McGill Exercise With and Without 3-dimensional Myofascial Release Technique in Non-specific Low Back Pain

NCT07441031 | Completed

• 1 other identifier: S24C14G30009
• Study Type: interventional
• Target: 38
• Locations: 1 country
• Sites: 1

Brief Summary

Low back pain is a complex of musculoskeletal disorders or muscular imbalance and one of the most common problems of patients referred to physiotherapy clinics, but still diagnosis and especially the provision of special back pain therapy is a challenge. According to the studies, 84% of the population at least once in a lifetime. Non-specific Lower back pain NSLBP does not have any specific cause and almost 90% of patients experience undiagnosed pathologic LBP. It is multifactorial and has different causes depends on the type of injury. Common etiologies behind NSLBP are muscular weakness, postural instability, fascial restriction, lumbo-pelvic muscle imbalance, change in spinal curvature and abnormal tilting of pelvic.

Conditions

Exercise; Low Back Pain; Lumbar; Lordosis

Keywords

Myofascial Release Therapy; Exercise; Low Back Pain; Lumbar; Lordosis

Outcome Measures

Primary Outcomes (3)

• Inclinometer:

  An inclinometer (or clinometer), is an instrument used for measuring the angles of slope/tilt and elevation/depression of an object with respect to gravity. The average ranges of anterior tilting are 13.0 ± 4.9° degree. The inter-class reliability showed that there was a low 16 reliability of absolute angular error by digital inclinometer (with ICC=0.467 and Pvalue=0.004).

  8 WEEKS

• Numerical Pain Rating Scale (NPRS):

  Tool for the assessment of pain intensity (NPRS) will be used. This scale ranges from 0 to 10, where 0 indicates "no pain" at all and 10 indicates "worst pain". NPRS have shown high test- retest reliability (r = 0.96 and 0.95, respectively).

  8 WEEKS

• Flexicurve

  The Flexicurve (portable flexible rubber ruler) is a non-invasive and inexpensive tool used to perform the quick assessment of spinal curvatures. Therefore, it is some time consider as the valuable instrument to evaluate kyphosis and lordosis in the clinical set-up. According to the literature, it is reliable and valid with 85% Sensitivity and 97% specificity.

  8 WEEKS

Study Arms (2)

McGill exercise with Three-Dimensional Myofascial Release along with Baseline.

EXPERIMENTAL

Patients will receive McGill exercise with Three-Dimensional Myofascial Release along with Baseline Physical therapy treatment protocol.

Other: McGill exercise with 3 D Myofascial Release.

McGill exercise without 3-D MFR along with Baseline protocol.

ACTIVE COMPARATOR

Patients Will receive McGill exercise without 3-D MFR along with Baseline protocol.

Other: McGill exercise without 3-D MFR

Interventions

McGill exercise with 3 D Myofascial Release. OTHER

Treatment will include McGill's big 3 core exercises initially 2 sets of 10rep then progress with increasing sets and repetitions. And 3-D Myofascial release stretches, each for 90sec. 1 set of 3rep in every physiotherapy session. Patient will get 3 sessions of 40-45minutes, per week for 6 weeks.

McGill exercise with Three-Dimensional Myofascial Release along with Baseline.

McGill exercise without 3-D MFR OTHER

Perform McGill's big 3 core exercises initially 2 sets of 10rep then progress with increasing sets and repetitions. Patient will get total 3 sessions per week of 40- 45minutes for 6 weeks.

McGill exercise without 3-D MFR along with Baseline protocol.

Eligibility Criteria

• Age: 18 Years - 55 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Pain rate 3-7 on NPRS.
• Localized back pain between the 12th rib and the gluteal folds.
• Hyperlordotic curvature of lumber spine beyond range 37° to 42°.
• No radiating pain or paresthesia during SLR.
• No evidence of congenital anomalies.
• Diagnosed hyprlordotic lumbar.
• Positive special test (mini 2): Thomas test, wall test, The modified Schöber technique test (MST), The fingertip-to-floor test and Straight leg raise test.

You may not qualify if:

• Individual with diagnosed neurological and rheumatologically disorder.
• History of abdominal, lumber or sacral spine, recent spinal surgery.
• Person on painkillers during last 3 months.
• Having history of spinal fracture.
• Females in post-partum period or pregnancy.
• History of Severe osteoporosis, Tumor.
• Severe heart failure or respiratory failure, active drug addiction, active psychiatric pathology.
• Intervertebral disc pathology.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Riphah rehabilitation clinic Lahore.

Lahore, Punjab Province, 56700, Pakistan

Location

MeSH Terms

Conditions

Motor Activity; Low Back Pain; Lordosis

Condition Hierarchy (Ancestors)

Behavior; Back Pain; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Spinal Curvatures; Spinal Diseases; Bone Diseases; Musculoskeletal Diseases

Study Officials

• Faiza Taufiq

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Participants received McGill exercise with and without 3-Dimensional Myofascial release technique.

Study Record Dates

• First Submitted: February 23, 2026
• First Posted: February 27, 2026
• Study Start: February 15, 2025
• Primary Completion: January 5, 2026
• Study Completion: January 5, 2026
• Last Updated: February 27, 2026

Record last verified: 2026-02

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)