Integrated Neuromuscular Inhibition Versus Instrument Assisted Soft Tissue Mobilization in Chronic Back Pain

Not Applicable

Not yet recruiting

• Conditions: Chronic Non Specific Low Back Pain
• Interventions: Other: control group C conventional physical therapy

• Registration Number: NCT06116058
• Lead Sponsor: Cairo University

Brief Summary

this study will be conducted to identify the difference between the effect of integrated neuromuscular inhibition technique and instrument assisted soft tissue mobilization on back pain, pain threshold, back rang of motion ,back proprioception and back disability in chronic non specific low back pain

Detailed Description

Not available

Study Timeline

• Status Verified: 2023-10
• Study First Submitted: 2023-10-19
• Study First Submitted QC: 2023-10-30
• Last Update Submitted: 2023-10-30
• Study Start: 2023-11-01
• Study First Posted: 2023-11-03
• Last Update Posted: 2023-11-03
• Primary Completion: 2024-03-01
• Study Completion: 2024-03-01

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 45

Inclusion Criteria

• 1. The patient's age ranged from 18 to 30 years.(Geogre et al, 2021) 2. Patients with low back pain for more than 3 months (pain felt between T12 and the gluteal fold).

  2. Patient with chronic low back pain 4. Normal body mass index from 18 -25kg/m2.

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Exclusion Criteria

• The subjects will be excluded if they have any of the followings:

  1. Lumbar discogenic lesions or any inflammatory arthritis, tumors, infection involving the lumbar spine.
  2. Patients with decreased range of motion secondary to congenital anomalies, muscular contracture, or bony block.
  3. Previous lumbar or hip surgery or trauma.
  4. Any hip structural abnormality such as malformations, impingements and degeneration.
  5. Patients With cognitive impairments that would limit their participation

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Group C:conventional physical therapy	control group C conventional physical therapy	Group C: patient will receive conventional physical therapy only in the form of ( stretch for hamstring ,illiopoaps ,low back muscle and strenghtning for abdominal ,back muscles and side support exercise and quadriped exercise)

Primary Outcome Measures

Name	Time	Method
change in lumber proprioception	Evaluation will be performed priod to the first treatment session :as a baseline measure,and at least treatment session (after 4 weeks)as a post-treatment measure	change in lumbar proprioception will be measured by dual inclinometer for 3 group pre-and post-treatment
chang in pain pressure threshold	Evaluation will be performed priod to the first treatment session :as a baseline measure,and at least treatment session (after 4 weeks)as a post-treatment measure	change in lower back pain threshold will be measured by pressure algometer for 3 group pre-and post-treatment

Secondary Outcome Measures

Name	Time	Method
chang in lumbar rang of motion(ROM)	Evaluation will be performed priod to the first treatment session :as a baseline measure,and at least treatment session (after 4 weeks)as a post-treatment measure	lumbar ROM will be measured by dual inclinometer pre-treatment and post treatment
functional disability oFlumbar spine	Evaluation will be performed priod to the first treatment session :as a baseline measure,and at least treatment session (after 4 weeks)as a post-treatment measure	functional disability will be measured by The Arabic version of Oswestry Disability Index.(ODI)
pain level of lumbar spine	Evaluation will be performed priod to the first treatment session :as a baseline measure,and at least treatment session (after 4 weeks)as a post-treatment measure	pain level will be measured by visual analoge scale(VAS)