Effect of Strain Counter Strain Technique in Treatment of Lower Back Myofascial Pain Syndrome

Not Applicable

Completed

• Conditions: Lower Back Myofascial Pain Syndrome
• Interventions: Other: strain counter strain technique; Other: physical therapy exercises

• Registration Number: NCT06138860
• Lead Sponsor: Cairo University

Brief Summary

This study aims to investigate the impact of impact of strain counterstrain technique on pain, lumbar range of motion and functional impairment in patients with lower back Myofascial pain syndrome.

Detailed Description

Myofascial Pain Syndrome (MPS) is a prevalent form of musculoskeletal pain that impedes everyday activities and reduces productivity.Those who experience difficulties with regional pain frequently report myofascial pain. According to statistics, between 85% and 93% of patients who attend specialized pain treatment facilities and between 21% and 30% of people with regional pain who visit a general medical clinic also have it.Trigger points, which are hyperirritable tender spots in palpably tense bands of skeletal muscles, are what define it. These spots can cause referred pain patterns, painfully limited range of motion, stiffness, muscle fatigue, and autonomic dysfunction.

Numerous clinical therapies as well as training regimens have been developed to combat trigger points. Strain counterstrain technique (SCS), is one of several manual methods for trigger points, which is a passive method that opens shortened tissues and reduces musculoskeletal pain. It may be possible to activate the Golgi tendon organ, which relaxes tense and tight muscles, by positioning shortened and painful tissues in a comfortable way, which would result in a reduction in the sensitivity of the trigger point.

Hence, the purpose of this study is to ascertain how SCS affects pain, ROM, and functional disability in individuals suffering from lower back myofascial pain syndrome.

Study Timeline

• Study First Submitted: 2023-11-11
• Study First Submitted QC: 2023-11-14
• Study First Posted: 2023-11-18
• Study Start: 2023-12-01
• Primary Completion: 2024-02-29
• Study Completion: 2024-02-29
• Status Verified: 2024-03
• Last Update Submitted: 2024-03-03
• Last Update Posted: 2024-03-05

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 30

Inclusion Criteria

1. The patients age from 20 to 40 years for both genders.
2. Patients (office worker) with mechanical back pain for 3 months ago and has not been diagnose as a specific disease or spinal abnormality.
3. Patients suffering from active MTrPS in lower back muscle.
4. According to the Oswestry Low Back Pain Disability Questionnaire, patients suffered moderate disability care (20-40%).
5. Patients capable of doing ROM assessment of Lumbar Spine (flexion, extension, as well as side binding) within the limit of pain.

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Exclusion Criteria

1. Neurological, systemic illness and infectious diseases such as rheumatologic diseases, tumor.
2. Psychiatric/mental deficit.
3. Patients who had a previous surgical history (within 6 months) were also excluded prior to the baseline assessment.
4. Vertebral compression fracture
5. Pregnancy and lactation.
6. Existing lower limb symptoms.
7. Activity intolerance due to cardiopulmonary disease.

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
strain counter strain technique	physical therapy exercises	the patients will receive strain counter strain technique plus physical therapy exercises three times a week for four weeks
strain counter strain technique	strain counter strain technique	the patients will receive strain counter strain technique plus physical therapy exercises three times a week for four weeks
physical therapy exercises	physical therapy exercises	the patients will receive physical therapy exercise three times a week for four week

Primary Outcome Measures

Name	Time	Method
pain intensity	up to four weeks	A Visual Analogue Scale (VAS) will be used by the patient to mark his or her level of pain, usually 10 cm long, ranging from no pain or discomfort (zero) to the worst pain that the patient can possibly feel.

Secondary Outcome Measures

Name	Time	Method
range of motion assessment	up to four weeks	inclinometer will be used to assess lumbar flexion, extension and side bending
functional impairment	up to four weeks	Arabic version of Oswestry Disability Index will be used for assessment of functional disability

Trial Locations

Locations (1)

Ghada Mohamed Rashad Koura; 🇸🇦 Abha, Saudi Arabia