Comparative Effects of Transverse Friction Massage Versus Instrument-assisted Soft Tissue Mobilization on Pain, Range of Motion, and Posture in Patients With Quadratus Lumborum Syndrome
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 34
- 试验地点
- 1
- 主要终点
- Numeric Pain rating scale(NPRS)
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Investigator)
入排标准
- 年龄范围
- 18 Years 至 40 Years（Adult）
- 性别
- Male
- 接受健康志愿者
- 否
入选标准
- •Age group between 18-40years
- •Males only with target population was office workers
- •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
排除标准
- •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
研究组 & 干预措施
Instrument assisted soft tissue mobilization
IASTM (Instrument-Assisted Soft Tissue Mobilization) in four specific body areas for four weeks. The quadratus lumborum, posterior fascia, sacrum, hip lateral rotators, and hamstring bilaterally
干预措施: Instrument assissted soft tissue mobilization(IASTM) (Other)
Transverse friction massage
therapist will perform the transverse friction massage using their thumb to apply pressure across the muscle fibers of Quadratus Lumborum
干预措施: Transverse friction massage (Other)
结局指标
主要结局
Numeric Pain rating scale(NPRS)
时间窗: 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
时间窗: 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
时间窗: 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
次要结局
未报告次要终点