Instrument Assisted Soft Tissue Mobilization Versus Myofascial Release in Patients With Chronic Non¬Specific Low Back Pain
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Instrument assisted soft tissue mobilization, Myofascial release, The conventional exercise program.
- Who it may be relevant to
- Registry conditions: Myofascial Release, Instrument Assisted Soft Tissue Mobilization, Chronic Low-back Pain. Basic parameters: 25 years — 45 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Egypt
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
This study was done to compare the effect of instrumental-assisted soft tissue mobilization versus the effect of myofascial release on pain intensity, pressure pain threshold, back function, and back range of motion in patients with chronic nonspecific low back pain.
Detailed description
Low back pain affects 20% of the workforce annually, leading to increased work absenteeism. Chronic non specific low back pain restricts functional and occupational activities, impacting society and the economy. Treatment is often unsatisfactory, and there is no consensus on the optimal approach. Further scientific research is needed to understand the effects of facial tissue manipulation on Chronic non specific low back pain patients. The literature has not addressed the distinctions between myofascial force transmission instrumental assisted soft tissue mobilization and myofascial release on Chronic non specific low back pain patients, which could help physical therapists find effective treatments. This study is the first to include pain, Pressure pain threshold, back function, and range of motion as outcome measures and compare instrumental assisted soft tissue mobilization and myofascial release in Chronic non specific low back pain patients.
Interventions
- Other Instrument assisted soft tissue mobilization
The group will undergo Instrument assisted soft tissue mobilization using M2Tblade, applying it for 40-120 seconds until hyperemia occurs. After treatment, ice packs will be applied for 5 minutes to reduce hyperemia. The therapist will ensure comfort through continuous communication and reporting any discomfort. - Other Myofascial release
The therapist will use a cross-hand release technique to release the lumbar spine, ensuring the patient is prone and suitable. They will lean into the patient to the tissue depth barrier, wait, and follow each release, avoiding force or slipping. The technique will be applied for 5 minutes on each side. - Other The conventional exercise program
Patients will undergo a 12-session exercise program for 6 weeks, consisting of straight leg raising, bridging exercise, prone hip extension exercise, and abdominal curl exercise. The exercises will be done 3 sets, 10 repetitions each, with 1 minute rest between each set. The abdominal curl exercises involve supine or hook-lying positions with the lumbar spine neutral, with the patient performing a drawing in maneuver to stabilize the abdominal muscles. The progression involves lifting the should
Primary outcome measures
- Assessing the change of pain intensity using visual analogue scale [Time frame: at baseline and after 6 weeks]
Secondary outcome measures (6)
- Assessing the change of pressure pain threshold using the pressure algometer [Time frame: at baseline and after 6 weeks]
- Assessing the change of flexion range of motion of the lumbar spine using the back range of motion device [Time frame: at baseline and after 6 weeks]
- Assessing the change of extension range of motion of the lumbar spine using the back range of motion device [Time frame: at baseline and after 6 weeks]
- Assessing the change of lateral flexion range of motion of the lumbar spine using the back range of motion device [Time frame: at baseline and after 6 weeks]
- Assessing the change of rotation range of motion of the lumbar spine using the back range of motion device [Time frame: at baseline and after 6 weeks]
- Assessing the change of back function using the 5) The Arabic version of Oswestry Disability Index [Time frame: at baseline and after 6 weeks]
Eligibility criteria
Inclusion criteria
- Patients with chronic non-specific low back pain for more than 3 months.
- Age between 25-45 years.
Exclusion criteria
- Patients who have serious spinal pathologies, such as fractures, tumors or inflammatory diseases (such as ankylosing spondylitis)
- Patients who have nerve root compromise, disk herniation, spondylolisthesis with neurological involvement, or narrowing of spinal canal
- Pregnant women
- Cancer patients .
- Lower limb injuries.
- Body mass index (BMI) greater than 25.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Treatment
Study locations
Egypt · 1 center
- the Outpatient Clinic of the Police Authority Hospital — Cairo
Identifiers
NCT: NCT06796881 · Dalia-003373