Muscle Energy Technique in Patients With Nonspecific Low Back Pain

October 28, 2024 updated by: Riphah International University

Comparative Effectiveness of Muscle Energy Technique on Iliotibial Band Versus Hamstring and Abdominal Muscles Activation in Patients With Nonspecific Low Back Pain

The aim of this Randomized control trial is to find out the comparative effects of muscle energy technique on iliotibial band versus hamstring and abdominal muscle activation in patients with non specific low back pain in improving pain intensity and functional disability. The sample size was 28. Subjects are randomly divided into two groups. 14 subjects in muscle energy technique group and 14 in hamstring and abdominal muscle activation group. Study duration was of 6 months. Sampling technique applied was Non probability purposive sampling. Subjects between the age group 18- 40 years with acute non specific low back were included. Tools used are Numeric pain rating scale and Oswestry disability index.

Study Overview

Status

Recruiting

Conditions

Intervention / Treatment

Detailed Description

Non-specific low back pain is a mechanical pain of musculoskeletal origin in which symptoms vary with the nature of physical activities. It manifests as pain, muscle tension, or stiffness that is localized below the costal margin and above the inferior gluteal folds and is not attributed to a specific pathology with or without leg pain involvement. The lower back area, which extends from the end of the ribs to the start of the legs, feels tight, painful, and rigid.

A study conducted to investigate the immediate effects of MET of Quadratus Lamborum in chronic low back pain patients with functional leg length discrepancy. The outcomes of the study concluded that MET showed significant changes in pelvic alignment, leg length, pain, and fatigue. In a research conducted in 2020 to see the effectiveness of exercise with balloon and interferential therapy for pain and disability in low back pain in young adults . This study concluded that greater effect of 90/90 bridge with ball and balloon exercise on patients with mechanical low back pain. Individuals with low back pain often exhibit reduced hamstring muscle flexibility and altered pelvic range of motion as shortened and inflexible hamstring muscles can exert tension on the pelvis, leading to non-specific low back pain and disruptions in lumbar pelvic rhythm. Addressing hamstring flexibility is crucial for effective management of low back pain. Moreover, disturbances in the lower extremity kinematic chain, particularly involving the iliotibial band (ITB), can further impact pelvic biomechanics. Poor muscle coordination and decreased intrinsic postural muscle activity may compromise spinal stability in individuals with low back pain. The rationale of the present study is to find out the effectiveness of muscle energy technique on iliotibial band versus hamstring and abdominal muscles activation in non-specific low back pain patients, pain and disability. To compare the effectiveness of muscle energy technique on iliotibial band and hamstring and abdominal muscles activation in non-specific low back pain patients in improving pain intensity and functional disability.

Study Type

Interventional

Enrollment (Estimated)

28

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

Study Locations

  • Pakistan
    • Gilgit Baltistan
      • Gilgit, Gilgit Baltistan, Pakistan, 15100
        • Recruiting
        • PHQ hospital Gilgit
        • Contact:
        • Principal Investigator:
          • Fareeha Zehra, MS-OMPT

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:

  • Both gender
  • Age between 18 to 40 years.
  • Participants with acute non specific low back pain.
  • Participants with postural low back pain.

Exclusion Criteria:

  • Participants of age more than 40 years.
  • Patients with history of lumbopelvic surgery.
  • Having history of spinal or pelvic fracture, trauma of motor vehicle accident, fracture of lower extremity.
  • Participants having systemic disease such as arthritis, TB, liver or kidney failure.
  • Participants suffering from osteoporosis, psychiatric disorders, hematomas or abscesses.

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: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Active Comparator: Muscle energy technique
Post isometric relaxation technique is performed after positioning the patient and was asked to apply 30% force against therapist force and hold that contraction for 7- 10seconds and after that relax for 5seconds and when patient exhale. Therapists take muscle to new restriction barrier; hold this position for 10-60 seconds . Technique is performed 3-5 reps along with conventional treatment for 3 consecutive weeks.
Other: Muscle energy technique on iliotibial band
Post isometric relaxation involves the peripheral and central modulating mechanism by activating the muscles and joint mechanoreceptors. It can be effective for a variety of purposes including lengthening a shortened muscles, as a lymphatic or venous pump to aid the drainage of fluid or blood and increasing the range of motion. MET is a manual therapy intervention that can be used to stretch or lengthen muscles and fascia that lack flexibility.
Experimental: Hamstring and abdominal muscle activation
Techniques which target hamstring and abdominal muscle activation is 90/90 hip lift with balloon. It is performed in supine lying position such that lie on back with feet on a wall and knees and hips bent at 90 degrees angle. Place a 4-6" ball between knees. Place right arm above head and a balloon in left hand. Now inhale through nose and slowly blow out into the balloon. Pause 3 seconds with tongue on the roof of mouth to prevent airflow out of the balloon. Slowly blow out as stabilize the balloon .it is performed along with conventional therapy of moist pack for 15 mins, pelvic bridging, pelvic rolling.
Other: Hamstring and abdominal muscle activation
The 90/90 exercises for abdominal and hamstring activation rotate the pelvis posteriorly in the sagittal and transverse plane, into a more neutral position. Hamstrings extend the hip, and therefore reciprocally inhibit hip flexors. Hamstrings and abdominals also aid in inhibiting paraspinal muscles via a posterior pelvic tilt / hip extension, a decrease in lumbar extension, and an increase in lumbar flexion.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Numeric pain rating scale
Time Frame: 3 weeks
It is an 11-point scale comprising a number from 0 through 10; 0 indicates "no pain", and 10 indicate the "worst imaginable pain". Patients are instructed to choose a single number from the scale that best indicates their level of pain.
3 weeks
Modified Oswestry disability index
Time Frame: 3 weeks
It is one of the most common patient-reported outcome measures used to evaluate the impact of back pain on patients" activities of daily living. It is used to access pain-related disability in people with acute, sub acute, or chronic low back pain. It consists of 10 items- 1 item on pain while the other 9 items are on activities of daily living. It is a self-administered questionnaire divided into ten sections designed to assess limitations of various activities of daily living. Each section is scored on a 0-5 scale, 5 representing the greatest disability. The index is calculated by dividing the summed score by the total possible score, which is then multiplied by 100.
3 weeks

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Riphah International University

Investigators

  • Principal Investigator: Shamaila Yaqub, Riphah International University

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

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)

August 30, 2024

Primary Completion (Estimated)

October 30, 2024

Study Completion (Estimated)

December 15, 2024

Study Registration Dates

First Submitted

October 28, 2024

First Submitted That Met QC Criteria

October 28, 2024

First Posted (Actual)

October 29, 2024

Study Record Updates

Last Update Posted (Actual)

October 29, 2024

Last Update Submitted That Met QC Criteria

October 28, 2024

Last Verified

October 1, 2024

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • REC/01993 FareehaZehra

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.

Clinical Trials on Nonspecific Low Back Pain

Clinical Trials on Muscle energy technique on iliotibial band

Search Similar Trials

Sponsors and Collaborators

Medical Conditions

Drug Interventions

CROs by country

CROs in Bahamas

Conditions

Rare Diseases

Drug Interventions

Dietary Supplements

Sponsor/Collaborators

Locations

Subscribe