THE EFFECTIVENESS OF SELF MYOFASCIAL RELEASE VERSUS MAITLAND MOBILIZATION TECHNIQUE ALONG WITH MC GILLS BIG 3 EXERCISES AMONG NON SPECIFIC LOW BACK PAIN A RANDOMIZED CLINICAL TRIAL

To Evaluate the effectiveness of Self Myofascial Release versus Maitland Mobilization Technique along with Mc Gill’s Big 3 Exercises among Non-Specific Low Back Pain. Low Back Pain, the most common cause of pain and disability worldwide, with approximately 90% cases affecting a substantial portion of the global population, this being classified as Non-Specific Low Back Pain (NSLBP). In 2025 the prevalence of low back pain is predictably going to reach up to 84% and the prevalence of chronic low back pain is 23%, the recurrent episode of pain and work disability in LBP is 44-78% and 26-37%.

Commonly used therapeutic technique is Manual therapy which is used by therapist in treating Low Back pain, having techniques like Mobilization and Manipulations, Manual therapy can be done by using Myofascial Release and Mulligan Mobilization, Maitland Mobilization technique in management for NSLBP.

Myofascial release (MFR) is a hands-on technique using pressure and stretching to ease tight tissues (fascia), reduce pain, and improve movement, which involves gentle, lasting pressure on sore spots, helping the fascia lengthen and relax. According to a systematic review, roller massage appears to be a method for increasing joint range of motion without a downside for muscle function. SMFR technique remarkably improves both pain and disability.

Maitland mobilization, uses gentle, controlled movements of spinal joints within a patient’s pain-free limits, aiming to increase joint movement, decrease muscle tension, and relieve pain. Additionally, studies have investigated the effectiveness of Maitland mobilizations, in the management of NSLBP, highlighting the importance of a comprehensive assessment and treatment approach.

Mc Gill’s Big 3 exercises are a widely utilized intervention in the management of NSLBP, targeting the trunk muscles to enhance spinal stability and pain which aim to activate and strengthen the muscles, improving their ability to stabilize the spine during movement and activities of daily living.

It is important to note that optimal out comes are often achieved when core stability exercises are integrated into a comprehensive rehabilitation program that includes patient education, manual therapy, and other forms of exercise.

Data will be collected from the students of Tejasvini Hospital Group of Institutions, Kudupu, Mangalore, Karnataka.

Sample size was determined using the standard deviation of VAS, The estimated sample size is 34 in each group. Participants will be divide into two groups for the study , group A with SMFR along Mc Gill big 3 exercise and group B Maitland mobilization techniques along Mc Gill Big 3 exercise. This interventional study will be conducted in the Hospital setting to compare the effects of Self Myofascial Release versus Maitland Mobilization Technique with Mc Gill’s Big 3 exercise among Non-specific low back pain. Participants will be recruited through the selection criteria. Data collection will involve three components. To measure pain, Visual analog scale. To check ROM, Schober Method. Modified Oswestry Disability Index  (MODI) questionnaire, evaluated the impact of LBP on the individual’s performance of daily activities. The Intervention will be conducted for one week with all the techniques and exercise given to patients.