McGill Exercise With and Without 3-dimensional Myofascial Release Technique in Non-specific Low Back Pain

February 23, 2026 updated by: Riphah International University

Effects of McGill Exercise With and Without 3-dimensional Myofascial Release Technique on Pain, Lumbar Hyperlordosis and Pelvic Tilt in Patients With Non-specific Low Back Pain

Low back pain is a complex of musculoskeletal disorders or muscular imbalance and one of the most common problems of patients referred to physiotherapy clinics, but still diagnosis and especially the provision of special back pain therapy is a challenge. According to the studies, 84% of the population at least once in a lifetime. Non-specific Lower back pain NSLBP does not have any specific cause and almost 90% of patients experience undiagnosed pathologic LBP. It is multifactorial and has different causes depends on the type of injury. Common etiologies behind NSLBP are muscular weakness, postural instability, fascial restriction, lumbo-pelvic muscle imbalance, change in spinal curvature and abnormal tilting of pelvic.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

A randomized controlled trail will be conducted to demonstrate the mutual effects of McGill exercise with and without 3-Dimensional Myofascial release technique on pain, lumbar hyperlordosis LHL and pelvic tilt in patients with NSLBP. Sample size is calculated through Epitool,38 subjects of age 18-55years will be taken. Non-probability convenient sampling will be used to collect data from Riphah rehabilitation clinic Lahore and Private clinical setups of Lahore, by using Numeric pain rating scale (NPRS) for pain, Flexicurve rubber ruler for hyperlordosis, Inclinometer for anterior pelvic tilt from the patients having present complain of LBP without history of traumatic low back injury. A written consent form will be taken from participants meeting inclusion criteria and will be randomly allocated into two groups consisting equal members. One group will receive 3-Dimentional myofascial release with McGill and other group will just receive with McGill exercise. The session will be provided for 40-45minutes, 3 days/week for 6 weeks. All participants will be evaluated at baseline and after 6 weeks. Data will be statistically analyzed by using SPSS Version 29.

Study Type

Interventional

Enrollment (Actual)

38

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 Locations

  • Pakistan
    • Punjab Province
      • Lahore, Punjab Province, Pakistan, 56700
        • Riphah rehabilitation clinic Lahore.

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

Yes

Description

Inclusion Criteria:

  • Pain rate 3-7 on NPRS.
  • Localized back pain between the 12th rib and the gluteal folds.
  • Hyperlordotic curvature of lumber spine beyond range 37° to 42°.
  • No radiating pain or paresthesia during SLR.
  • No evidence of congenital anomalies.
  • Diagnosed hyprlordotic lumbar.
  • Positive special test (mini 2): Thomas test, wall test, The modified Schöber technique test (MST), The fingertip-to-floor test and Straight leg raise test.

Exclusion Criteria:

  • Individual with diagnosed neurological and rheumatologically disorder.
  • History of abdominal, lumber or sacral spine, recent spinal surgery.
  • Person on painkillers during last 3 months.
  • Having history of spinal fracture.
  • Females in post-partum period or pregnancy.
  • History of Severe osteoporosis, Tumor.
  • Severe heart failure or respiratory failure, active drug addiction, active psychiatric pathology.
  • Intervertebral disc pathology.

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: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: McGill exercise with Three-Dimensional Myofascial Release along with Baseline.
Patients will receive McGill exercise with Three-Dimensional Myofascial Release along with Baseline Physical therapy treatment protocol.
Other: McGill exercise with 3 D Myofascial Release.

Treatment will include McGill's big 3 core exercises initially 2 sets of 10rep then progress with increasing sets and repetitions. And 3-D Myofascial release stretches, each for 90sec. 1 set of 3rep in every physiotherapy session.

Patient will get 3 sessions of 40-45minutes, per week for 6 weeks.
Active Comparator: McGill exercise without 3-D MFR along with Baseline protocol.
Patients Will receive McGill exercise without 3-D MFR along with Baseline protocol.
Other: McGill exercise without 3-D MFR
Perform McGill's big 3 core exercises initially 2 sets of 10rep then progress with increasing sets and repetitions. Patient will get total 3 sessions per week of 40- 45minutes for 6 weeks.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Inclinometer:
Time Frame: 8 WEEKS
An inclinometer (or clinometer), is an instrument used for measuring the angles of slope/tilt and elevation/depression of an object with respect to gravity. The average ranges of anterior tilting are 13.0 ± 4.9° degree. The inter-class reliability showed that there was a low 16 reliability of absolute angular error by digital inclinometer (with ICC=0.467 and Pvalue=0.004).
8 WEEKS
Numerical Pain Rating Scale (NPRS):
Time Frame: 8 WEEKS
Tool for the assessment of pain intensity (NPRS) will be used. This scale ranges from 0 to 10, where 0 indicates "no pain" at all and 10 indicates "worst pain". NPRS have shown high test- retest reliability (r = 0.96 and 0.95, respectively).
8 WEEKS
Flexicurve
Time Frame: 8 WEEKS
The Flexicurve (portable flexible rubber ruler) is a non-invasive and inexpensive tool used to perform the quick assessment of spinal curvatures. Therefore, it is some time consider as the valuable instrument to evaluate kyphosis and lordosis in the clinical set-up. According to the literature, it is reliable and valid with 85% Sensitivity and 97% specificity.
8 WEEKS

Collaborators and Investigators

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

Sponsor

Riphah International University

Investigators

  • Principal Investigator: Faiza Taufiq, Riphah International University

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)

February 15, 2025

Primary Completion (Actual)

January 5, 2026

Study Completion (Actual)

January 5, 2026

Study Registration Dates

First Submitted

February 23, 2026

First Submitted That Met QC Criteria

February 23, 2026

First Posted (Actual)

February 27, 2026

Study Record Updates

Last Update Posted (Actual)

February 27, 2026

Last Update Submitted That Met QC Criteria

February 23, 2026

Last Verified

February 1, 2026

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • S24C14G30009

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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