NCT07026045

Brief Summary

This randomized controlled trial will be conducted at Riphah Rehabilitation Clinic and Spinacure clinic in Lahore over a 9-month period. A sample size of 42 participants, aged 18 to 45, will be selected using convenient sampling. Informed consent will be obtained from all participants. Participants will be divided into two groups: Group A will receive Post-Isometric Relaxation in addition to standard physical therapy, while Group B will receive Post-Facilitation Stretch in addition to standard physical therapy. Outcome measures, including the Numeric Pain Rating Scale (NPRS) for pain, inclinometer for mobility assessment, and Oswestry Disability Index (ODI) Urdu version for disability, will be assessed at baseline and after 4 weeks. Inclusion criteria include patients with CLBP aged 18-45 years, with pain levels between \>3 and \<7 on the NPRS, and an ODI score between 14% and 50%. Exclusion criteria include any neurological symptoms, systemic soft tissue and bony disease, and previous spinal surgeries. Data will be analyzed using IBM SPSS 25.0.

Trial Health

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Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
42

participants targeted

Target at P25-P50 for not_applicable low-back-pain

Timeline
Completed

Started May 2025

Shorter than P25 for not_applicable low-back-pain

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

May 1, 2025

Completed
1 month until next milestone

First Submitted

Initial submission to the registry

June 11, 2025

Completed
7 days until next milestone

First Posted

Study publicly available on registry

June 18, 2025

Completed
2 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 30, 2025

Completed
29 days until next milestone

Study Completion

Last participant's last visit for all outcomes

September 28, 2025

Completed
Last Updated

June 18, 2025

Status Verified

June 1, 2025

Enrollment Period

4 months

First QC Date

June 11, 2025

Last Update Submit

June 11, 2025

Conditions

Low Back Pain

Keywords

Low back painPost isometric relaxationPost facilitation stretch

Outcome Measures

Primary Outcomes (5)

  • Numerical Pain Rating Scale

    Baseline, 4th Week

  • Lumbar Flexion

    Baseline, 4th Week

  • Lumbar Extension

    Baseline, 4th week

  • Lumbar Side Flexion

    Baseline, 4th Week

  • Oswestry Disability Index

    Baseline, 4th Week

Study Arms (2)

Group A

EXPERIMENTAL

Post isometric relaxation (Lewit,s)

Other: Post isometric relaxation (Lewit,s)

Group B

ACTIVE COMPARATOR

Post facilitation stretch (Janda's technique)

Other: Post-Facilitation Stretch Technique (Janda's technique)

Interventions

Post isometric relaxation (Lewit,s)OTHER

Post-isometric relaxation technique for the erector spinae, Iliopsoas, Quadratus Lumborum

Group A
Post-Facilitation Stretch Technique (Janda's technique)OTHER

Post-Facilitation Stretch Technique for the erector spinae, Iliopsoas, Quadratus Lumborum

Group B

Eligibility Criteria

Age18 Years - 45 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • Age of patient between 18 to 45 year
  • Both gender
  • (LBP) for more than 3 months
  • Diagnosis of Chronic Low Back Pain (CLBP)
  • Negative SLR, negative faber test, negative lumber quadrant
  • Lumber extension test positive, positive scobber test
  • Having low back pain below the costal margin and above inferior gluteal folds and suffering from low back pain
  • Disability level of more than 14% and less than 50% according to Oswestry questionnaire
  • NPRS score of \>3 to ≤7

You may not qualify if:

  • Chronic systemic soft tissue and bony disease
  • Any neurological symptoms involving Prolapsed Intervertebral Disc, Radiculopathy Back pain with trauma
  • History of recent abdominal, back surgeries and pregnancy

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Riphah Rehabilitation Clinic

Lahore, Punjab Province, 54000, Pakistan

RECRUITING

Related Publications (3)

  • van Tulder MW, Koes BW, Bouter LM. Conservative treatment of acute and chronic nonspecific low back pain. A systematic review of randomized controlled trials of the most common interventions. Spine (Phila Pa 1976). 1997 Sep 15;22(18):2128-56. doi: 10.1097/00007632-199709150-00012.

    PMID: 9322325BACKGROUND

  • Amjad MA, Siddiqui AM, Bashir K, Ghafoor AU, Durrani RS. Prevalence of chronic pain in Pakistan - a national survey. J Pak Med Assoc. 2023 Jun;73(6):1217-1220. doi: 10.47391/JPMA.6671.

    PMID: 37427618BACKGROUND

  • Koes BW, van Tulder MW, Thomas S. Diagnosis and treatment of low back pain. BMJ. 2006 Jun 17;332(7555):1430-4. doi: 10.1136/bmj.332.7555.1430. No abstract available.

    PMID: 16777886BACKGROUND

MeSH Terms

Conditions

Low Back Pain

Condition Hierarchy (Ancestors)

Back PainPainNeurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and Symptoms

Study Officials

  • Syed Shakil ur Rehman, PhD

    Riphah International University

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Syed Shakil ur Rehman, PhD

CONTACT

+92 320 786661shakil.urrehman@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

June 11, 2025

First Posted

June 18, 2025

Study Start

May 1, 2025

Primary Completion

August 30, 2025

Study Completion

September 28, 2025

Last Updated

June 18, 2025

Record last verified: 2025-06

Data Sharing

IPD Sharing
Will not share

Locations

PA(1)