Comparison of the Effects of Instrument Assisted Soft Tissue Mobilization Techniques Low Back Pain

NCT05623735 | Completed

• 1 other identifier: ETK00-2022-0173
• Study Type: interventional
• Target: 74
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study is to determine whether the effectiveness of instrument-assisted soft tissue mobilization technique is different from passive prone lying when performed with a functional exercise in individuals with chronic nonspecific low back pain.

Conditions

Chronic Low-back Pain

Keywords

IASTM; chronic pain; flexibility; disability; mobility; muscular endurance

Outcome Measures

Primary Outcomes (1)

• Visual Analog Scale (VAS)

  Individuals' pain levels will be measured using the Visual Analogue Scale (VAS) both at rest and during activity. It will be requested to mark any point on a horizontal line of 10 cm length such that 0 no pain, 10 unbearably severe pain.

  3 Weeks

Secondary Outcomes (5)

• Mobility (Modified Schober Test)

  3 Weeks

• Flexibility (Sit and Reach Test)

  3 Weeks

• Flexibility (Maximal Hip Flexion Active Knee Extension (MHFAKE))

  3 Weeks

• Disability (Oswestry Disability İndex)

  3 Weeks

• Trunk Extensors Muscle Endurance (Biering-Sorenson Test)

  3 Weeks

Study Arms (2)

Instrument Assisted Soft Tissue Mobilization (IASTM) Group While Lying Prone

EXPERIMENTAL

The application will take a total of 6 sessions, with two sessions per week for 3 weeks. While individuals are lying in the prone position, the IASTM protocol will be applied bilaterally on the erector spinae and then on the hamstrings. The application will take approximately 17 minutes.

Other: Instrument Assisted Soft Tissue Mobilization Group While Lying Prone

Instrument Assisted Soft Tissue Mobilization Group Combined with Functional Movement

EXPERIMENTAL

While standing in the "extended child pose (utthita balasana)" stance, the "IASTM" protocol will be applied bilaterally on the lumbar erector spines, with the hands on them and moving back to the old position. Then, the "IASTM" protocol will be applied bilaterally on the hamstrings by making consecutive knee flexion-extension up to 90 degrees while the individuals are lying prone. The application will take approximately 17 minutes.

Other: Instrument Assisted Soft Tissue Mobilization Group Combined with Functional Movement

Interventions

Instrument Assisted Soft Tissue Mobilization Group While Lying Prone OTHER

1. Sliding movements in all directions at 30 - 60 degree angles will be made in the form of mobilizations of 45 seconds with instruments. 2. Mobilizations of 45 seconds will be made with instruments along the quarter circle line in all directions at 30 - 60 degree angles. 3. Starting with an angle of 60 degrees on the area to be treated, the movement of shifting towards an angle of 30 degrees will be made in all directions for 30 seconds. 4. The tissue will be mobilized for 30 consecutive seconds, starting from just caudal to your waist and drawing the letter J towards the cranial. 5. Sliding movements in all directions at 30 - 60 degree angles will be made with instruments in the form of mobilizations for 45 seconds. 6. Mobilizations of 45 seconds will be made with instruments along the quarter circle line in all directions at 30 - 60 degree angles. 7. 30 - 60 degree swipe movement shorter brushing style small movements will be done for 30 seconds.

Instrument Assisted Soft Tissue Mobilization (IASTM) Group While Lying Prone

Instrument Assisted Soft Tissue Mobilization Group Combined with Functional Movement OTHER

1. Sliding movements in all directions at 30 - 60 degree angles will be made in the form of mobilizations of 45 seconds with instruments. 2. Mobilizations of 45 seconds will be made with instruments along the quarter circle line in all directions at 30 - 60 degree angles. 3. Starting with an angle of 60 degrees on the area to be treated, the movement of shifting towards an angle of 30 degrees will be made in all directions for 30 seconds. 4. The tissue will be mobilized for 30 consecutive seconds, starting from just caudal to your waist and drawing the letter J towards the cranial. 5. Sliding movements in all directions at 30 - 60 degree angles will be made with instruments in the form of mobilizations for 45 seconds. 6. Mobilizations of 45 seconds will be made with instruments along the quarter circle line in all directions at 30 - 60 degree angles. 7. 30 - 60 degree swipe movement shorter brushing style small movements will be done for 30 seconds.

Instrument Assisted Soft Tissue Mobilization Group Combined with Functional Movement

Eligibility Criteria

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

You may qualify if:

• Being diagnosed with non-specific low back pain by a specialist physician
• years old
• Having 3 or more pains on VAS for the last 3 months.
• Those who do not use analgesic drugs
• Not taking physiotherapy for the last 6 months.

You may not qualify if:

• Those with orthopedic, neurological, psychiatric and systemic diseases (such as fracture, osteoporosis, scoliosis, kyphosis, stenosis, cauda equina, myositis ossificans, severe nerve compressions, rheumatoid arthritis, cancer)
• Those with a history of spinal surgery
• Pregnant and lactating
• Open wound, infection, serious kidney disease
• Those who have limited hip joint movements

Sponsors & Collaborators

• Eastern Mediterranean University: lead

Study Sites (1)

Süleyman Güzelşemme

Famagusta, 99628, Cyprus

Location

MeSH Terms

Conditions

Chronic Pain

Condition Hierarchy (Ancestors)

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

Study Officials

• Süleyman Güzelşemme, Res. Asst.

  Eastern Mediterranean University

  PRINCIPAL INVESTIGATOR

• Sevim Öksüz, Asst. Prof.

  Eastern Mediterranean University

  STUDY DIRECTOR

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: November 14, 2022
• First Posted: November 21, 2022
• Study Start: November 20, 2022
• Primary Completion: January 20, 2023
• Study Completion: February 2, 2023
• Last Updated: February 15, 2023

Record last verified: 2023-02

Locations

CY (1)