Effects of Post Isometric Relaxation in Patients With Quadratus Lumborum Syndrome
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: Conventional Traetment, Post-Isometric Relaxation (PIR).
- Who it may be relevant to
- Registry conditions: Quadratus Lumborum. Basic parameters: 20 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
- Pakistan
- 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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Official title
Effects of Post Isometric Relaxation on Pain, Muscle Endurance and Disability in Patients With Quadratus Lumborum Syndrome
Overview
The most common musculoskeletal problem in both developed and developing countries is low back pain. Quadratus lumborum syndrome is a common source of low back pain, defined as a myofascial pain syndrome characterized by pain due to spasm and stiffness of the quadratus lumborum muscle. This condition often occurs when weak back muscles are compensated by the quadratus lumborum, leading to painful muscle spasms. This study aims to determine the effects of PIR on pain, muscle endurance, and disability in patients with Quadratus Lumborum Syndrome.
Detailed description
This randomized controlled trial will be conducted at Ittefaq Hospital Lahore over a 4-month period. A sample size of 32 participants, aged 20 to 45 will be selected using non-probability convenient sampling. Informed consent will be obtained from all participants. Participants will be divided into two groups: Group A will receive Post-Isometric Relaxation in addition to standard physical therapy, while Group B will receive only standard physical therapy which includes a hot pack, TENS, core stability exercises and Maitland's mobilization. Outcome measures including the Numeric pain rating scale (NPRS), McGill's torso muscular endurance test, Oswestry disability index (ODI) urdu version and Lateral flexion test for mobility will be assessed at baseline and after 4 weeks. Inclusion criteria include positive hip hike and lateral flexion tests, lumbar pain with an NPRS score of \>3 to ≤7, and an ODI score of ≥5 to ≤24. Exclusion criteria include chronic pain, spondylolisthesis and previous spinal surgeries. Data will be analyzed using IBM SPSS 25.0.
Interventions
- Other Conventional Traetment
Maitland MobilizationPosterior-Anterior Glide will be performed on the transverse processes of the L1 to L4 vertebrae. The amplitude will initially be grade 1 and 2 for pain relief, and grade 3 and 4 will be used to improve ROM, with slow speed, smooth rhythm, and 2 to 3 oscillations per second for 30 seconds. There will be 2 to 3 sets for each vertebra - Other Post-Isometric Relaxation (PIR)
The practitioner stands behind the side lying patient, at waist level. The patient has the uppermost arm extended over the head to firmly grasp the top end of the table and, on an inhalation, abducts the uppermost leg until the practitioner palpates strong quadratus activity (elevation of around 30° usually). The patient holds the leg isometrically in this manner, allowing gravity to provide resistance for 10-second, the patient allows the leg to hang slightly behind him over the back of the tab
Primary outcome measures
- low back Pain intensity [Time frame: upto 4 weeks]
- Muscle Endurance [Time frame: upto 4 weeks]
- Functional Disability [Time frame: upto 4 weeks]
- Lateral Flexion [Time frame: upto 4 weeks]
Eligibility criteria
Inclusion criteria
- • Age group between 20 and 45 years (2)
- Both gender male and female
- Positive Hip hike test
- Positive Lateral flexion test (14)
- Positive McGill endurance test
Exclusion criteria
- • Patients will be excluded if they are diagnosed with the following conditions;
- Radiating pain
- Paresthesia
- Numbness into buttocks or lower extremity
- Patients having low back pain of more than 12 weeks of duration (chronic)
- Spondylolisthesis
- Spondylosis
- Lumbar disc herniation
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
Pakistan · 1 center
- Ittefaq Hospital — Lahore
Publications
- Jairakdee Y, Chansirinukor W, Sitti T. Effect of releasing quadratus lumborum muscle on hip and knee muscle length in asymptomatic individuals. J Bodyw Mov Ther. 2021 Apr;26:542-547. doi: 10.1016/j.jbmt.2020.11.008. Epub 2020 Nov 7. PMID 33992295
Identifiers
NCT: NCT07619742 · REC/RCR&AHS/24/0143 Barira