Integrated Neuromuscular Inhibition Versus Instrument Assisted Soft Tissue Mobilization in Chronic Back Pain

NCT06116058 | Unknown

• 1 other identifier: P.T.REC/012/004714
• Study Type: interventional
• Target: 45
• Locations: 0 countries
• Sites: N/A

Brief Summary

this study will be conducted to identify the difference between the effect of integrated neuromuscular inhibition technique and instrument assisted soft tissue mobilization on back pain, pain threshold, back rang of motion ,back proprioception and back disability in chronic non specific low back pain

Conditions

Chronic Non Specific Low Back Pain

Keywords

chronic non specific low back pain; integrated nouromuscular inhibition technique; instrument assisted soft tissue mobilization technique

Outcome Measures

Primary Outcomes (2)

• change in lumber proprioception

  change in lumbar proprioception will be measured by dual inclinometer for 3 group pre-and post-treatment

  Evaluation will be performed priod to the first treatment session :as a baseline measure,and at least treatment session (after 4 weeks)as a post-treatment measure

• chang in pain pressure threshold

  change in lower back pain threshold will be measured by pressure algometer for 3 group pre-and post-treatment

  Evaluation will be performed priod to the first treatment session :as a baseline measure,and at least treatment session (after 4 weeks)as a post-treatment measure

Secondary Outcomes (3)

• chang in lumbar rang of motion(ROM)

  Evaluation will be performed priod to the first treatment session :as a baseline measure,and at least treatment session (after 4 weeks)as a post-treatment measure

• functional disability oFlumbar spine

  Evaluation will be performed priod to the first treatment session :as a baseline measure,and at least treatment session (after 4 weeks)as a post-treatment measure

• pain level of lumbar spine

  Evaluation will be performed priod to the first treatment session :as a baseline measure,and at least treatment session (after 4 weeks)as a post-treatment measure

Study Arms (3)

Group A: integrated neuromuscular inhibition technique

EXPERIMENTAL

Group A: patient will receive integrated neuromuscular inhibition technique and conventional physical therapy program for 3 sessions /week over 4 weeks periods

Other: Experimental: Group A: integrated neuromuscular inhibition technique

Group B :Instrument assissted soft tissue mobilization

EXPERIMENTAL

Group B : patient will receive Instrument assissted soft tissue mobilization technique and conventional physical therapy program for 3 sessions /week over 4 weeks periods

Other: Experimental: Group B :Instrument assissted soft tissue mobilization

Group C:conventional physical therapy

ACTIVE COMPARATOR

Group C: patient will receive conventional physical therapy only in the form of ( stretch for hamstring ,illiopoaps ,low back muscle and strenghtning for abdominal ,back muscles and side support exercise and quadriped exercise)

Other: control group C conventional physical therapy

Interventions

Experimental: Group A: integrated neuromuscular inhibition technique OTHER

will receive integrated neuromuscular inhibition in addition to conventional treatment,INIT which included IC, SCS, and MET for the low back region for the quadratus lumborum( QL) and erector spinae (ES) muscles

Also known as: technique

Group A: integrated neuromuscular inhibition technique

Experimental: Group B :Instrument assissted soft tissue mobilization OTHER

IASTM performed on lumbar posterior muscle erector spinae (iliocostalis, longissimus), and quadratus lumborum(QL) The IASTM treatment was applied for approximately 20-seconds in a direction parallel to the muscle fibers being treated with the instrument at a 45° angle. Followed immediately by treating the muscles in a direction perpendicular to the muscle fibers with the instrument at a 45° angle for an additional 20-seconds, resulting in a total treatment time of approximately 40 seconds.

Also known as: instrument

Group B :Instrument assissted soft tissue mobilization

control group C conventional physical therapy OTHER

. The control group will applied general exercise. General exercise were applied with stretching exercises and stationary bicycling for 10-15 minutes14, 15) . Three sets of fifteen repetitions will performed, with rest times of 1 minute between sets during 4 weeks.

Also known as: exercise

Group C:conventional physical therapy

Eligibility Criteria

• Age: 18 Years - 30 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• \. The patient's age ranged from 18 to 30 years.(Geogre et al, 2021) 2. Patients with low back pain for more than 3 months (pain felt between T12 and the gluteal fold).
• \. Patient with chronic low back pain 4. Normal body mass index from 18 -25kg/m2.

You may not qualify if:

• The subjects will be excluded if they have any of the followings:
• Lumbar discogenic lesions or any inflammatory arthritis, tumors, infection involving the lumbar spine.
• Patients with decreased range of motion secondary to congenital anomalies, muscular contracture, or bony block.
• Previous lumbar or hip surgery or trauma.
• Any hip structural abnormality such as malformations, impingements and degeneration.
• Patients With cognitive impairments that would limit their participation

Sponsors & Collaborators

• Cairo University: lead

MeSH Terms

Interventions

Methods; Exercise

Intervention Hierarchy (Ancestors)

Investigative Techniques; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Central Study Contacts

Heba S mousa, master

CONTACT

01128524303; salamaheba734@gmail.com

heba S mousa

CONTACT

01128524303; heba.salama@cu.edu.eg

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Masking Details: Double ( participant ,outcomes assessor)
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal investigator

Model Details: 1. integrated neuromuscular inhibition technique and conventional physical therapy 2. instrument assisted soft tissue mobilization technique and conventional physical therapy 3. conventional physical therapy only

Study Record Dates

• First Submitted: October 19, 2023
• First Posted: November 3, 2023
• Study Start: November 1, 2023
• Primary Completion: March 1, 2024
• Study Completion: March 1, 2024
• Last Updated: November 3, 2023

Record last verified: 2023-10