Effect of Talocrural Joint Thrust Manipulation on Mechanical Low Back Pain

NCT05475912 | Completed

• 1 other identifier: REC/01075 Kashmala
• Study Type: interventional
• Target: 32
• Locations: 1 country
• Sites: 1

Brief Summary

Among all disabling musculoskeletal condition, non specific low back pain is most prevalent and universal condition. Its prevalence has increased over years and affects almost all at some phase in their life. Though, there are many causes of low back pain such as, sedentary life style, depression, poor nutritionist diet and so on, yet faulty posture is also one of the noteworthy causes of low back pain which cannot be overlooked. Faulty posture can result from any out of order body component, such as atypical foot biomechanics. Since lower limb is connected in a closed chain, atypical foot biomechanics leads to disruption in the whole chain ascending up to the spine, stressing spine soft tissues, upsetting its normal anatomical position and causing low back pain.

Conditions

Mechanical Low Back Pain

Outcome Measures

Primary Outcomes (1)

• Visual analogue scale

  Effects of Talo-crural joint Thrust Manipulation along with Conventional Physiotherapy Treatment will be observed on Mechanical Low Back Pain, through visual analogue scale. Findings suggested that 100-mm VAS ratings of 0 to 4 mm can be considered no pain; 5 to 44 mm, mild pain; 45 to 74 mm, moderate pain; and 75 to 100 mm, severe pain. assesment will be made on baseline, before intervention, on 4th session after intervention and on 7th session after intervention.

  7 Day

Secondary Outcomes (1)

• Modified oswestry disability index

  7 Day

Study Arms (2)

group A, Conventional Pysical Therapy treatment

EXPERIMENTAL

group A will be given, Electrotherapy Modalities treatment:Hot pack - 20 min,Transcutaneous Electrical Nerve Stimulator - 30 min and will perfome Active Exercises including;Knee to chest exercise,Hamstring stretch, Pelvic bridging,Pelvic tilt, Lumbar rotation stretch exercise.(1set with10 reps of each excercise) Home exercise plan \& precautions; Perform above mentioned active exercises, 3 sessions per day (1sets x 10 reps) will also be given to Group A.

Other: Group A, excercises

Group B, Talocrural joint manipulation and Conventional Physical Therapy treatment

EXPERIMENTAL

group Bwill be given, Talocrural Joint Manipulation with Electrotherapy Modalities treatment:Hot pack - 20 min,Transcutaneous Electrical Nerve Stimulator - 30 min and will perfome Active Exercises including;Knee to chest exercise,Hamstring stretch, Pelvic bridging,Pelvic tilt, Lumbar rotation stretch exercise.(1set with10 reps of each excercise) Home exercise plan \& precautions; Perform above mentioned active exercises, 3 sessions per day (1sets x 10 reps) will also be given to Group B.

Other: Group A, excercises

Interventions

Group A, excercises OTHER

Each group will receive treatment three times per week for 3 weeks total 7 sessions.

Also known as: Group B,manipulation

Group B, Talocrural joint manipulation and Conventional Physical Therapy treatment; group A, Conventional Pysical Therapy treatment

Eligibility Criteria

• Age: 21 Years - 45 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Participants falling in this category would be recruited into the study.
• Willingness of participant.
• Age group between 21-45 years (both male and female).
• Localized, Low back pain- Sub acute(6-12 weeks) and chronic low back pain(12 weeks and above)
• Asymptomatic Ankle- Pronated foot, Flat foot, Healed ankle injuries.

You may not qualify if:

• Participant failing to fall in this category would be excluded of the study.
• Any recent injury of spine or lower limb.
• Any unhealed ankle injuries.
• Patients with neurological deficit such as paresthesia, numbness and weakness in lower limb.
• Spondylolysis or any defect or stress fracture in the pars interarticularis of the vertebral arch.
• Spondylolisthesis or any displacement of vertebra.
• Spinal fracture or any trauma in spinal column.
• Spinal tumors (both primary and metastatic tumor).
• Spinal surgery such as lumbar decompression surgery, lumbar fusion surgery.
• Artificial disc replacement surgery.
• Pregnancy.
• Disc prolapsed such as protrusion, prolapse, extrusion and sequestration.
• Any spinal curvature defect.
• Receiving steroid injection within previous 3 months.
• History of systemic disorder and malignancy.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Kashmala Saleem

Rawalpindi, Punjab Province, Pakistan

Location

MeSH Terms

Conditions

Low Back Pain

Condition Hierarchy (Ancestors)

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

Study Officials

• Waqar Ahmed Awan, PhD

  Riphah International University Islamabad

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: July 24, 2022
• First Posted: July 27, 2022
• Study Start: March 1, 2022
• Primary Completion: June 10, 2022
• Study Completion: June 10, 2022
• Last Updated: July 27, 2022

Record last verified: 2022-07

Locations

PA (1)