Strain Counterstrain Technique and Graston Technqiue on Quadratus Lumborum Trigger Points

NCT06986707 | Recruiting

• 1 other identifier: REC/RCR&AHS/24/0157
• Study Type: interventional
• Target: 34
• Locations: 1 country
• Sites: 1

Brief Summary

Poor body mechanics and posture affects body positioning and stresses quadratus lumborum muscle which ultimately leads to myofascial trigger points in muscle. This study aims to compare the effects of Strain counterstrain technique and Graston technique on trigger points of quadratus lumborum in nonspecific low back patients. This study will be a randomized controlled trial and will be conducted in Riphah Rehabilitation Clinic Lahore and SPARC Physiotherapy Clinic Lahore. Non-probability convenient sampling will be used to collect the data. Sample size of 34 subjects with age group between 20-45 years will be taken. baseline and after 4 weeks. Data analysis will be done by SPSS version 25.

Conditions

Trigger Point Pain, Myofascial

Keywords

low back pain; quadratus lumborum

Outcome Measures

Primary Outcomes (1)

• Oswestry Disability Index

  The Oswestry Disability Index (ODI) a patient-completed questionnaire which gives a subjective percentage score of level of function (disability) in activities of daily living in those rehabilitating from low back pain. This is a 10-item index: 8 of them are related to activities of daily living and 2 refer to pain. The score of each item ranges from 0 to 5, with higher scores indicating greater disability. The total score is expressed as percentage

  4 weeks

Secondary Outcomes (2)

• Inclinometer

  4 weeks

• Numerical Pain Rating Scale (NPRS):

  4 weeks

Study Arms (2)

strain counterstrain technique

EXPERIMENTAL

Strain Counter-Strain Technique: (repeated 2 sets in each session) * 1 day per week * 4 weeks protocol

Other: Strain counterstrain technique

Graston technique

ACTIVE COMPARATOR

Before starting procedure, brisk walking or stretching is done for 4- 5 minutes * Applying heat for 3-4 minutes to warm the area * 40 seconds on right side * 40 seconds on left side

Other: Graston technique

Interventions

Strain counterstrain technique OTHER

Group A: Conventional treatment will be given for 45 minutes (repeated 2 sets in each session) * 1 day per week * 4 weeks protocol

strain counterstrain technique

Graston technique OTHER

GROUP B: Conventional treatment will be given for 45 minutes Before starting procedure, brisk walking or stretching is done for 4- 5 minutes * Applying heat for 3-4 minutes to warm the area * 40 seconds on right side * 40 seconds on left side * 1 day per week * 4 weeks protocol After treatment, apply Ice for 2 minutes

Graston technique

Eligibility Criteria

• Age: 20 Years - 45 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Participant's age range 20-45 years
• Both genders.
• Individuals having low back pain for atleast 12 weeks with limited segmental mobility especially after maintaining certain prolonged posture .
• Individuals with localized pain and tenderness at attachments of quadratus lumborum due to the presence of trigger points (unilateral or bilateral).
• positive segmental mobility assessment at the level of L4 and L5 on one side or on both sides
• Patients having moderate pain on NPRS

You may not qualify if:

• Individuals with anticoagulation or bleeding disorders, acute muscle trauma, infections, lumbar disc herniation, spinal deformities, or a history of spinal surgery or anticoagulation medication
• Orthopedic surgery or any other low back surgery .
• Fracture of vertebrae and any lower limb injury

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Kishwar sultana hospital

Lahore, Punjab Province, 54920, Pakistan

RECRUITING

MeSH Terms

Conditions

Myofascial Pain Syndromes; Low Back Pain

Condition Hierarchy (Ancestors)

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

Study Officials

• Hira Shaukat, TDPT

  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, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 15, 2025
• First Posted: May 23, 2025
• Study Start: June 12, 2025
• Primary Completion: September 1, 2025
• Study Completion: December 1, 2025
• Last Updated: July 4, 2025

Record last verified: 2025-07

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)