Effect Of Different Diaphragmatic Myofascial Release Approaches On Low Back Pain And Quality Of Life Among Young Females With Irritable Bowel Syndrome

NCT06907407 | Completed

• 1 other identifier: P.T.REC/012/003707
• Study Type: interventional
• Target: 90
• Locations: 1 country
• Sites: 1

Brief Summary

this study will be conducted to investigate the effect of different diaphragmatic myofascial release approaches on low back pain and quality of life among young females with irritable bowel syndrome

Conditions

Irritable Bowel Syndrome

Keywords

Diaphragmatic Myofascial Release; Low Back Pain; Irritable Bowel Syndrome

Outcome Measures

Primary Outcomes (2)

• Lumbar spine mobility

  shober's test will be used to assess sine mobility. • Patient is standing, examiner marks on the midpoint between the posterior superior iliac spines by drawing a horizontal line across the patient's back. a second line is marked 10 cm above the first line. Patient is then instructed to flex forward as if attempting to touch his/her toes, examiner remeasures distance between two lines with patient fully flexed. The difference between the measurements in erect and flexion positions indicates the outcome of the lumbar flexion Elongation of 5 cm or more between the two marks during forward flexion is considered to be normal lumbar spine movement

  up to four weeks

• low back disability

  The Oswestry Disability Index will be used.It is self-completed questionnaire contains ten topics concerning intensity of pain, lifting, ability to care for one self, ability to walk, ability to sit, sexual function, ability to stand, social life, sleep quality, and ability to travel, Each section is scored on a 0-5 scale, 5 representing the greatest disability. The index is calculated by dividing the summed score by the total possible score, which is then multiplied by 100 and expressed as a percentage. Thus, for every question not answered, the denominator is reduced by 5. If a patient marks more than one statement in a question, the highest scoring statement is recorded as a true indication of disability. Then the score classified into mild 5 -14, moderate 15-24, sever 25-34, disabled 35 -50 The questionnaire takes 3.5-5 min to complete and approximately 1 min to score

  up to four weeks

Study Arms (3)

Diaphragmatic Myofascial Release

EXPERIMENTAL

thirty female will receive diaphragmatic breathing exercise, different diaphragmatic myofascial release approaches, visceral mobilization techniques, irritable bowel syndrome medication under supervision of a physician for 50 minutes twice a week for 4 weeks

Other: Diaphragmatic Myofascial Release; Other: irritable bowel syndrome medication

visceral mobilization techniques

EXPERIMENTAL

thirty female will receive visceral mobilization techniques and irritable bowel syndrome medication under supervision of a physician for 50 minutes twice a week for 4 weeks

Other: visceral mobilization techniques; Other: irritable bowel syndrome medication

irritable bowel syndrome medication

ACTIVE COMPARATOR

thirty female will receive irritable bowel syndrome medication under supervision of a physician for 50 minutes twice a week for 4 weeks

Other: irritable bowel syndrome medication

Interventions

Diaphragmatic Myofascial Release OTHER

six technique will be applied; 1-Diaphragmatic transverse plane, 2-Anteroposterior equilibrium technique, 3-Supra and infrahyoid fascial induction, 4-Psoas fascial induction,5-Diaphragm stretching technique and 6-Phrenic centre inhibition. diaphragmatic breathing, Mobilization of the ascending colon, descending colon, sigmoid colon, and sphincters (cardiac, pyloric, Oddi, duodenojejunal and ileocecal) with the patient in the supine position, knees flexed, feet supported and abdomen exposed. Contact was made with the region to be treated, leading it in the direction of immobility, with pressure maintained for one minute on each region with intensity based on the sensitivity to tension observed on the feedback of the individual plus medication

Diaphragmatic Myofascial Release

visceral mobilization techniques OTHER

Mobilization of the ascending colon, descending colon, sigmoid colon, and sphincters (cardiac, pyloric, Oddi, duodenojejunal and ileocecal) with the patient in the supine position, knees flexed, feet supported and abdomen exposed. Contact was made with the region to be treated, leading it in the direction of immobility, with pressure maintained for one minute on each region with intensity based on the sensitivity to tension observed on the feedback of the individual plus medication

visceral mobilization techniques

irritable bowel syndrome medication OTHER

the patients will receive irritable bowel syndrome medication

Diaphragmatic Myofascial Release; irritable bowel syndrome medication; visceral mobilization techniques

Eligibility Criteria

• Age: 18 Years - 30 Years
• Sex: female
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Subjects with irritable bowel syndrome
• Young female subjects
• All patients will have low back pain.
• All subjects will be clinically and medically stable when attending the study

You may not qualify if:

• Lack of attention and cooperation
• History of cancer and any systemic disease
• Pregnancy
• History of any structural gastrointestinal pathology or surgery
• History of repeated inflammatory gastrointestinal pathology
• Diabetes mellitus and lactose intolerance.
• Abuse of laxative
• Depression
• Celiac disease
• Endocrine disorders as hypothyroidism and hyperthyroidism.
• Gastrinoma
• Recent/unhealed rib fracture
• History of any lumbar spine serious pathology ( tumor, infection fracture, osteoporosis , long term use of steroid, rheumatoid arthritis and surgery )

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Faculty of physical therapy

Giza, 11251, Egypt

Location

MeSH Terms

Conditions

Irritable Bowel Syndrome; Low Back Pain

Condition Hierarchy (Ancestors)

Colonic Diseases, Functional; Colonic Diseases; Intestinal Diseases; Gastrointestinal Diseases; Digestive System Diseases; Back Pain; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Masking Details: opaque sealed envelope
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: principle investigator : noha hamdy abd elkhaleq

Model Details: diaphragmatic myofascial release and visceral mobilization

Study Record Dates

• First Submitted: March 26, 2025
• First Posted: April 2, 2025
• Study Start: April 1, 2025
• Primary Completion: May 30, 2025
• Study Completion: May 30, 2025
• Last Updated: June 4, 2025

Record last verified: 2025-06

Locations

EG (1)