Comparing the Effects of Muscle Energy Technique Versus Myofascial Mobilization in Managing Sub-acute Low Back Pain

NCT05428280 | Completed DMC

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

Brief Summary

Institute for Clinical Systems Improvement (ICSI) defines sub-acute low back pain as low back pain lasting between 4 and 12 weeks. There is insufficient evidence regarding the comparative effect of muscle energy technique and myofascial mobilization in the management of sub-acute non-specific low back pain with the tightness of quadratus lumborum and erector spinae muscles

Conditions

Lordosis; Low Back Pain

Outcome Measures

Primary Outcomes (2)

• Visual Analogue Scale

  The visual analogue scale is used for measurement of pain intensity. It is a continuous scale. It comprises a horizontal or vertical 10 centimeters or 100 millimeters line. The participant is asked to indicate a point of pain intensity by placing a line perpendicular to the Visual analogue scale line. The scale is most commonly referred by "no pain" with score of 0 and "worst imaginable pain" with score of 100 on the scale. The higher scores shows higher pain intensity and lower scores shows lower pain intensity.

  Change from baseline pain intensity at 4 weeks

• Rolland Morris Disability Questionnaire

  It is a standard questionnaire with questions regarding pain and the disabling effect on daily activities. Its score ranges from 0 to 24 (no disability to maximum disability)

  Change from baseline functional disability at 4 weeks

Study Arms (2)

Muscle Energy Techniques

EXPERIMENTAL

Following physiotherapy will be given to the participants in this group for 4 weeks, 3 times a week: 1\. Muscle Energy Technique

Other: Physiotherapy; Other: Muscle Energy technique

Myofascial Mobilization Techniques

ACTIVE COMPARATOR

Following physiotherapy will be given to the participants in this group for 4 weeks, 3 times a week: 1\. Myofascial Mobilization

Other: Physiotherapy; Other: Myofacial mobilization

Interventions

Physiotherapy OTHER

Conventional treatment consisted of Transcutaneous Electrical Nerve Stimulation and Progressive Back Strengthening Exercise

Muscle Energy Techniques; Myofascial Mobilization Techniques

Muscle Energy technique OTHER

Muscle Energy Technique (MET) is a technique that was developed in 1948 by Fred Mitchell, Sr, D.O\[1\]. It is a form of manual therapy, widely used in Osteopathy, that uses a muscle's own energy in the form of gentle isometric contractions to relax the muscles via autogenic or reciprocal inhibition and lengthen the muscle.

Muscle Energy Techniques

Myofacial mobilization OTHER

It is a type of gentle, constant massage that releases tightness and pain throughout your myofascial tissues

Myofascial Mobilization Techniques

Eligibility Criteria

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

You may qualify if:

• Sub-acute low back pain with the range of 7 to 12 weeks of unresolved symptoms.
• Positive test of tight Erector spinae muscle and Tight Quadratus Lumboram muscle

You may not qualify if:

• Spinal malignancy
• Spinal fracture
• Spine foraminal stenosis
• Nerve root compression
• Radicular symptoms
• Sciatica
• Cord compression
• Paralysis
• Muscular dystrophy
• Myelopathy
• Seizure disorder
• Severe trauma
• Unexplained weight loss

Sponsors & Collaborators

• Dow University of Health Sciences: lead

Study Sites (1)

Sindh Institute of Physical Medicine and Rehabilitation

Karachi, Sindh, 74200, Pakistan

Location

MeSH Terms

Conditions

Lordosis; Low Back Pain

Interventions

Physical Therapy Modalities

Condition Hierarchy (Ancestors)

Spinal Curvatures; Spinal Diseases; Bone Diseases; Musculoskeletal Diseases; Back Pain; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Therapeutics; Rehabilitation

Study Officials

• Faizan Abdullah, MSAPT, DPT

  Sindh Institute of Physical Medicine and Rehabilitation

  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: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: June 13, 2022
• First Posted: June 23, 2022
• Study Start: December 22, 2021
• Primary Completion: November 27, 2023
• Study Completion: November 27, 2023
• Last Updated: March 27, 2024

Record last verified: 2024-03

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)