Effect of Strain Counter Strain Technique in Treatment of Lower Back Myofascial Pain Syndrome

NCT06138860 | Completed

• 1 other identifier: ECM#2023-1101; HAPO-06-B-001
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to investigate the impact of impact of strain counterstrain technique on pain, lumbar range of motion and functional impairment in patients with lower back Myofascial pain syndrome.

Conditions

Lower Back Myofascial Pain Syndrome

Keywords

Low back Pain; Myofascial pain syndrome; Strain counter strain technique; trigger point

Outcome Measures

Primary Outcomes (1)

• pain intensity

  A Visual Analogue Scale (VAS) will be used by the patient to mark his or her level of pain, usually 10 cm long, ranging from no pain or discomfort (zero) to the worst pain that the patient can possibly feel.

  up to four weeks

Secondary Outcomes (2)

• range of motion assessment

  up to four weeks

• functional impairment

  up to four weeks

Study Arms (2)

strain counter strain technique

EXPERIMENTAL

the patients will receive strain counter strain technique plus physical therapy exercises three times a week for four weeks

Other: strain counter strain technique; Other: physical therapy exercises

physical therapy exercises

ACTIVE COMPARATOR

the patients will receive physical therapy exercise three times a week for four week

Other: physical therapy exercises

Interventions

strain counter strain technique OTHER

It will be done in accordance with the technique principles in which the therapist will locate trigger point, and then find a position of comfort or mobile point (at least a 70% decrease in tenderness),monitored the tender point, holding the position o f comfort for 90 seconds, It will be conducted three times per session, for twelve sessions three times per week every other day over the course of a month.

strain counter strain technique

physical therapy exercises OTHER

Physical therapy exercises for twelve sessions, three times a week, over the course of a month. Exercises will include: stretching exercises for the hamstring, calf muscles, and back muscles. strengthening exercises for back muscles and abdominal muscles.

physical therapy exercises; strain counter strain technique

Eligibility Criteria

• Age: 20 Years - 40 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• The patients age from 20 to 40 years for both genders.
• Patients (office worker) with mechanical back pain for 3 months ago and has not been diagnose as a specific disease or spinal abnormality.
• Patients suffering from active MTrPS in lower back muscle.
• According to the Oswestry Low Back Pain Disability Questionnaire, patients suffered moderate disability care (20-40%).
• Patients capable of doing ROM assessment of Lumbar Spine (flexion, extension, as well as side binding) within the limit of pain.

You may not qualify if:

• Neurological, systemic illness and infectious diseases such as rheumatologic diseases, tumor.
• Psychiatric/mental deficit.
• Patients who had a previous surgical history (within 6 months) were also excluded prior to the baseline assessment.
• Vertebral compression fracture
• Pregnancy and lactation.
• Existing lower limb symptoms.
• Activity intolerance due to cardiopulmonary disease.

Sponsors & Collaborators

• Cairo University: lead
• King Khalid University: collaborator

Study Sites (1)

Ghada Mohamed Rashad Koura

Abhā, Saudi Arabia

Location

MeSH Terms

Conditions

Low Back Pain; Myofascial Pain Syndromes

Interventions

Exercise Therapy

Condition Hierarchy (Ancestors)

Back Pain; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Muscular Diseases; Musculoskeletal Diseases

Intervention Hierarchy (Ancestors)

Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Physical Therapy Modalities

Study Officials

• Ghada MR Koura, Ass. prof

  King Khalid University, Saudi Arabia

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Masking Details: random generator
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Lecturer of physical therapy for basic science department., faculty of physical Therapy

Model Details: strain counter strain technique and physical therapy exercises

Study Record Dates

• First Submitted: November 11, 2023
• First Posted: November 18, 2023
• Study Start: December 1, 2023
• Primary Completion: February 29, 2024
• Study Completion: February 29, 2024
• Last Updated: March 5, 2024

Record last verified: 2024-03

Locations

SA (1)