- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06240949
Comparison of Positional Release and Manual Pressure Technique in Chronic Low Back Pain
January 28, 2024 updated by: Riphah International University
Comparative Effects of Positional Release and Manual Pressure Techniques of Tight Hip Flexors on Pain, Range of Motion, Lumbosacral Angle, and Disability in Patients With Chronic Low Back Pain
The purpose of the study is to compare the effect of positional release technique and manual pressure technique of hip flexors on pain, range of motion, lumbosacral angle and disability in patients with chronic low back pain
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Detailed Description
This will be Randomized clinical trial.
Individuals who met inclusion criteria will be included in this study.
All participants will go through randomization and divided into two groups.
Pre intervention assessment is made for both groups.
Then intervention will apply to both groups.
Group A will receive positional release technique and Group B will be treated by manual pressure technique and pain, range of motion, lumbosacral angle and functional disability will be measured before and after the treatment using NPRS, Inclinometer and ODI.
Estimated time of treatment protocol will be 30 minutes per session, 4 times/week for 4 weeks in the hospital setting.
Subjects will be evaluated at baseline and 4th week assessment will be the final.
Study Type
Interventional
Enrollment (Estimated)
46
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Imran amjad, phd
- Phone Number: 03324390125
- Email: imran.amjad@riphah.edu.pk
Study Locations
-
-
-
Khanewal, Pakistan
- Recruiting
- DHQ and tertiary hospitals
-
Contact:
- Faiza Altaf
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
- Adult
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Males and females
- age group 25 to 40yrs
- Atraumatic chronic low back pain more than 3 months
- Patients with Anterior pelvic tilt
- Patients with lumbosacral angle > than 50 degrees
Exclusion Criteria:
- Pregnancy
- history of vertebral fracture
- History of any spinal surgery
- Disc disease
- Osteoporosis
- Bone disease
- Patient unable to give consent
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Positional release technique
Positional release technique will be applied on iliopsoas muscle.
|
Positional Release Technique will be applied on iliopsoas muscle.
Treatment time will be 30 minutes per session, 4 times/week for 4 weeks in the hospital setting.
|
Experimental: Manual pressure technique
Manual pressure technique will be applied on iliopsoas muscle.
|
Manual Pressure Technique will be applied on iliopsoas muscle.
Treatment time will be 30 minutes per session, 4 times/week for 4 weeks in the hospital setting.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Hip flexors tightness
Time Frame: 4th week
|
Hip flexors tightness will be assessed using an inclinometer to measure the range of motion (ROM) for active hip extension and Lumbosacral angle
|
4th week
|
Pain Intensity
Time Frame: 4th week
|
Pain intensity will be evaluated using the Numeric Pain Rating Scale (NPRS)
|
4th week
|
Functional disability
Time Frame: 4th week
|
Functional disability will be assessed by Oswestry disability questionnaire.
|
4th week
|
Anterior pelvic tilt
Time Frame: 4th week
|
Anterior pelvic tilt will be measured using an inclinometer
|
4th week
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Saba Rafique, phD, Riphah International University, Lahore
- Principal Investigator: Faiza Alzaf, Riphah International University, Lahore
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Hoy D, Brooks P, Blyth F, Buchbinder R. The Epidemiology of low back pain. Best Pract Res Clin Rheumatol. 2010 Dec;24(6):769-81. doi: 10.1016/j.berh.2010.10.002.
- Juker D, McGill S, Kropf P, Steffen T. Quantitative intramuscular myoelectric activity of lumbar portions of psoas and the abdominal wall during a wide variety of tasks. Med Sci Sports Exerc. 1998 Feb;30(2):301-10. doi: 10.1097/00005768-199802000-00020.
- Avrahami D, Potvin JR. The clinical and biomechanical effects of fascial-muscular lengthening therapy on tight hip flexor patients with and without low back pain. J Can Chiropr Assoc. 2014 Dec;58(4):444-55.
- Aslan H, Buddhadev HH, Suprak DN, San Juan JG. ACUTE EFFECTS OF TWO HIP FLEXOR STRETCHING TECHNIQUES ON KNEE JOINT POSITION SENSE AND BALANCE. Int J Sports Phys Ther. 2018 Aug;13(5):846-859. Erratum In: Int J Sports Phys Ther. 2019 Apr;14(2):173.
- Naik Prashant P, Anand H, Khatri Subhash M. Comparison of muscle energy technique and positional release therapy in acute low back pain-RCT. Physiotherapy and Occupational Therapy. 2010;32
- Deyo RA, Von Korff M, Duhrkoop D. Opioids for low back pain. BMJ. 2015 Jan 5;350:g6380. doi: 10.1136/bmj.g6380.
- Gonzalez-Galvez N, Gea-Garcia GM, Marcos-Pardo PJ. Effects of exercise programs on kyphosis and lordosis angle: A systematic review and meta-analysis. PLoS One. 2019 Apr 29;14(4):e0216180. doi: 10.1371/journal.pone.0216180. eCollection 2019.
- Santaguida PL, McGill SM. The psoas major muscle: a three-dimensional geometric study. J Biomech. 1995 Mar;28(3):339-45. doi: 10.1016/0021-9290(94)00064-b.
- Licciardone JC, Kearns CM, Crow WT. Changes in biomechanical dysfunction and low back pain reduction with osteopathic manual treatment: results from the OSTEOPATHIC Trial. Man Ther. 2014 Aug;19(4):324-30. doi: 10.1016/j.math.2014.03.004. Epub 2014 Mar 18.
- Chaitow L. Positional Release Techniques E-Book: Elsevier health sciences; 2007
- Ibraheem EEMAE. Conventional therapy versus positional release technique in the treatment of chronic low back dysfunction. Int J Physiother Res. 2017;5(5):2325-31
- Hanson P, Magnusson SP, Simonsen EB. Differences in sacral angulation and lumbosacral curvature in black and white young men and women. Acta Anat (Basel). 1998;162(4):226-31. doi: 10.1159/000046437.
- Mosner EA, Bryan JM, Stull MA, Shippee R. A comparison of actual and apparent lumbar lordosis in black and white adult females. Spine (Phila Pa 1976). 1989 Mar;14(3):310-4. doi: 10.1097/00007632-198903000-00011.
- Naik MS, Shah DN. Prevalence of tightness in hip joint muscles in middle aged women engaging in prolonged desk job: Descriptive study. Age. 2022;43:6.077908
- AWATEF ML, ALI FAM, SHIMAA T, MAGDA GS. Effect of lumbar hyperlordosis correction on craniovertebral angle in low back pain patients. The Medical Journal of Cairo University. 2020;88(December):2051-7.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
November 5, 2023
Primary Completion (Estimated)
February 5, 2024
Study Completion (Estimated)
February 5, 2024
Study Registration Dates
First Submitted
December 26, 2023
First Submitted That Met QC Criteria
January 28, 2024
First Posted (Estimated)
February 5, 2024
Study Record Updates
Last Update Posted (Estimated)
February 5, 2024
Last Update Submitted That Met QC Criteria
January 28, 2024
Last Verified
January 1, 2024
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- REC/RCR & AHs/23/0168
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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