Eligibility Criteria

Age18 Years - 35 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • degrees active knee extension loss with hip in 90 degree flexion.
  • Low back pain from more than 3 months.
  • Minimum of 30° restriction in straight leg raise (SLR).
  • Currently seeking treatment for low back pain.
  • Low back pain radiating above knee.
  • Subjects willing to participate in the study.

You may not qualify if:

  • Fractures of hip and knee.
  • SLR greater than 100 degrees.
  • Nerve lesion of lower limb.
  • Taking medications which may interfere with the results of this study including muscle relaxants.
  • Major surgery scheduled during treatment or follow-up period.
  • Suspected or confirmed spinal pathology (e.g., tumor, infection, fracture, inflammatory disease).

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Railway General Hospital

Rawalpindi, Punjab Province, 44000, Pakistan

Location

Related Publications (10)

  • Srithren NS, Sundaram SS. The Effect of Muscle Energy Technique on Flexibility of Hamstring Muscle in Futsal Players. Malaysian Journal of Movement, Health & Exercise. 2020;9(2).

    BACKGROUND

  • Sailor S, Mehta Y, Shah N, Trivedi A. A comparative study of muscle energy technique and positional release technique on hamstring flexibility in healthy individuals. Journal of Integrated Health Sciences. 2018;6(2):64.

    BACKGROUND

  • Joshi DG, Balthillaya G, Prabhu A. Effect of remote myofascial release on hamstring flexibility in asymptomatic individuals - A randomized clinical trial. J Bodyw Mov Ther. 2018 Jul;22(3):832-837. doi: 10.1016/j.jbmt.2018.01.008. Epub 2018 Feb 17.

    PMID: 30100320BACKGROUND

  • Kage V, Bootwala F, Kudchadkar G. Effect of Bowen Technique versus Muscle Energy Technique on Asymptomatic Subjects with Hamstring Tightness: A Randomized Clinical Trial. International Journal of Medical Research & Health Sciences. 2017;6(4):102-8.

    BACKGROUND

  • Lee K, Lewis GN. Short term relief of multisite chronicpain with Bowen Therapy: A double-blind, randomized controlled trial. J Bodyw Mov Ther. 2020 Oct;24(4):271-279. doi: 10.1016/j.jbmt.2020.06.025. Epub 2020 Jul 30.

    PMID: 33218522BACKGROUND

  • Banerjee SB, Mukhi S. Immediate Effect of Non Ballistic Active Knee Extension in Neural Slump Position Versus Muscle Energy Technique on Hamstring Flexiblity in Young Adults-Comparitive Study. Indian Journal of Physiotherapy & Occupational Therapy. 2020;14(3):245-52.

    BACKGROUND

  • Oliveira CB, Maher CG, Pinto RZ, Traeger AC, Lin CC, Chenot JF, van Tulder M, Koes BW. Clinical practice guidelines for the management of non-specific low back pain in primary care: an updated overview. Eur Spine J. 2018 Nov;27(11):2791-2803. doi: 10.1007/s00586-018-5673-2. Epub 2018 Jul 3.

    PMID: 29971708BACKGROUND

  • Felix GJS, Black L, Rodrigues M, Silva AG. The acute effect of Bowen therapy on pressure pain thresholds and postural sway in healthy subjects. J Bodyw Mov Ther. 2017 Oct;21(4):804-809. doi: 10.1016/j.jbmt.2016.12.008. Epub 2016 Dec 22.

    PMID: 29037631BACKGROUND

  • Ibrahim AA, Akindele MO, Bello B, Kaka B. Translation, Cross-cultural Adaptation, and Psychometric Properties of the Hausa Versions of the Numerical Pain Rating Scale and Global Rating of Change Scale in a Low-literate Population With Chronic Low Back Pain. Spine (Phila Pa 1976). 2020 Apr 15;45(8):E439-E447. doi: 10.1097/BRS.0000000000003306.

    PMID: 31658233BACKGROUND

  • Neto T, Jacobsohn L, Carita AI, Oliveira R. Reliability of the Active-Knee-Extension and Straight-Leg-Raise Tests in Subjects With Flexibility Deficits. J Sport Rehabil. 2015 Dec 3;24(4):2014-0220. doi: 10.1123/jsr.2014-0220. Print 2015 Nov 1.

    PMID: 25364856BACKGROUND

MeSH Terms

Conditions

Low Back Pain

Condition Hierarchy (Ancestors)

Back PainPainNeurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and Symptoms

Study Officials

  • Saira Waqqar, PhD*

    Riphah International University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 4, 2021

First Posted

February 9, 2021

Study Start

January 25, 2021

Primary Completion

August 15, 2021

Study Completion

August 15, 2021

Last Updated

September 20, 2021

Record last verified: 2021-09

Data Sharing

IPD Sharing
Will not share

Locations

PA(1)