Comparative Effects of Muscle Energy Technique and Routine Physical Therapy on Quadratus Lumborum in Patients With Chronic Low Back Pain

NCT05174520 | Completed DMC

• 1 other identifier: MSPTM02193012
• Study Type: interventional
• Target: 68
• Locations: 1 country
• Sites: 1

Brief Summary

• Null hypothesis: There is no difference in effects of Muscle Energy Technique and Routine Physical Therapy on Quadratus Lumborum in patients with chronic low back pain.
• Alternative hypothesis: There is difference in effects of Muscle Energy Technique and Routine Physical Therapy on Quadratus Lumborum in patients with chronic low back pain.

Conditions

Chronic Low-back Pain

Keywords

Low back pain; Lumbar pain; Backache; Muscle Energy Technique; Quadratus Lumborum

Outcome Measures

Primary Outcomes (4)

• Pain will be assessed by Numeric pain rating scale

  Pain will be measured using 11 point Numeric Pain rating scale (NPRS). 0 score represents no pain, 1-3 score represents mild pain, 4-6 represents moderate pain and 7-10 represents severe pain.

  1 minute

• Range of Motion will be assessed by Universal Goniometer

  Lumbar flexion, extension and side bending range of motion will be measured using Universal Goniometer. Normal lumbar flexion range is 60 degrees, extension range is 25 degrees, and right and left side bending range is 25 degrees.

  2 minutes

• Quality of life will be assessed by Medical outcomes study: 20 item Short form survey instrument

  The SF-20 measure contains three dimensions about function (physical, social and role) and well-being (mental health, health perception and pain). score between 75- 100 leveled as good quality of life of low back pain patients, Average QOL marked when QOL score between 50-74, and QOL score between 0-49 leveled as poor QOL.

  8 minutes

• Functional Disability will be assessed by Oswestry Low Back Pain Disability Index

  Oswestry disability index is a validated, 10-point patient-reported outcome questionnaire. • 0% to 20% is scored as minimal disability. • 21%-40% is scored as moderate disability. • 41%-60% is scored as severe disability. • 61%-80% is scored as crippled. • 81%-100% scored as bedbound patients.

  5 minutes

Study Arms (2)

Routine Physical Therapy group

ACTIVE COMPARATOR

Routine physical therapy group includes thermotherapy for 10 mins, transcutaneous electrical nerve stimulations for 10 mins. Exercises such as: Pelvic tilts, bridging exercise, William flexion exercises and stretching will be performed for 7-10 repetitions. Treatment duration will be 25 minutes.

Other: Routine Physical Therapy

Experimental group

EXPERIMENTAL

Experimental group includes 6-7 repetitions of Muscle energy technique on Quadratus Lumborum muscle and Routine physical therapy, i.e Thermotherapy, transcutaneous electrical nerve stimulations, Pelvic tilts, bridging exercise, William flexion exercises and stretching will be performed for 7-10 repetitions. Treatment duration will be 40 minutes.

Other: Muscle Energy Technique

Interventions

Routine Physical Therapy OTHER

Routine physical therapy will be provided to group A for 25 minutes thrice a week for 4 weeks.

Also known as: Conventional Physical Therapy

Routine Physical Therapy group

Muscle Energy Technique OTHER

Muscle Energy technique along with Routine physical therapy will be provided to group B for40 minutes thrice a week for 4 weeks.

Experimental group

Eligibility Criteria

• Age: 30 Years - 55 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Both genders of age 30 to 55 year.
• Patients with pain for at least three months or more (chronic stage).
• Patients having score of at least 3 on 0-10 points(NPRS).
• Diagnosed patients of low back pain.
• Non-radicular low back pain.
• Quadratus Lumborum tightness by physical test i.e. side bending test.

You may not qualify if:

• Pregnant females.
• Lumbar radiculopathy.
• Any spinal pathology i.e. infectious disease and fracture.
• Any congenital deformity of spine, upper and lower extremities.
• Systemic illnesses i.e. cardiovascular disorders, respiratory disorders etc.
• History of surgery of hip, pelvis, lumbar spine, disc herniation.

Sponsors & Collaborators

• University of Lahore: lead

Study Sites (1)

University of Lahore teaching Hospital

Lahore, Punjab Province, 53700, Pakistan

Location

MeSH Terms

Conditions

Low Back Pain; Back Pain

Condition Hierarchy (Ancestors)

Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• M Waqar Afzal, Mphil-MSK

  University of Lahore

  STUDY CHAIR

• Syed Asadullah Arslan, Ph.D. PT

  University of Lahore

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal investigator

Study Record Dates

• First Submitted: December 13, 2021
• First Posted: December 30, 2021
• Study Start: October 27, 2021
• Primary Completion: July 1, 2022
• Study Completion: July 1, 2022
• Last Updated: August 31, 2022

Record last verified: 2022-08

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)