Transverse Friction Massage Versus Instrumented Assisted Soft Tissue Mobilization in Quadratus Lumborum Syndrome

Not Applicable

Completed

• Conditions: Quadratus Lumborum Syndrome

• Registration Number: NCT06858072
• Lead Sponsor: Riphah International University

Brief Summary

To find effective therapeutic interventions for QLS, a study is being conducted to compare the efficacy of two promising techniques: Transverse Friction Massage (TFM) and Instrument-Assisted Soft Tissue Mobilization (IASTM) . Participants will be randomly assigned to either the TFM or IASTM groups. Outcome measures will be collected before and after the intervention, including pain levels assessed through NPRS, range of motion using inclinometer and posture by measuring leg length discrepancy with tape method.Non probability convenience sampling will be used and 34 partcipants will be randomly allocated in two groups after meeting inclusion criteria.Both groups will receive hotpack for 10-15min.Stretching quadratus lumborum will also be performed with strengthening on the opposite side of affected quadratus lumborum.This methodology provides a solid assessment of the effectiveness of TFM and IASTM for Quadratus Lumborum Syndrome therapy.

Detailed Description

Not available

Study Timeline

• Study Start: 2023-05-02
• Primary Completion: 2023-12-23
• Study Completion: 2024-07-02
• Study First Submitted: 2025-02-20
• Status Verified: 2025-03
• Study First Submitted QC: 2025-03-04
• Last Update Submitted: 2025-03-04
• Study First Posted: 2025-03-05
• Last Update Posted: 2025-03-05

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Male
• Target Recruitment: 34

Inclusion Criteria

• Age group between 18-40years
• Males only with target population was office workers
• NPRS>4
• Patients with a positional fault of the pelvis (lateral tilt)
• Patients having chronic LBP for more than six months
• Hyperirritable spot or taut band
• Positive jump sign for trigger points/ Referred pain related to the trigger point area
• Positive Lewis's functional palpation test for QL overactivity
• At least one trigger point in Quadratus lumborum
• Leg length discrepancy due to QL tightness

Exclusion Criteria

• Congenital or acquired spinal deformities
• Spinal stenosis or radiculopathy
• Diagnosed disc prolapse
• Rheumatoid arthritis
• Any malignancy
• Recent history of surgery less than three months
• Acute infections

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Numeric Pain rating scale(NPRS)	8 weeks	The Numeric Pain Rating Scale (NPRS-11) has been widely used clinically to assess pain. Universal pain screening with a 0-10 pain intensity numeric pain rating scale (NPRS) has been widely implemented in primary care. The current study will use this scale to measure pain in the lumbosacral joint. A numerical pain rating scale (NPRS) requires patients to rate their pain on a defined scale. For example, 0 is no pain, and 10 is the worst. NPRS scores ≤ 5 correspond to mild, 6-7 to moderate, and scores ≥8 to severe pain regarding pain-related interference with functioning
Range of motion	8 weeks	The range of motion of the lumbosacral joint will be measured through an inclinometer for lumbar flexion (40-60 degrees), extension (20-35 degrees), and rotations (15-25 degrees) range of motion.
Posture	8 weeks	Leg length discrepancy (LLD) is a "direct" measurement using a tape measure that can be utilized to measure the "true" leg length from the anterior superior iliac spine (ASIS) to the medial malleolus. The "apparent" leg length is measured from the umbilicus to the medial malleolus, considered normal up to 1 cm, with mild LLD ranging from 1 to 2 cm, moderate LLD from 2 to 5 cm, and severe LLD greater than 5 cm

Trial Locations

Locations (1)

Hafiz Medical and diagnostic Center johar town Lahore; 🇵🇰 Lahore, Punjab, Pakistan