Spray and Stretch Technique Versus Strain Counter Strain in Patients With Non Specific Low Back Pain
2026년 7월 27일 업데이트: Riphah International University
Comparative Effect of Spray and Stretch Technique Versus Strain Counter Strain on Hamstring Muscles for Pain , Disability and Mobility in Patients With Non Specific Low Back Pain
Non-specific low back pain refers to pain in the lower back region that cannot be attributed to a specific identifiable pathology such as infection, tumor, osteoporosis, lumbar disc herniation, spinal stenosis or fracture.
It is the most common type of low back pain, accounting for about 85-90% of cases.
Non specific low back pain is posteriorly occurring that is located between lower rib margin and gluteal fold.
It is exacerbated by sustained back postures, back movements or back muscle imbalances.
The aim of study is to find out which technique whether Spray and stretch technique or strain Counter strain works better in reducing pain ,improving movement ,and decreasing disability caused by tight hamstring muscles in people with non specific low Back Pain.
연구 개요
상태
모병
정황
상세 설명
This double blinded randomized Clinical Trial will be conducted at Ibne Siena Hospital MULTAN through consecutive sampling technique on 30 patients which will be allocated using simple random sampling through sealed opaque enveloped into Group A and Group B. Group A will be treated with spray and stretch technique and Group B will be treated with strain counter technique at the frequency of 2 sets with 5 repetitions and thrice a week.
Outcome measures will be conducted through NPRS, ODI, AKE ,PKET and SLR before treatment and after 4 weeks.
Data will be analyzed during SPSS software version 26.
After assessing normality of data by Shapiro-wilk test, it will be decided either parametric or non parametric test will be used within a group or between two groups.
연구 유형
중재적
등록 (추정된)
30
단계
- 해당 없음
연락처 및 위치
이 섹션에서는 연구를 수행하는 사람들의 연락처 정보와 이 연구가 수행되는 장소에 대한 정보를 제공합니다.
연구 연락처
- 이름: Samrood Akram, PhD*
- 전화번호: 03324806143
- 이메일: samrood.akram@riphah.edu.pk
연구 연락처 백업
- 이름: Amna Zia, PhD*
- 전화번호: 03244686993
- 이메일: amna.zia@kemu.edu.pk
연구 장소
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Punjab Province
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Multan, Punjab Province, 파키스탄
- 모병
- Ibne sina hospital and research institute.
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연락하다:
- Sajad Rasheed, MS-OMPT
- 전화번호: 0300 6309825
- 이메일: sajidch71@hotmail.com
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참여기준
연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.
자격 기준
공부할 수 있는 나이
- 성인
건강한 자원 봉사자를 받아들입니다
아니
설명
Inclusion Criteria:
AGE(35 to 50)
- Gender (both male and female)
- Negative lasegue test
- Negative slump test
- Negative prone instability test
Exclusion Criteria:
Fracture or instability (4)
- History of cancer
- Inflammatory condition like ankylosing spondylitis
- Neurological deficits like cauda equina syndrome or motor weakness
- History of previous of previous lumber surgery
- Pregnancy
- Structural deformity like scoliosis
- Herniated disc
- Nerve compression
- Spinal stenosis
공부 계획
이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 하나의
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
|---|---|
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실험적: Spray and stretch technique on Hamstrings muscle
The spray and stretch technique is a physical therapy method used to inactivate myofascial trigger points, reduce muscle spasms, and increase range of motion.
It works by applying a vapocoolant spray to numb the skin, which interrupts the pain signal, allowing the therapist to safely stretch the muscle
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The participant will be positioned in a comfortable supine lying position on a treatment table in a quiet and suitable clinical environment. Before starting the intervention, the procedure will be explained to the participant in simple language, and verbal confirmation of comfort will be obtained. The affected lower limb will be exposed appropriately while ensuring privacy, modesty, and warmth through proper draping with towels or sheets. The participant will be instructed to relax the lower limb during the procedure. The hip will be maintained in a neutral position, and the knee will be kept straight or slightly flexed according to the participant's comfort before the stretching component begins. The therapist will first inspect the posterior thigh region to ensure that the skin is intact and suitable for vapocoolant application. The presence of any open wound, skin infection, rash, hypersens |
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활성 비교기: Strain and counter strain technique on Hamstring muscle
Strain-Counterstrain (SCS) is a gentle, hands-on physical therapy technique used to relieve low back pain by "resetting" the nervous system.
By placing the body in specific, pain-free positions, it relaxes tight muscles, reduces muscle guarding, and improves mobility
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identify the tender point Palpate the hamstring while the patient is prone or side lying locate the most tender point in belly of the muscle or near the ischial tuberosity Establish a pain scale and Ask the patient to rate the tenderness from 0 to 10 (10 being the most painful).Position of ease will be achieved by Flexing the patient's knee to about 70 to 90 degrees .Slightly abduct and externally rotate the leg to shorten the hamstring muscle (the position may vary depending on the muscle .The goal is to reduce tenderness by at least 70% .Hold the position and Maintain this position of comfort for 90 seconds Encourage the patient to relax during this time .Return the leg passively to a neutral position to avoid reactivating the trigger point .Palpate the tender point again and ask for a new pain rating.
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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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Numeric pain rate scale (NPRS)
기간: Baseline and after 4 weeks of intervention
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Pain intensity will be assessed using the 11-point Numeric Pain Rating Scale.
Participants will rate their current low back pain from 0 to 10, where 0 indicates "no pain" and 10 indicates the "worst imaginable pain."
