Spray and Stretch Technique Versus Strain Counter Strain in Patients With 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: Spray and stretch technique on Hamstring Muscle, Strain and counter strain technique on hamstring muscle.
- Who it may be relevant to
- Registry conditions: Low Back Pain. Basic parameters: 35 years — 50 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
Comparative Effect of Spray and Stretch Technique Versus Strain Counter Strain on Hamstring Muscles for Pain , Disability and Mobility in Patients With Non Specific Low Back Pain
Overview
Non-specific low back pain refers to pain in the lower back region that cannot be attributed to a specific identifiable pathology such as infection, tumor, osteoporosis, lumbar disc herniation, spinal stenosis or fracture. It is the most common type of low back pain, accounting for about 85-90% of cases. Non specific low back pain is posteriorly occurring that is located between lower rib margin and gluteal fold. It is exacerbated by sustained back postures, back movements or back muscle imbalances. The aim of study is to find out which technique whether Spray and stretch technique or strain Counter strain works better in reducing pain ,improving movement ,and decreasing disability caused by tight hamstring muscles in people with non specific low Back Pain.
Detailed description
This double blinded randomized Clinical Trial will be conducted at Ibne Siena Hospital MULTAN through consecutive sampling technique on 30 patients which will be allocated using simple random sampling through sealed opaque enveloped into Group A and Group B. Group A will be treated with spray and stretch technique and Group B will be treated with strain counter technique at the frequency of 2 sets with 5 repetitions and thrice a week. Outcome measures will be conducted through NPRS, ODI, AKE ,PKET and SLR before treatment and after 4 weeks. Data will be analyzed during SPSS software version 26. After assessing normality of data by Shapiro-wilk test, it will be decided either parametric or non parametric test will be used within a group or between two groups.
Interventions
- Other Spray and stretch technique on Hamstring Muscle
The participant will be positioned in a comfortable supine lying position on a treatment table in a quiet and suitable clinical environment. Before starting the intervention, the procedure will be explained to the participant in simple language, and verbal confirmation of comfort will be obtained. The affected lower limb will be exposed appropriately while ensuring privacy, modesty, and warmth through proper draping with towels or sheets. The participant will be instructed to relax the lower lim - Other Strain and counter strain technique on hamstring muscle
identify the tender point Palpate the hamstring while the patient is prone or side lying locate the most tender point in belly of the muscle or near the ischial tuberosity Establish a pain scale and Ask the patient to rate the tenderness from 0 to 10 (10 being the most painful).Position of ease will be achieved by Flexing the patient's knee to about 70 to 90 degrees .Slightly abduct and externally rotate the leg to shorten the hamstring muscle (the position may vary depending on the muscle .The
Primary outcome measures
- Numeric pain rate scale (NPRS) [Time frame: Baseline and after 4 weeks of intervention]
- Active knee extension [Time frame: Baseline and after 4 weeks of intervention]
- Passive knee extension test (PKET) [Time frame: Baseline and after 4 weeks]
- Oswestry Disability Index [Time frame: Baseline and after 4 weeks]
- Straight leg raise [Time frame: Baseline and after 4 weeks]
Eligibility criteria
Inclusion criteria
- AGE(35 to 50)
- Gender (both male and female)
- Negative lasegue test
- Negative slump test
- Negative prone instability test
Exclusion criteria
- Fracture or instability (4)
- History of cancer
- Inflammatory condition like ankylosing spondylitis
- Neurological deficits like cauda equina syndrome or motor weakness
- History of previous of previous lumber surgery
- Pregnancy
- Structural deformity like scoliosis
- Herniated disc
- Nerve compression
- Spinal stenosis
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
- Ibne sina hospital and research institute. — Multan
Publications
- Koura G, Hamada H, Mohamed YE, Balbaa AA, El-Nassag BA, Baghdadi ARJHM. Impact of strain-counterstrain on treatment of acute nonspecific low back pain: a single-blind randomized controlled trial. 2020;22(1):42-9.
- Seif HE, Alenazi A, Hassan SM, Kachanathu SJ, Hafez ARJOJoT, Rehabilitation. The effect of stretching hamstring, gastrocnemius, iliopsoas and back muscles on pain and functional activities in patients with chronic low back pain: a randomized clinical trial. 2015;3(4):139-45.
- Shipton EA. Physical Therapy Approaches in the Treatment of Low Back Pain. Pain Ther. 2018 Dec;7(2):127-137. doi: 10.1007/s40122-018-0105-x. Epub 2018 Sep 18. PMID 30229473
- Gou Y, Lei H, Chen X, Wang X. The effects of hamstring stretching exercises on pain intensity and function in low back pain patients: A systematic review with meta-analysis of randomized controlled trials. SAGE Open Med. 2024 Jul 29;12:20503121241252251. doi: 10.1177/20503121241252251. eCollection 2024. PMID 39086556
- Haile G, Hailemariam TT, Haile TG. Effectiveness of Ultrasound Therapy on the Management of Chronic Non-Specific Low Back Pain: A Systematic Review. J Pain Res. 2021 May 17;14:1251-1257. doi: 10.2147/JPR.S277574. eCollection 2021. PMID 34040429
- Riaz SA, Usman MJPJoR. Effect of Static Stretching of Hamstring on Non-Specific Low Back Pain. 2023;12(1):43-51.
- Dobija L, Pereira B, Cohen-Aknine G, Roren A, Dupeyron A, Coudeyre E. Immediate effect of passive hamstring stretching on flexibility and relationship with psychosocial factors in people with chronic low back pain. Heliyon. 2023 Sep 4;9(9):e19753. doi: 10.1016/j.heliyon.2023.e19753. eCollection 2023 Sep. PMID 37810115
- Ahmed J, Anwar K, Sajjad AGJRJoHS. Effects of strain counter strain technique in treatment of chronic mechanical low back pain: a randomized controlled trail. 2021;3(2):85-91
Identifiers
NCT: NCT07729774 · REC/RCR & AHS/25/0135 Nisa