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Muscle Energy Technique Versus Back Stretching Among Non-specific Low Back Pain-subacute

Primary Purpose

Low Back Pain

Status
Recruiting
Phase
Not Applicable
Locations
Pakistan
Study Type
Interventional
Intervention
Muscle energy technique of erector spinae muscle
Muscle energy technique of quadratus lumborum muscle
Stretching of erector spinae muscle
Stretching of quadratus lumborum muscle
Back strengthening exercises
Thermotherapy
Sponsored by
Dow University of Health Sciences
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Low Back Pain focused on measuring Low back pain

Eligibility Criteria

20 Years - 45 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

- low back pain (subacute)

  • VAS score( more than 3 cm)
  • Quadratus lumborum and erector spinae tightness present

Exclusion Criteria:

  • back pain (specific)

Sites / Locations

  • Sindh Institute of physical medicine and rehabilitationRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Muscle energy technique+ Thermotherapy +Back Strengthening exercise

General stretching+ Thermotherapy +Back Strengthening exercise

Arm Description

Outcomes

Primary Outcome Measures

Change from Visual Analogue scale scores at 3 weeks
It is subjective outcome measure for pain intensity on 1 to10 cm scores. The '0 cm' score refers no pain and '10 cm' refers more excruciating pain. Increase in scores suggest worst pain intensity.
Change from Rolland Morris Disability Questionnaire scores at 3 weeks
It is explore area of function leading to understand the level of disability. It consists of total 24 scores. The '0' score refers no disability and '24' refers maximum disability. Increase in scores suggest worst disability.

Secondary Outcome Measures

Full Information

First Posted
April 20, 2022
Last Updated
April 30, 2022
Sponsor
Dow University of Health Sciences
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1. Study Identification

Unique Protocol Identification Number
NCT05360121
Brief Title
Muscle Energy Technique Versus Back Stretching Among Non-specific Low Back Pain-subacute
Official Title
Effects of Muscle Energy Technique and General Stretching in the Management of Sub-acute Non-specific Low Back Pain :A Randomized Control Trial
Study Type
Interventional

2. Study Status

Record Verification Date
April 2022
Overall Recruitment Status
Recruiting
Study Start Date
September 15, 2021 (Actual)
Primary Completion Date
April 30, 2022 (Anticipated)
Study Completion Date
April 30, 2022 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Dow University of Health Sciences

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This study will highlight LBP management using MET and stretching application among subacute type of back pain
Detailed Description
This study will explore effects of two approaches , out of two MET has not been used in clinical practice more often, therefore this study will explore its physiological impact among back pain

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Low Back Pain
Keywords
Low back pain

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Model Description
Single blinding will be used in which only the researcher doing the study knows which treatment or intervention the participant is receiving until the trial is over.
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
60 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Muscle energy technique+ Thermotherapy +Back Strengthening exercise
Arm Type
Experimental
Arm Title
General stretching+ Thermotherapy +Back Strengthening exercise
Arm Type
Active Comparator
Intervention Type
Other
Intervention Name(s)
Muscle energy technique of erector spinae muscle
Intervention Description
Therapist will develop cross hand position left hand on lower thoracic and right hand on sacrum. Patient will asked to lift shoulder out of couch to contract the lumber erector spinae and apply force twenty percent against therapist force and keep this position of muscle contraction 7 to 10 seconds then 5 second relax . Then therapist will take new position of muscle restriction by slacking and will hold 30 second that position at the end of restriction then will finally end stretch with three repetition. Muscle energy technique of erector spinae muscle.
Intervention Type
Other
Intervention Name(s)
Muscle energy technique of quadratus lumborum muscle
Intervention Description
Therapist will take step over the patient off leg and squeezes gently with their thigh. Patient will abduct leg with 20 percent force against the resistance of therapists thigh for 7 to 10 second. the therapist gently and passively will move patient leg towards adduction by squatting down slowly. Therapist at same time with both hands cradling the iliac crest of pelvic for 30 second stretch and 3 repetition.
Intervention Type
Other
Intervention Name(s)
Stretching of erector spinae muscle
Intervention Description
The therapist standing on the side in a way to place his elbow placed on erector spine and apply stretching on the muscle belly in the direction of longitudinal or transverse plane( figure 1).Duration of stretch will be 15 seconds and four repetition.
Intervention Type
Other
Intervention Name(s)
Stretching of quadratus lumborum muscle
Intervention Description
Placing patient's legs to one side of the table and upper body also move to the same side in lateral flexion. This position generate a basic gentle stretch of the muscle. The therapist use elbow on tight/ flat part of muscle belly to stretch out the muscle(figure 2). Duration of stretch will be 15 seconds and four repetition
Intervention Type
Other
Intervention Name(s)
Back strengthening exercises
Intervention Description
Supine Abdominal Draw In Supine Butt Lift with Arms at Side Abdominal Draw In with Heel Slide Abdominal Draw In with Knee to Chest Abdominal Draw In with feet on the ball Abdominal Draw In with feet on the ball- add movement
Intervention Type
Other
Intervention Name(s)
Thermotherapy
Intervention Description
Ten minute duration of hot pack given on low back for local superficial heat.
Primary Outcome Measure Information:
Title
Change from Visual Analogue scale scores at 3 weeks
Description
It is subjective outcome measure for pain intensity on 1 to10 cm scores. The '0 cm' score refers no pain and '10 cm' refers more excruciating pain. Increase in scores suggest worst pain intensity.
Time Frame
at baseline and 3 weeks
Title
Change from Rolland Morris Disability Questionnaire scores at 3 weeks
Description
It is explore area of function leading to understand the level of disability. It consists of total 24 scores. The '0' score refers no disability and '24' refers maximum disability. Increase in scores suggest worst disability.
Time Frame
at baseline and 3 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: - low back pain (subacute) VAS score( more than 3 cm) Quadratus lumborum and erector spinae tightness present Exclusion Criteria: back pain (specific)
Facility Information:
Facility Name
Sindh Institute of physical medicine and rehabilitation
City
Karachi
State/Province
Sindh
Country
Pakistan
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Saeed Akhter, MSPT
Phone
+923312049179
Email
saeed787@hotmail.com
First Name & Middle Initial & Last Name & Degree
Abdul Rehman, DPT

12. IPD Sharing Statement

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Muscle Energy Technique Versus Back Stretching Among Non-specific Low Back Pain-subacute

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