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Набор скоро начнётся NCT07496099

Effects of Post-Isometric Relaxation and Myofascial Release on Low Back Pain With Lower Cross Syndrome

Без фазы С лечением Low Back Pain, Mechanical Lower Cross Syndrome Hamstring Muscle Tightness

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают
В протоколе указаны: post isometric relaxation, MYOFASCIAL RELEASE, Conventional Static Stretching, Therapeutic Modalities.
Кому может быть актуально
Состояния в реестре: Low Back Pain, Mechanical, Lower Cross Syndrome, Hamstring Muscle Tightness. Базовые параметры: 18 лет — 45 лет · Все.
Что важно проверить
Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится
Пакистан
Следующий шаг
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Официальное название

Combined Effects of Post-Isometric Relaxation and Myofascial Release in Patients With Low Back Pain and Lower Cross Syndrome: A Randomized Controlled Trial

Обзор

This randomized controlled trial aims to evaluate the combined effects of post-isometric relaxation and myofascial release on pain, flexibility, and functional disability in individuals with low back pain associated with lower cross syndrome. Eligible participants aged 18 to 45 years will be randomly allocated into two parallel intervention groups. One group will receive post-isometric relaxation combined with myofascial release, while the comparison group will receive conventional stretching combined with Therapeutic modalities. Outcomes will be assessed at baseline and after completion of the intervention period. The results of this study are expected to contribute to evidence-based physiotherapy management of low back pain associated with postural imbalance.

Вмешательства

  • Другое post isometric relaxation
    Post-isometric relaxation will be applied to the hamstring muscles. Participants will be positioned supine with the hip flexed to 90 degrees and will perform a submaximal isometric contraction of the hamstrings against therapist resistance for 5 to 8 seconds, followed by a passive stretch of approximately 10 seconds. The procedure will be repeated three times per limb per session.
  • Другое MYOFASCIAL RELEASE
    Myofascial release will be applied to the hamstring muscles with the participant in a prone position. Sustained manual pressure will be applied along the length of the hamstring muscles using the therapist's hands for approximately 30 seconds per application, repeated multiple times per session to improve tissue extensibility.
  • Другое Conventional Static Stretching
    Conventional static stretching of the hamstring muscles will be performed with the participant in a supine position. Each stretch will be held for approximately 30 seconds and repeated three times per limb per session as part of routine physiotherapy management.
  • Другое Therapeutic Modalities
    Therapeutic modalities, including ultrasound therapy or superficial heat application using a heating pad, will be applied prior to stretching to reduce pain and improve tissue extensibility as part of conventional physiotherapy care.

Первичные конечные точки

  • Hamstring Flexibility [Срок оценки: Outcome measures will be assessed at baseline, immediately after the first session, after 36 sessions at 12 weeks (3 months), and after 72 sessions at 24 weeks (6 months)]
Вторичные конечные точки (3)
  • pain intensity [Срок оценки: assessed at baseline, immediately after the first session, after 36 sessions at 12 weeks (3 months), and after 72 sessions at 24 weeks (6 months)]
  • functional flexibility [Срок оценки: Outcome measures will be assessed at baseline, immediately after the first session, after 36 sessions at 12 weeks (3 months), and after 72 sessions at 24 weeks (6 months)]
  • posture assesment [Срок оценки: Outcome measures will be assessed at baseline, immediately after the first session, after 36 sessions at 12 weeks (3 months), and after 72 sessions at 24 weeks (6 months)]

Критерии участия

Критерии включения

  • Participants aged 18-45 years old
  • having low back pain persisting for at least 4 weeks
  • with clinical diagnosis of LCS, and hamstring tightness (AKE >15°)

Критерии исключения

  • Participants with the history of spinal surgery active neurological conditions
  • systemic disease affecting connective tissue (Rheumatoid arthritis, Systemic lupus erythematosus)
  • recent lower limb or spinal injury (within 6 months)
  • pregnancy or inability to lie prone for treatment.

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

Пакистан · 1 центр
  • Department of Physiotherapy, University of Karachi — Karachi

Идентификаторы

NCT: NCT07496099 · MPhil-DPT-Hamstring-2026

Первоисточники (государственные реестры)

Открыть это исследование на ClinicalTrials.gov ↗