Effects of Post Isometric Relaxation in Patients With Quadratus Lumborum Syndrome

Официальное название

Effects of Post Isometric Relaxation on Pain, Muscle Endurance and Disability in Patients With Quadratus Lumborum Syndrome

Обзор

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.

Подробное описание

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.

Вмешательства

• Другое 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
• Другое 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

Первичные конечные точки

• low back Pain intensity [Срок оценки: upto 4 weeks]
• Muscle Endurance [Срок оценки: upto 4 weeks]
• Functional Disability [Срок оценки: upto 4 weeks]
• Lateral Flexion [Срок оценки: upto 4 weeks]

Критерии участия

Критерии включения

• • 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

Критерии исключения

• • 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

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

• Ittefaq Hospital — Lahore

Публикации

• 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

Идентификаторы

NCT: NCT07619742 · REC/RCR&AHS/24/0143 Barira

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

Открыть это исследование на ClinicalTrials.gov ↗