Positional Release Technique Versus Stretching Exercises In Patients With Chronic Non-Specific Low Back Pain

NCT07026071 | Completed DMC

• 1 other identifier: Burhan- REC/RCR&AHS 24/0140
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

This study will be a Randomized Clinical Trial and will be conducted in Physiotherapy Outpatient Department of Allama Iqbal Memorial Teaching Hospital, Sialkot. Non-Probability Convenient Sampling will be used to collect the data. Sample size of subjects with age group between 18-45 years will be taken. Data will be collected from the patients having present complaint of Chronic Non-Specific Low Back Pain. Outcome measures will be taken using Numeric pain rating scale (NPRS) for pain, Oswestry Disability Index for Disability and Inclinometer for Range of motion. An informed consent will be taken from the participants. Subjects will be selected on the basis of inclusion and exclusion criteria and will be equally divided into two groups by random number generator table. Both the Groups will receive Transcutaneous Electrical Nerve Stimulation, Hot Pack, and Standard Physical Therapy exercises for CNSLBP, while Group A will receive Positional Release Technique for Iliopsoas, Quadratus Lumborum and Hamstring Muscle and Group B will receive Stretching Exercises of Iliopsoas, Quadratus Lumborum and Hamstring Muscle. Outcome measures will be measured at baseline and after 4 weeks. Data analysis will be done by SPSS version 25.

Conditions

Low Back Pain

Keywords

Low Back Pain; Positional Release Technique; Range of Motion; Stretching Exercises

Outcome Measures

Primary Outcomes (3)

• NPRS

  PRS stands for Numeric Pain Rating Scale. It's a tool used to measure the intensity of pain, where individuals rate their pain on a scale from 0 (no pain) to 10 (worst pain imaginable).

  Baseline, 4th Week

• Oswestry Disability Index

  The Oswestry Disability Index (ODI) is scored out of 100%, with a lower percentage indicating less disability. The ODI consists of 10 sections, each with 6 statements, scored from 0 to 5, with 0 representing no disability and 5 representing the maximum disability. To calculate the ODI score, sum the scores from all sections, divide by the total possible score (50 if all sections are completed), and multiply by 100.

  Baseline, 4th Week

• Lumbar Range of Motion

  Lumbar range of motion (ROM) is typically measured in degrees using a goniometer, with normal ranges varying by movement. Flexion is typically around 60-75 degrees, extension 25-35 degrees, and lateral flexion 20-25 degrees.

  Baseline, 4th Week

Study Arms (2)

Group A

EXPERIMENTAL

Other: Positional Release Technique

Group B

ACTIVE COMPARATOR

Other: Stretching Exercises

Interventions

Positional Release Technique OTHER

Positional Release Technique will be repeated 3 times in each session for each muscle with an aim to produce a decrease in perceived pain and an increase in pressure tolerance Iliopsoas Quadratus Lumborum Hamstrings

Group A

Stretching Exercises OTHER

These exercises will be performed with three repetitions per set, three sets per visit and with 30 seconds hold and 30 seconds rest Iliopsoas Quadratus Lumborum Hamstrings

Group B

Eligibility Criteria

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

You may qualify if:

• Male or Female Gender
• years of age
• Back Pain with the duration longer than 12 weeks.
• Numeric Rating Scale (NRS) score of 3-7/10
• Oswestry Disability Index score of 20-60
• Minimum 20 degrees of flexion at knee while performing active knee extension test
• Positive Modified Thomas Test
• Participations with Lumbar Pain and Pain in the attachments of Quadratus Lumborum Muscle (iliac crest and lower ribs) or pain localized para spinally or restriction in motion of lumbar due to tightness of Quadratus Lumborum Muscle

You may not qualify if:

• Serious spinal disorders, such as fractures
• History of trauma or Previous Spinal Surgery
• Spine osteoarthritis, Spinal Canal Stenosis and Spondylolistheses
• Any neurological symptoms involving Prolapsed Intervertebral Disc, Radiculopathy or presence of root symptoms (e.g. Sciatica and Cauda Equina Syndrome)
• Any systemic disease like Rheumatoid Arthritis, Ankylosing Spondylitis
• Pregnancy, Cancer or Malignancy
• Altered Sensation and Deep Tendon Reflex

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Riphah Rehabilitation Clinic

Lahore, Punjab Province, 54000, Pakistan

Location

Related Publications (3)

• Sheeran L, Al-Amri M, Sparkes V, Davies JL. Assessment of Spinal and Pelvic Kinematics Using Inertial Measurement Units in Clinical Subgroups of Persistent Non-Specific Low Back Pain. Sensors (Basel). 2024 Mar 26;24(7):2127. doi: 10.3390/s24072127.

  PMID: 38610338 BACKGROUND

• Robinault L, Niazi IK, Kumari N, Amjad I, Menard V, Haavik H. Non-Specific Low Back Pain: An Inductive Exploratory Analysis through Factor Analysis and Deep Learning for Better Clustering. Brain Sci. 2023 Jun 13;13(6):946. doi: 10.3390/brainsci13060946.

  PMID: 37371424 BACKGROUND

• Vatovec R, Voglar M. Changes of trunk muscle stiffness in individuals with low back pain: a systematic review with meta-analysis. BMC Musculoskelet Disord. 2024 Feb 19;25(1):155. doi: 10.1186/s12891-024-07241-3.

  PMID: 38373986 BACKGROUND

MeSH Terms

Conditions

Low Back Pain

Interventions

Muscle Stretching Exercises

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Exercise Therapy; Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Physical Therapy Modalities; Exercise; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• Syed Shakil ur Rehman, PhD

  Riphah International University

  PRINCIPAL INVESTIGATOR

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 30, 2025
• Last Updated: February 25, 2026

Record last verified: 2026-02

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)