Effectiveness of Muscles Energy Technique in the Management of Chronic Non-specific Low Back Pain (MET)
Chronic Non-specific Low Back Pain
About this trial
This is an interventional treatment trial for Chronic Non-specific Low Back Pain focused on measuring MET, Low Back Pain, Stabilization exercises, Quality of Life, Functional disability
Eligibility Criteria
Inclusion Criteria:
- NSLBP history of about or more than 3 months and associated with referred lower extremity pain; pain in the lumbopelvic region;
- Lumbar hypomobility; mobility deficits of the thorax and hip regions;
- LBP not of specific origin diagnosed by a physician (due to fracture, tumours, malignancy, ankyloses, infections, and pregnancy);
- Diminished trunk or pelvic region muscle strength and endurance;
- Movement coordination impairments while performing community/work-related recreational or occupational activities.
- Attending Outpatient clinics and Physiotherapy departments of Rasheed Shekoni Teaching Hospital Dutse and Federal medical centre Birnin-Kudu in Jigawa state, Northwest Nigeria.
Exclusion Criteria:
- Chronic NSLBP with radiating pain due to nerve root involvement in physical examination.
- Patients using immunosuppression or steroid medication.
- Patients with persistent severe pain.
- Patients with spinal deformities.
- Patients with widespread neurological symptoms; patients with peritonitis as at the time of recruitment; patients with a history of lumbar surgery; patients diagnosed with carcinoma or organ disease; and patients with a history of severe rheumatic, orthopaedic, cardiovascular, systemic, metabolic or neurologic disorders.
Sites / Locations
- Rasheed Shekoni Specialist Hospital
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Active Comparator
Active Comparator
DSE plus MET (group A)
DSE only (group B)
Standard Physiotherapy Treatment (group C)
The DSE will consist of seven exercise activities that will be administered at random viz; 1. Bridging 2. Supine twist stretch 3. Double leg knee to chest stretch 4. Plank heel raise 5. Ball squat 6. Leg press on ball 7. Hip Lifts. The MET procedure will involve a total of 5-10 contralateral isometric voluntary contractions that will be resisted by force equal to the participant's for 30 seconds with 5 seconds rest between contractions (corresponding to 20-30%).
The DSE will consist of seven exercise activities that will be administered at random viz; 1. Bridging 2. Supine twist stretch 3. Double leg knee to chest stretch 4. Plank heel raise 5. Ball squat 6. Leg press on ball 7. Hip Lifts.
This group will involve classical massage, therapeutic exercises (strengthening spinal and abdominal muscles) and a combination of interferential therapy and therapeutic ultrasound (INF/UTS) applied to the lumbosacral region. The participants will be asked to perform the therapeutic exercises once a day at home.