The score will be recorded in points, with higher scores indicating greater pain intensity.
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Baseline and after 4 weeks of intervention
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Active knee extension
기간: Baseline and after 4 weeks of intervention
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Hamstring flexibility will be assessed using the Active Knee Extension Test.
The participant will lie in the supine position with the hip flexed to 90 degrees and will actively extend the knee as far as possible while maintaining the hip position.
The knee extension angle will be measured in degrees using a goniometer.
A smaller knee-flexion deficit indicates greater hamstring flexibility.Positive AKE (For males, a positive knee extension angle is >33.0°,
whereas for females, it is >24)
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Baseline and after 4 weeks of intervention
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Passive knee extension test (PKET)
기간: Baseline and after 4 weeks
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Hamstring flexibility will be assessed using the Passive Knee Extension Test.
With the participant in the supine position and the hip maintained at 90 degrees of flexion, the examiner will passively extend the knee until resistance or discomfort is reached.
The knee extension angle will be measured in degrees using a goniometer.
A greater knee-extension angle indicates greater hamstring flexibility.
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Baseline and after 4 weeks
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Oswestry Disability Index
기간: Baseline and after 4 weeks
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Low back pain-related disability will be assessed using the Oswestry Disability Index.
The questionnaire contains 10 sections, with each section scored from 0 to 5. The total score will be converted into a percentage ranging from 0% to 100%, where higher scores indicate greater disability.
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Baseline and after 4 weeks
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Straight leg raise
기간: Baseline and after 4 weeks
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Straight leg raise range of motion will be assessed with the participant in the supine position.
The examiner will passively raise the participant's lower limb while maintaining the knee in extension until resistance or discomfort is reported.
The hip-flexion angle will be measured in degrees using a goniometer.
A greater angle indicates greater posterior-chain flexibility and straight leg raise range of motion.
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Baseline and after 4 weeks
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공동 작업자 및 조사자
여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.
수사관
- 수석 연구원: Amna Zia, PhD*, Riphah International University, Lahore
- 수석 연구원: Zaib un Nisa, Riphah International University, Lahore
간행물 및 유용한 링크
연구에 대한 정보 입력을 담당하는 사람이 자발적으로 이러한 간행물을 제공합니다. 이것은 연구와 관련된 모든 것에 관한 것일 수 있습니다.
일반 간행물
- Shipton EA. Physical Therapy Approaches in the Treatment of Low Back Pain. Pain Ther. 2018 Dec;7(2):127-137. doi: 10.1007/s40122-018-0105-x. Epub 2018 Sep 18.
- Koura G, Hamada H, Mohamed YE, Balbaa AA, El-Nassag BA, Baghdadi ARJHM. Impact of strain-counterstrain on treatment of acute nonspecific low back pain: a single-blind randomized controlled trial. 2020;22(1):42-9.
- Seif HE, Alenazi A, Hassan SM, Kachanathu SJ, Hafez ARJOJoT, Rehabilitation. The effect of stretching hamstring, gastrocnemius, iliopsoas and back muscles on pain and functional activities in patients with chronic low back pain: a randomized clinical trial. 2015;3(4):139-45.
- Gou Y, Lei H, Chen X, Wang X. The effects of hamstring stretching exercises on pain intensity and function in low back pain patients: A systematic review with meta-analysis of randomized controlled trials. SAGE Open Med. 2024 Jul 29;12:20503121241252251. doi: 10.1177/20503121241252251. eCollection 2024.
- Haile G, Hailemariam TT, Haile TG. Effectiveness of Ultrasound Therapy on the Management of Chronic Non-Specific Low Back Pain: A Systematic Review. J Pain Res. 2021 May 17;14:1251-1257. doi: 10.2147/JPR.S277574. eCollection 2021.
- Riaz SA, Usman MJPJoR. Effect of Static Stretching of Hamstring on Non-Specific Low Back Pain. 2023;12(1):43-51.
- Dobija L, Pereira B, Cohen-Aknine G, Roren A, Dupeyron A, Coudeyre E. Immediate effect of passive hamstring stretching on flexibility and relationship with psychosocial factors in people with chronic low back pain. Heliyon. 2023 Sep 4;9(9):e19753. doi: 10.1016/j.heliyon.2023.e19753. eCollection 2023 Sep.
- Ahmed J, Anwar K, Sajjad AGJRJoHS. Effects of strain counter strain technique in treatment of chronic mechanical low back pain: a randomized controlled trail. 2021;3(2):85-91
- Hariharasudhan R, Balamurugan JJSjosm. A randomized double-blinded study of effectiveness of strain counter-strain technique and muscle energy technique in reducing pain and disability in subjects with mechanical low back pain. 2014;14(2):83-8.
- Ellythy MAJBFPT. Efficacy of muscle energy technique versus strain counter strain on low back dysfunction. 2012;17(2):29-35.
연구 기록 날짜
이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.
연구 주요 날짜
연구 시작 (실제)
2026년 6월 20일
기본 완료 (추정된)
2026년 8월 20일
연구 완료 (추정된)
2026년 9월 20일
연구 등록 날짜
최초 제출
2026년 7월 21일
QC 기준을 충족하는 최초 제출
2026년 7월 27일
처음 게시됨 (실제)
2026년 7월 28일
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
2026년 7월 28일
QC 기준을 충족하는 마지막 업데이트 제출
2026년 7월 27일
마지막으로 확인됨
2026년 7월 1일
추가 정보
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기타 연구 ID 번호
- REC/RCR & AHS/25/0135 Nisa
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