Fascial-muscular Lengthening Therapy in the Patients With Chronic Low Back Pain.

NCT04760366 | Completed DMC

• 1 other identifier: REC/00766 Najia Zainab
• Study Type: interventional
• Target: 76
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to assess and evaluate tight iliopsoas muscle in patients with chronic low back pain and to increase hip flexor flexibility in the patients with chronic low back pain by using the technique of manual fascial-muscular lengthening therapy .

Conditions

Chronic Low Back Pain

Keywords

FMLT; Chronic LWP; ROM; ODI; NPRS

Outcome Measures

Primary Outcomes (3)

• Numeric Pain Rating Scale (NPRS)

  This scale will be used for assessing low back pain before and after treatment.0 no pain 1-4 mild pain 5-7 moderate and 8-10 sever pain. Baseline,6th day

  6th day

• For disability: Oswestry Disability Index (ODI)

  Tool used to assess disability related to pain in individuals with acute, sub-acute, or chronic LBP. The total score of ODI range from 0 (no disability) to 100 (maximum disability). The ODI score is recommended as a back pain-specific measure of disability. Reliability with ICC= 0.85 and validity=0.77 Baseline,6th day

  6th day

• For tight iliopsoas: Thomas Test.

  This test is used to test the flexibility of hip flexors.Baseline,6th day

  6th day

Study Arms (2)

Group A (Experimental)

EXPERIMENTAL

Patients in this group will receive interventional therapy through fascial- muscular lengthening therapy .Patients in this group will also receive the conventional therapy

Other: fascial- muscular lengthening therapy; Other: the conventional therapy

Group B: Conventional treatment

OTHER

Patients in this group will receive the conventional therapy

Other: Stretching's of iliopsoas muscle; Other: the conventional therapy

Interventions

fascial- muscular lengthening therapy OTHER

Patients in this group will receive interventional therapy To perform this technique: 1. Have the patient in side lying position 2. Hip is maximally flexed to shorten the iliopsoas muscle. 3. Therapist fingers should be on to the targeted area. 4. Apply gentle pressure in upward direction. 5. While maintain the pressure, stretch the muscle by moving the hip in extension through full ROM. 6. Therapist will maintain the pressure in opposing direction. This is considered as one pass. This technique is performed bilaterally. Patients in this group will also receive the conventional therapy which will include: * Hot pack for 15 minutes. * Myofascial release of iliopsoas. * TENS for 15 minutes.

Group A (Experimental)

Stretching's of iliopsoas muscle OTHER

Patients in this group will receive the interventional therapy which will include: Stretching's of iliopsoas muscle which can be done in two positions: 1. modified lunge position. 2. The prone stretch. Patients in this group will also receive the conventional therapy which will include: * Hot pack for 15 minutes. * Myofascial release of iliopsoas * TENS for 15 minutes.

Group B: Conventional treatment

the conventional therapy OTHER

the conventional therapy

Group A (Experimental); Group B: Conventional treatment

Eligibility Criteria

• Age: 25 Years - 45 Years
• Gender Eligibility Details: • The study includes female patients with chronic low back pain
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• The study includes female patients with chronic low back pain.
• The study includes patients from the age group of 25 years and 45.
• The study includes patients with low back pain for more than 3 months.
• The study includes patients with chronic bilateral tight hip flexors which will assessed through Thomas Test
• Pain in flexion bias

You may not qualify if:

• The study excludes male patients.
• No history of serious underlying pathology, nerve root compromise, structural deformities, genetic spinal disorders or previous spinal surgery

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Riphah International University

Islamabad, Fedral,Pakistan, 440000, Pakistan

Location

Study Officials

• Shafaq Shahid, MSPT-OMPT

  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 16, 2021
• First Posted: February 18, 2021
• Study Start: August 13, 2020
• Primary Completion: March 20, 2021
• Study Completion: March 20, 2021
• Last Updated: September 23, 2021

Record last verified: 2021-09

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)