Comparison of Post Facilitation Stretch Versus Reciprocal Inhibition in Quadratus Lumborum Syndrome: a Randomized Controlled Trial

NCT06534853 | Recruiting

• 1 other identifier: FUI/CTR/2024/22
• Study Type: interventional
• Target: 42
• Locations: 1 country
• Sites: 1

Brief Summary

This study is a randomised control trial and the purpose of this study is to determine the effects Post facilitation stretch versus reciprocal inhibition on pain, lumbar range of motion, apparent leg length discrepancy and lumbar lordotic angle in Quadratus Lumborum Syndrome.

Conditions

Quadratus Lumborum Syndrome

Outcome Measures

Primary Outcomes (4)

• Pain intensity

  Pain is assessed by using numeric main rating scale comparing pre and post pain intensity. This is 11- point numeric scale ranges from '0' representing one pain extreme (e.g., "no pain") to '10' representing the other pain extreme

  2 weeks

• Lumbar Range of Motion (ROM)

  It will measured using inclinometer

  2 weeks

• Leg Length Discrepancy (LLD)

  Measure the distance between the anterior superior iliac spine (ASIS) and the medial malleolus.This method, referred to as the "direct" clinical method for measuring LLD, provides the apparent leg length discrepancy.

  2 weeks

• Lumbar Lordotic Angle

  It will be measured using Flexible Ruler

  2 weeks

Study Arms (2)

PFS Group

EXPERIMENTAL

Group A along with Post facilitation stretch of quadratus lumborum will a comprehensive therapeutic regimen that includes a 10-minute session of hot pack therapy specifically targeted at the low back region. In addition to this, participants will receive trigger point release therapy to alleviate muscle tension. The treatment plan also incorporates a tailored exercise protocol designed to enhance back health and strength. This protocol includes: 1. Back isometric exercises 2. Bridging exercises 3. Cat and camel stretches 4. Prone press-ups 5. Abductor strengthening exercises

Other: Post Facilitation Stretch; Other: Conventional Physical Therapy

RI Group

EXPERIMENTAL

Group B along with Reciprocal inhibition of quadratus lumborum will a comprehensive therapeutic regimen that includes a 10-minute session of hot pack therapy specifically targeted at the low back region. In addition to this, participants will receive trigger point release therapy to alleviate muscle tension. The treatment plan also incorporates a tailored exercise protocol designed to enhance back health and strength. This protocol includes: 1. Back isometric exercises 2. Bridging exercises 3. Cat and camel stretches 4. Prone press-ups 5. Abductor strengthening exercises

Other: Reciprocal Inhibition; Other: Conventional Physical Therapy

Interventions

Post Facilitation Stretch OTHER

The patient is placed in the lateral decubitus position with the affected side up and a Dutchman's roll or pillow under the iliac crest. Positioned at the edge of the table, the patient's inferior leg is flexed with the foot at the table's edge. The patient grasps the headpiece of the table with the superior hand, allowing the superior leg to drop off the back of the table.The therapist stands behind the patient, providing support to prevent posterior pelvic rotation with their thigh behind the pelvis. The cephalad hand grasps the top of the iliac crest and applies a caudad force, while the caudad hand gently guides the affected leg without generating force.The patient "hikes" the hip against the resistance from the therapist's cephalad hand, creating an isometric contraction for 5-10 seconds. The patient then relaxes, followed by a rapid stretch held for 10 seconds until the next barrier is reached. This procedure is repeated 3-5 times.

PFS Group

Reciprocal Inhibition OTHER

The patient is placed in the lateral decubitus position with the affected side up and a Dutchman's roll or pillow under the iliac crest. Positioned at the edge of the table, the patient's inferior leg is flexed with the foot at the table's edge. The patient grasps the headpiece of the table with the superior hand, allowing the superior leg to drop off the back of the table.The therapist stands behind the patient, providing support to prevent posterior pelvic rotation with their thigh behind the pelvis. The cephalad hand grasps the top of the iliac crest and applies a caudad force, while the caudad hand gently guides the affected leg without generating force.The patient "hikes" the hip against the resistance from the therapist's cephalad hand, creating an isometric contraction for 5-10 seconds. The patient then relaxes, followed by a rapid stretch held for 10 seconds until the next barrier is reached. This procedure is repeated 3-5 times.

RI Group

Conventional Physical Therapy OTHER

A comprehensive therapeutic regimen that includes a 10-minute session of hot pack therapy specifically targeted at the low back region. In addition to this, participants will receive trigger point release therapy to alleviate muscle tension.The treatment plan also incorporates a tailored exercise protocol designed to enhance back health and strength. This protocol includes: 1. Back isometric exercises 2. Bridging exercises 3. Cat and camel stretches 4. Prone press-ups 5. Abductor strengthening exercises

PFS Group; RI Group

Eligibility Criteria

• Age: 18 Years - 35 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Age 18-35 years
• Both genders
• Having pain of ≤ 8 on NPRS from at least 3 months
• Pain decreases on supine lying
• Any two of the following findings positive of unilateral quadratus lumborum on physical examination:
• Taut bands
• Local tenderness
• Patient's pain recognition
• Pain referral to greater trochanter
• Local twitch response

You may not qualify if:

• Painful isometric muscle testing of hip flexors, abductors, adductors, and extensors
• Previous surgery of lower limb
• Centralization/peripheralization
• Lower back trauma
• Positive SLR
• Radiculopathy
• Fracture/surgery of pelvic and/or hip region
• Diagnosed fibromyalgia or other rheumatic diseases.
• Lactating women
• Intrauterine device
• Pregnant women
• Use of psychiatric medications

Sponsors & Collaborators

• Foundation University Islamabad: lead

Study Sites (1)

Foundation University College of Physical Therapy

Rawalpindi, Punjab Province, 46000, Pakistan

RECRUITING

Central Study Contacts

Aqsa Ayaz, MS-MSKPT*

CONTACT

03365765782; aqsaayaz77@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Randomized control trial

Study Record Dates

• First Submitted: July 30, 2024
• First Posted: August 2, 2024
• Study Start: September 1, 2023
• Primary Completion: January 15, 2025
• Study Completion: January 30, 2025
• Last Updated: August 2, 2024

Record last verified: 2024-07

Locations

PA (1)