Muscle Energy Technique Versus Back Stretching Among Non-specific Low Back Pain-subacute

Effects of Muscle Energy Technique and General Stretching in the Management of Sub-acute Non-specific Low Back Pain :A Randomized Control Trial

This study will highlight LBP management using MET and stretching application among subacute type of back pain

Study Overview

• Status: Recruiting
• Conditions: Low Back Pain
• Intervention / Treatment: Other: Muscle energy technique of erector spinae muscle; Other: Muscle energy technique of quadratus lumborum muscle; Other: Back strengthening exercises; Other: Thermotherapy; Other: Stretching of erector spinae muscle; Other: Stretching of quadratus lumborum muscle

Detailed Description

This study will explore effects of two approaches , out of two MET has not been used in clinical practice more often, therefore this study will explore its physiological impact among back pain

• Study Type: Interventional
• Enrollment (Anticipated): 60
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Pakistan
  • Sindh
    • Karachi, Sindh, Pakistan
      • Recruiting
      • Sindh Institute of Physical Medicine and Rehabilitation
      • Contact: Saeed Akhter, MSPT; Phone Number: +923312049179; Email: saeed787@hotmail.com
      • Principal Investigator: Abdul Rehman, DPT

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 20 years to 45 years (Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

- low back pain (subacute)

• VAS score( more than 3 cm)
• Quadratus lumborum and erector spinae tightness present

Exclusion Criteria:

• back pain (specific)

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Muscle energy technique+ Thermotherapy +Back Strengthening exercise	Other: Muscle energy technique of erector spinae muscle; Therapist will develop cross hand position left hand on lower thoracic and right hand on sacrum. Patient will asked to lift shoulder out of couch to contract the lumber erector spinae and apply force twenty percent against therapist force and keep this position of muscle contraction 7 to 10 seconds then 5 second relax . Then therapist will take new position of muscle restriction by slacking and will hold 30 second that position at the end of restriction then will finally end stretch with three repetition. Muscle energy technique of erector spinae muscle.; Other: Muscle energy technique of quadratus lumborum muscle; Therapist will take step over the patient off leg and squeezes gently with their thigh. Patient will abduct leg with 20 percent force against the resistance of therapists thigh for 7 to 10 second. the therapist gently and passively will move patient leg towards adduction by squatting down slowly. Therapist at same time with both hands cradling the iliac crest of pelvic for 30 second stretch and 3 repetition.; Other: Back strengthening exercises; Supine Abdominal Draw In; Supine Butt Lift with Arms at Side; Abdominal Draw In with Heel Slide; Abdominal Draw In with Knee to Chest; Abdominal Draw In with feet on the ball; Abdominal Draw In with feet on the ball- add movement; Other: Thermotherapy; Ten minute duration of hot pack given on low back for local superficial heat.
Active Comparator: General stretching+ Thermotherapy +Back Strengthening exercise	Other: Back strengthening exercises; Supine Abdominal Draw In; Supine Butt Lift with Arms at Side; Abdominal Draw In with Heel Slide; Abdominal Draw In with Knee to Chest; Abdominal Draw In with feet on the ball; Abdominal Draw In with feet on the ball- add movement; Other: Thermotherapy; Ten minute duration of hot pack given on low back for local superficial heat.; Other: Stretching of erector spinae muscle; The therapist standing on the side in a way to place his elbow placed on erector spine and apply stretching on the muscle belly in the direction of longitudinal or transverse plane( figure 1).Duration of stretch will be 15 seconds and four repetition.; Other: Stretching of quadratus lumborum muscle; Placing patient's legs to one side of the table and upper body also move to the same side in lateral flexion. This position generate a basic gentle stretch of the muscle. The therapist use elbow on tight/ flat part of muscle belly to stretch out the muscle(figure 2). Duration of stretch will be 15 seconds and four repetition

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Change from Visual Analogue scale scores at 3 weeks	It is subjective outcome measure for pain intensity on 1 to10 cm scores. The '0 cm' score refers no pain and '10 cm' refers more excruciating pain. Increase in scores suggest worst pain intensity.	at baseline and 3 weeks
Change from Rolland Morris Disability Questionnaire scores at 3 weeks	It is explore area of function leading to understand the level of disability. It consists of total 24 scores. The '0' score refers no disability and '24' refers maximum disability. Increase in scores suggest worst disability.	at baseline and 3 weeks

Collaborators and Investigators

• Sponsor: Dow University of Health Sciences

Study record dates

Study Major Dates

• Study Start (Actual): September 15, 2021
• Primary Completion (Anticipated): April 30, 2022
• Study Completion (Anticipated): April 30, 2022

Study Registration Dates

• First Submitted: April 20, 2022
• First Submitted That Met QC Criteria: April 30, 2022
• First Posted (Actual): May 4, 2022

Study Record Updates

• Last Update Posted (Actual): May 4, 2022
• Last Update Submitted That Met QC Criteria: April 30, 2022
• Last Verified: April 1, 2022

More Information

Terms related to this study

• Keywords: Low back pain
• Additional Relevant MeSH Terms: Pain; Neurologic Manifestations; Back Pain; Low Back Pain
• Other Study ID Numbers: ARehman

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No