Effectiveness of Iliopsoas Positional Release Versus Conventional Exercises in the Management of Sub-acute Back Pain.

NCT06267404 | Completed DMC

• 1 other identifier: IShamsi
• Study Type: interventional
• Target: 100
• Locations: 1 country
• Sites: 1

Brief Summary

Recommended treatment for chronic non-specific LBP is exercise therapy, behavioral therapy including pain management, or a combination of these; There is not enough evidence to establish recommendations for which one is the most appropriate. The primary objective of this study is to explore the effects of Ilio-psoas Release on Sub-acute back pain, ROM \& functional disability

Conditions

Back Pain

Keywords

Back ache; Manual therapy; Soft tissue techniques

Outcome Measures

Primary Outcomes (2)

• VAS Visual Analogue Scale VAS Visual Analogue Scale

  The visual analogue scale is used for measurement of pain intensity. It is a continuous scale. It comprises a horizontal or vertical 10 centimeters or 100 millimeters line. The higher scores shows higher pain intensity and lower scores shows lower pain intensity.

  Baseline and After Four weeks of Treatment

• Modified Schober's test

  It is used during physical examination to assess the lumbar range of movement. It is highly co-related with lumbar range of movement measured through radiograph. Higher score reflect better range of motion of Spine.

  Baseline and After Four weeks of Treatment

Secondary Outcomes (1)

• Roland-Morris Disability Questionnaire

  Baseline and After Four weeks of Treatment

Study Arms (2)

Iliopsoas positional release

EXPERIMENTAL

Group A (Iliopsoas positional release group) Positional release therapy will be administered on both Iliopsoas muscles, three sets on each side with 30 seconds hold on tender point. A rest of 15 seconds will be given between all sets.

Other: Iliopsoas Positional release therapy

Conventional therapy

ACTIVE COMPARATOR

Group B (Conventional therapy) Conventional Physical therapy i.e. Ultrasonic therapy 3 min 1 MHz, TENS 10 min, hot pack for 10 min and back strengthening exercises.

Other: Conventional exercises

Interventions

Iliopsoas Positional release therapy OTHER

Group A(Iliopsoas Positional release group) Patient supine, with both hips are fully extended .Find a Tender point in Iliopsoas muscle, at the initiation of pain Passively try combination of flexion Adduction/Abduction medial or lateral rotation at hip joint and stop where pain start to diminished. Hold this position of relief for 30 seconds until minimum of 75% of relief is achieved. Apply three times, than passively take lower limb in extension. Administered on both limbs.

Also known as: Strain Counter-strain therapy

Iliopsoas positional release

Conventional exercises OTHER

Group B (conventional Physical therapy) For Ultra sonic therapy Patient prone lying, Aqua-sonic gel is applied to lumbosacral area and ultrasonic head is moved in circular motion. For TENS Electrodes are placed in crossed pattern, Paravertebral at L1 and L5 (Box Pattern)with circuit crossing at L3 and current is applied for 10 minutes, Hot pack which is kept in hydro-collateral at 70°C and 75°C is, wrapped in several towel layers, applied for 10 minutes.

Also known as: conventional physical therapy treatment

Conventional therapy

Eligibility Criteria

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

You may qualify if:

• Sub-acute (pain for \> 1.5 month)
• Age 18-40 years
• Willing to participate
• Both gender will be recruited.

You may not qualify if:

• Any history related to spinal surgery
• Previous administration of epidural injections
• LBP due to specific pathology
• Neurological deficits (like stroke)
• Clinical disorder contraindicated to exercise

Sponsors & Collaborators

• University of Karachi: lead
• Sindh Institute of Physical Medicine and Rehabilitation: collaborator

Study Sites (1)

Sindh Institute of Physical Medicine and Rehabilitation

Karachi, Sindh, Pakistan

Location

Related Publications (5)

• Brennan GP, Fritz JM, Hunter SJ, Thackeray A, Delitto A, Erhard RE. Identifying subgroups of patients with acute/subacute "nonspecific" low back pain: results of a randomized clinical trial. Spine (Phila Pa 1976). 2006 Mar 15;31(6):623-31. doi: 10.1097/01.brs.0000202807.72292.a8.

  PMID: 16540864 RESULT

• Pfieffer ML. Evaluating and managing low back pain in primary care. Nurse Pract. 2019 Aug;44(8):40-47. doi: 10.1097/01.NPR.0000574664.42110.77.

  PMID: 31335502 RESULT

• Ehrlich GE. Back pain. J Rheumatol Suppl. 2003 Aug;67:26-31.

  PMID: 12926648 RESULT

• Bardin LD, King P, Maher CG. Diagnostic triage for low back pain: a practical approach for primary care. Med J Aust. 2017 Apr 3;206(6):268-273. doi: 10.5694/mja16.00828.

  PMID: 28359011 RESULT

• Krismer M, van Tulder M; Low Back Pain Group of the Bone and Joint Health Strategies for Europe Project. Strategies for prevention and management of musculoskeletal conditions. Low back pain (non-specific). Best Pract Res Clin Rheumatol. 2007 Feb;21(1):77-91. doi: 10.1016/j.berh.2006.08.004.

  PMID: 17350545 RESULT

MeSH Terms

Conditions

Back Pain

Condition Hierarchy (Ancestors)

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

Study Officials

• Iram I Shamsi, M.Phil.

  Sind Institute of Physical Medicine & Rehabilitation

  PRINCIPAL INVESTIGATOR

• Basit Ansari, PhD

  University of Karachi

  STUDY CHAIR

• Aftab A Mirza Baig, PhD

  IQRA University

  STUDY DIRECTOR

• Syed A Ali, PhD

  Government degree Science & commerce college

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principle investigator

Study Record Dates

• First Submitted: February 11, 2024
• First Posted: February 20, 2024
• Study Start: February 21, 2024
• Primary Completion: May 10, 2025
• Study Completion: May 13, 2025
• Last Updated: January 5, 2026

Record last verified: 2025-12

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)