PNF Technique on Iliopsoas and Hamstring Muscle on Chronic Low Back Pain

NCT06656156 | Recruiting

• 1 other identifier: REC/01944 Aisha
• Study Type: interventional
• Target: 44
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of the study to evaluate the effects of PNF in terms of decreasing low back pain, increasing range of motion and improving flexibility of the hamstrings and iliopsoas. Their association in LBP can be found through studies and my study based on this point will show whether targeting these two muscles would have any effect on lumbar back pain.

Conditions

Low Back Pain

Keywords

Low back pain; Proprioceptive neuromuscular facilitation (PNF); Mechanical; Chronic pain; Iliopsoas and hamstring

Outcome Measures

Primary Outcomes (1)

• Numeric pain rating scale( NPRS)

  Changes from baseline Numeric pain rating scale starting from 0 to 10 (0-3 categories as mild, 4-6 as moderate and 7-10 as severe) used to assess pain of lumber spine

  4th week

Secondary Outcomes (4)

• ROM lumber spine flexion

  4th week

• ROM lumber spine extension

  4th week

• ROM lumber spine side bend

  4th week

• ROM lumber spine rotation

  4th week

Study Arms (2)

Proprioceptive neuromuscular facilitation technique

EXPERIMENTAL

Proprioceptive neuromuscular facilitation technique along with conventional treatment

Other: Proprioceptive neuromuscular facilitation technique

Conventional treatment

ACTIVE COMPARATOR

Tens and hotpack

Other: Conventional treatment

Interventions

Proprioceptive neuromuscular facilitation technique OTHER

Experimental group was given proprioceptive neuromuscular facilitation technique (PNF) along with conventional treatment. PNF will be applied on iliopsoas and hamstring muscles, 3 repetitions/session with a break of 2 minutes/repetition (10 second isometric Contraction then 10 second stretch) Treatment contains total 12 sessions (3 times/week for 4 consecutive weeks)

Proprioceptive neuromuscular facilitation technique

Conventional treatment OTHER

Conventional treatment contains tens and hotpack. Tens Will be applied for 20 minutes and hotpack for 10 minutes Total 12 sessions (3 times/week for 4 consecutive weeks)

Conventional treatment

Eligibility Criteria

• Age: 15 Years - 40 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• chronic NSLBP of more than 3 months (NPRS 3-7)
• positive modified Thomas test (Posterior thigh does not touch table, knee flex \>80)
• positive modified SLR (unable to extend knee), SLR (pain \>70 degrees)

You may not qualify if:

• History of abdominal, back, and hip surgery
• Spine and hip fracture
• menstruation at the time of testing.
• Pain and severe joint stiffness of hip and knee
• problems of cardiovascular and respiratory systems
• Physiological problems that cause referred pain at the low back (UTI, kidney problem, tumor, pancreatitis)
• Pregnancy

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Jinnah postgraduate Medical centre

Karachi, Sindh, 75510, Pakistan

RECRUITING

Related Publications (3)

• Lakkadsha TM, Qureshi MI, Kovela RK, Saifee SS, Lalwani SS. Efficacy of Single Stretching Session of Iliopsoas Using Proprioceptive Neuromuscular Facilitation Versus Muscle Energy Technique on Low Back Pain in Patients With Lumbar Hyper-Lordosis. Cureus. 2022 Aug 12;14(8):e27916. doi: 10.7759/cureus.27916. eCollection 2022 Aug.

  PMID: 36110466 BACKGROUND

• Gao P, Tang F, Liu W, Mo Y. The effects of proprioceptive neuromuscular facilitation in treating chronic low back pain: A systematic review and meta-analysis. J Back Musculoskelet Rehabil. 2022;35(1):21-33. doi: 10.3233/BMR-200306.

  PMID: 34250930 BACKGROUND

• Cejudo A, Centenera-Centenera JM, Santonja-Medina F. The Potential Role of Hamstring Extensibility on Sagittal Pelvic Tilt, Sagittal Spinal Curves and Recurrent Low Back Pain in Team Sports Players: A Gender Perspective Analysis. Int J Environ Res Public Health. 2021 Aug 16;18(16):8654. doi: 10.3390/ijerph18168654.

  PMID: 34444402 BACKGROUND

MeSH Terms

Conditions

Low Back Pain; Chronic Pain

Condition Hierarchy (Ancestors)

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

Study Officials

• shamaila yaqub, Ms-ompt

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Imran Amjad, Phd

CONTACT

03324390125; imran.amjad@riphah.edu.pk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: October 23, 2024
• First Posted: October 24, 2024
• Study Start: August 2, 2024
• Primary Completion: October 15, 2024
• Study Completion: November 30, 2024
• Last Updated: October 24, 2024

Record last verified: 2024-10

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)