Comparison of Positional Release and Manual Pressure Technique in Chronic Low Back Pain

Not Applicable

Recruiting

• Conditions: Chronic Low-back Pain
• Interventions: Device: Positional Release Technique; Device: Manual Pressure Technique

• Registration Number: NCT06240949
• Lead Sponsor: Riphah International University

Brief Summary

The purpose of the study is to compare the effect of positional release technique and manual pressure technique of hip flexors on pain, range of motion, lumbosacral angle and disability in patients with chronic low back pain

Detailed Description

This will be Randomized clinical trial. Individuals who met inclusion criteria will be included in this study. All participants will go through randomization and divided into two groups. Pre intervention assessment is made for both groups. Then intervention will apply to both groups. Group A will receive positional release technique and Group B will be treated by manual pressure technique and pain, range of motion, lumbosacral angle and functional disability will be measured before and after the treatment using NPRS, Inclinometer and ODI. Estimated time of treatment protocol will be 30 minutes per session, 4 times/week for 4 weeks in the hospital setting. Subjects will be evaluated at baseline and 4th week assessment will be the final.

Study Timeline

• Study Start: 2023-11-05
• Study First Submitted: 2023-12-26
• Status Verified: 2024-01
• Study First Submitted QC: 2024-01-28
• Last Update Submitted: 2024-01-28
• Primary Completion: 2024-02-05
• Study Completion: 2024-02-05
• Study First Posted: 2024-02-05
• Last Update Posted: 2024-02-05

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 46

Inclusion Criteria

• Males and females
• age group 25 to 40yrs
• Atraumatic chronic low back pain more than 3 months
• Patients with Anterior pelvic tilt
• Patients with lumbosacral angle > than 50 degrees

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Exclusion Criteria

• Pregnancy
• history of vertebral fracture
• History of any spinal surgery
• Disc disease
• Osteoporosis
• Bone disease
• Patient unable to give consent

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Positional release technique	Positional Release Technique	Positional release technique will be applied on iliopsoas muscle.
Manual pressure technique	Manual Pressure Technique	Manual pressure technique will be applied on iliopsoas muscle.

Primary Outcome Measures

Name	Time	Method
Functional disability	4th week	Functional disability will be assessed by Oswestry disability questionnaire.
Anterior pelvic tilt	4th week	Anterior pelvic tilt will be measured using an inclinometer
Pain Intensity	4th week	Pain intensity will be evaluated using the Numeric Pain Rating Scale (NPRS)
Hip flexors tightness	4th week	Hip flexors tightness will be assessed using an inclinometer to measure the range of motion (ROM) for active hip extension and Lumbosacral angle

Trial Locations

Locations (1)

DHQ and tertiary hospitals; 🇵🇰 Khanewal, Pakistan