Instrument Assisted Soft Tissue Mobilization Versus Myofascial Release in Patients With Chronic Non¬Specific Low Back Pain

Обзор

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.

Подробное описание

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.

Вмешательства

• Другое 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.
• Другое 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.
• Другое 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

Первичные конечные точки

• Assessing the change of pain intensity using visual analogue scale [Срок оценки: at baseline and after 6 weeks]

Вторичные конечные точки (6)

• Assessing the change of pressure pain threshold using the pressure algometer [Срок оценки: 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 [Срок оценки: 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 [Срок оценки: 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 [Срок оценки: 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 [Срок оценки: at baseline and after 6 weeks]
• Assessing the change of back function using the 5) The Arabic version of Oswestry Disability Index [Срок оценки: at baseline and after 6 weeks]

Критерии участия

Критерии включения

• Patients with chronic non-specific low back pain for more than 3 months.
• Age between 25-45 years.

Критерии исключения

• 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.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Лечение

Центры проведения

Египет · 1 центр

• the Outpatient Clinic of the Police Authority Hospital — Cairo

Идентификаторы

NCT: NCT06796881 · Dalia-003373

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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