Myofascial Release and Mobilization With Impulse Technique Torsion in Low Back Pain

Phase 1

Completed

Interventions: Other: Mobilization with impulse technique.
Other: Myofascial Soft Tissue Release

Brief Summary: The purpose of the current randomized clinical trial was to compare the effectiveness of myofascial soft tissue release versus mobilization with impulse technique torsion (anterior) on pain, disability, and kinesiophobia in individuals with chronic non-specific low back pain.

Detailed Description: Design: Randomized Clinical Trial. Objective: to determine the effects of myofascial soft tissue release versus mobilization with impulse technique torsion (anterior) on pain, disability and kinesiophobia in individuals with chronic non-specific low back pain.

Methods and Measures: sixty-four individuals will be randomly assigned to one of two groups.

Intervention: For 12-week, the group 1 will undergo treatment comprising a myofascial soft tissue release protocol (1/week) and the group 2 will receive a mobilization with impulse technique torsion (anterior) (1/week).

Main Outcome Measures: Intensity of pain, disability, fear of movement, isometric endurance of trunk flexor muscles and lumbar mobility in flexion data will be collected at baseline, and 24hr after the last manual therapy application. Mixed-model analyses of variance will be used to examine the effects of the treatment on each outcome measure.

Recruitment & Eligibility

Inclusion Criteria

Exclusion Criteria

Arm && Interventions

Group	Intervention	Description
Mobilization with impulse technique	Mobilization with impulse technique.	Subject in lateral decubitus with extension and lower limb traction contact the couch with contralateral lower limb was performed triple flexion and left trunk rotation. This technique reduces the slack (tension joints) of the ventral pelvis, head and into the contralateral side of the sacrum support (base) with the forearm.
Myofascial Soft Tissue Release	Myofascial Soft Tissue Release	Protocol: Transverse Plane-Level Clavicular Release. Diaphragmatic Transverse Plane Release. Square the Lumbar Fascia Release. Gluteal Fascia Release. Hint Of Pubic Region Release. Fascia Psoas Release. Lumbo-sacral Decompression. Pelvic Floor Release.

Primary Outcome Measures

Name	Time	Method
Change from baseline in Roland Morris Disability Questionnaire (RMDQ)	At baseline, 12 weeks and 16 weeks	This is a self-reported questionnaire consisting of 24 items reflecting limitations in different activities of daily living attributed to low back pain including walking, bending over, sitting, lying down, dressing, sleeping, self-care and daily activities.

Secondary Outcome Measures

Name	Time	Method
Change from baseline in Numerical Pain Rating Scale	At baseline, 12 weeks and 16 weeks	A 10-point Numerical Pain Rating Scale (NPRS; 0: no pain, 10: maximum pain) assesses the patients' current level of pain, and the worst and lowest level of pain experienced in the preceding 24 hours.
Change from baseline in Tampa Scale of Kinesiophobia	At baseline, 12 weeks and 16 weeks	The Tampa Scale of Kinesiophobia (TSK) is a 17-item questionnaire developed to measure the fear of movement and (re)injury. Each item is scored on a four-point Likert scale ranging from "strongly disagree" \[1\] to "strongly agree" \[4\].
Change from baseline in Isometric endurance of trunk flexor muscles	At baseline, 12 weeks and 16 weeks	The McQuade test measures the isometric resistance of abdominal muscles in seconds.
Change from baseline in Lumbar mobility in flexion	At baseline, 12 weeks and 16 weeks	Lumbar mobility in flexion is determined by measuring the finger-to-floor distance with a tape.
Change from baseline in Oswestry Low Back Pain Disability Index (ODI)	At baseline, 12 weeks and 16 weeks	The ODI has 10 items referring to activities of daily living that might be disrupted by low back pain. Each item is answered on a 6-point Likert scale ranging from "no problem at all" \[0\] to "not possible" \[5\]. The total score ranges from 0 to 50.