Muscle Energy Technique Versus Back Stretching Among Non-specific Low Back Pain-subacute

NCT05360121 | Unknown DMC

• 1 other identifier: ARehman
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

This study will highlight LBP management using MET and stretching application among subacute type of back pain

Conditions

Low Back Pain

Keywords

Low back pain

Outcome Measures

Primary Outcomes (2)

• Change from Visual Analogue scale scores at 3 weeks

  It is subjective outcome measure for pain intensity on 1 to10 cm scores. The '0 cm' score refers no pain and '10 cm' refers more excruciating pain. Increase in scores suggest worst pain intensity.

  at baseline and 3 weeks

• Change from Rolland Morris Disability Questionnaire scores at 3 weeks

  It is explore area of function leading to understand the level of disability. It consists of total 24 scores. The '0' score refers no disability and '24' refers maximum disability. Increase in scores suggest worst disability.

  at baseline and 3 weeks

Study Arms (2)

Muscle energy technique+ Thermotherapy +Back Strengthening exercise

EXPERIMENTAL

Other: Muscle energy technique of erector spinae muscle; Other: Muscle energy technique of quadratus lumborum muscle; Other: Back strengthening exercises; Other: Thermotherapy

General stretching+ Thermotherapy +Back Strengthening exercise

ACTIVE COMPARATOR

Other: Stretching of erector spinae muscle; Other: Stretching of quadratus lumborum muscle; Other: Back strengthening exercises; Other: Thermotherapy

Interventions

Muscle energy technique of erector spinae muscle OTHER

Therapist will develop cross hand position left hand on lower thoracic and right hand on sacrum. Patient will asked to lift shoulder out of couch to contract the lumber erector spinae and apply force twenty percent against therapist force and keep this position of muscle contraction 7 to 10 seconds then 5 second relax . Then therapist will take new position of muscle restriction by slacking and will hold 30 second that position at the end of restriction then will finally end stretch with three repetition. Muscle energy technique of erector spinae muscle.

Muscle energy technique+ Thermotherapy +Back Strengthening exercise

Muscle energy technique of quadratus lumborum muscle OTHER

Therapist will take step over the patient off leg and squeezes gently with their thigh. Patient will abduct leg with 20 percent force against the resistance of therapists thigh for 7 to 10 second. the therapist gently and passively will move patient leg towards adduction by squatting down slowly. Therapist at same time with both hands cradling the iliac crest of pelvic for 30 second stretch and 3 repetition.

Muscle energy technique+ Thermotherapy +Back Strengthening exercise

Stretching of erector spinae muscle OTHER

The therapist standing on the side in a way to place his elbow placed on erector spine and apply stretching on the muscle belly in the direction of longitudinal or transverse plane( figure 1).Duration of stretch will be 15 seconds and four repetition.

General stretching+ Thermotherapy +Back Strengthening exercise

Stretching of quadratus lumborum muscle OTHER

Placing patient's legs to one side of the table and upper body also move to the same side in lateral flexion. This position generate a basic gentle stretch of the muscle. The therapist use elbow on tight/ flat part of muscle belly to stretch out the muscle(figure 2). Duration of stretch will be 15 seconds and four repetition

General stretching+ Thermotherapy +Back Strengthening exercise

Back strengthening exercises OTHER

1. Supine Abdominal Draw In 2. Supine Butt Lift with Arms at Side 3. Abdominal Draw In with Heel Slide 4. Abdominal Draw In with Knee to Chest 5. Abdominal Draw In with feet on the ball 6. Abdominal Draw In with feet on the ball- add movement

General stretching+ Thermotherapy +Back Strengthening exercise; Muscle energy technique+ Thermotherapy +Back Strengthening exercise

Thermotherapy OTHER

Ten minute duration of hot pack given on low back for local superficial heat.

General stretching+ Thermotherapy +Back Strengthening exercise; Muscle energy technique+ Thermotherapy +Back Strengthening exercise

Eligibility Criteria

• Age: 20 Years - 45 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• \- low back pain (subacute)
• VAS score( more than 3 cm)
• Quadratus lumborum and erector spinae tightness present

You may not qualify if:

• back pain (specific)

Sponsors & Collaborators

• Dow University of Health Sciences: lead

Study Sites (1)

Sindh Institute of physical medicine and rehabilitation

Karachi, Sindh, Pakistan

RECRUITING

MeSH Terms

Conditions

Low Back Pain

Interventions

Hyperthermia, Induced

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Therapeutics

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: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Model Details: Single blinding will be used in which only the researcher doing the study knows which treatment or intervention the participant is receiving until the trial is over.

Study Record Dates

• First Submitted: April 20, 2022
• First Posted: May 4, 2022
• Study Start: September 15, 2021
• Primary Completion: April 30, 2022
• Study Completion: April 30, 2022
• Last Updated: May 4, 2022

Record last verified: 2022-04

Locations

PA (1)