Muscle Energy Technique and Foam Roller Self Myofascial Release in Two-wheeler Riders With Chronic Low Back Pain

NCT06017804 | Completed

• 1 other identifier: MRIIRS/FAHS/PT/2022-23/M-010
• Study Type: interventional
• Target: 46
• Locations: 1 country
• Sites: 1

Brief Summary

Pain in the lower back is a major concern in today's era due to prolonged sitting in two-wheeler riders, mainly due to hamstring tightness. It also creates physical disability and impairment in activities of daily living. This study aimed to compare the efficacy of muscle energy technique (MET) and self-myofascial release (SMFR) using the foam roller on hamstring flexibility, dynamic balance, and physical disability amongst two-wheeler riders with chronic low back pain. Participants were randomized into two intervention groups, MET and SMFR, using the envelope method, with each group having 20 participants. Hamstring flexibility and range of motion for knee extension and the lower back were assessed using the active knee extension test and sit and reach test, the dynamic balance was assessed by the star excursion balance test (SEBT) and physical disability by Roland-Morris Disability Questionnaire, (RMDQ). Measurements were taken at baseline and after 4-week of intervention. The level of significance value was set at 95% (p \<0.05).

Conditions

Chronic Low-back Pain

Keywords

Hamstring flexibility; Muscle Energy technique; Self-myofascial release; Foam roller; Dynamic balance; Physical disability; Sit and reach test; Active knee extension

Outcome Measures

Primary Outcomes (4)

• Hamstring flexibility

  Hamstring flexibility was assessed using an active knee extension test (AKET) at baseline and four weeks post-intervention.

  4 weeks

• Active range of motion

  Active range of motion was assessed using a sit and reach test (SRT) at baseline and four weeks post-intervention.

  4 weeks

• Dynamic balance

  Dynamic balance was assessed using a star excursion balance test (SEBT) at baseline and four weeks post-intervention.

  4 weeks

• Roland-Morris Disability Questionnaire Scale

  Roland-Morris Disability Questionnaire (RMDQ) was used assessing the physical disability at baseline and four weeks post-intervention. The RMQ is a 24-item patient-reported outcome measure that inquires about pain-related disability resulting from LBP. Items are scored 0 if left blank or 1 if endorsed, for a total RMQ score ranging from 0 to 24; higher scores represent higher levels of pain-related disability.

  4 weeks

Study Arms (2)

MET Group

EXPERIMENTAL

Received a muscle energy technique

Other: Muscle energy technique

SMFR Group

ACTIVE COMPARATOR

Received a self-myofascial release technique using a foam roller

Other: Self-myofascial release technique

Interventions

Muscle energy technique OTHER

Participants were required to adopt a supine position. MET's post-isometric relaxation method was chosen. The therapist gently flexed the patient's hip until the limitation bar-rier was detected. At this stage, isometric contractions against resistance were applied. After that, the patients were told to resist the movement with only 25% of their strength. Before the leg was released, the contraction was maintained for 7-10 seconds. On exhale, the knee joint was straightened (extended) towards its new barrier, and a stretch was applied and maintained through that barrier for 30 seconds. This procedure was carried out six times.

MET Group

Self-myofascial release technique OTHER

A foam roller was rolled from the ischial tuberosity to the back of the knee on the side being tested while the participant remained seated in a long sitting position. Individuals were instructed to keep all of their body weight on the leg being evaluated. They spent 30-40 seconds rolling one hamstring at a time in each set (10 times back and forth).

SMFR Group

Eligibility Criteria

• Age: 20 Years - 40 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Two-wheeler riders of either gender between the ages of 20 and 40 years,
• Who had ridden at least two hours per day for the previous two years,
• Had musculoskeletal pain in the back for the previous three months, and
• Had a 15-20-degree loss of knee extension when hips were held in 90-degree flexion.

You may not qualify if:

• Pregnant women,
• Those with a recent spine or lower limb fracture, recent surgery,
• A previous hamstring injury,
• Lumbar and lower limb neurological deficits, or limb length disparity.

Sponsors & Collaborators

• King Saud University: lead
• Manav Rachna International Institute of Research and Studies (MRIIRS): collaborator

Study Sites (1)

Department of Rehabilitation Sciences, College of applied Medical Science, King Saud University

Riyadh, 11433, Saudi Arabia

Location

Study Officials

• AMIR IQBAL, MPT

  King Saud University

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Model Details: Randomized controlled trial

Study Record Dates

• First Submitted: August 24, 2023
• First Posted: August 30, 2023
• Study Start: March 14, 2022
• Primary Completion: September 23, 2022
• Study Completion: November 29, 2022
• Last Updated: September 6, 2023

Record last verified: 2023-08

Locations

SA (1)