Effectiveness of Iliopsoas Positional Release Versus Conventional Exercises in the Management of Sub-acute Back Pain.
- Conditions
- Back Pain
- Interventions
- Other: Conventional exercisesOther: Iliopsoas Positional release therapy
- Registration Number
- NCT06267404
- Lead Sponsor
- University of Karachi
- Brief Summary
Recommended treatment for chronic non-specific LBP is exercise therapy, behavioral therapy including pain management, or a combination of these; There is not enough evidence to establish recommendations for which one is the most appropriate.
The primary objective of this study is to explore the effects of Ilio-psoas Release on Sub-acute back pain, ROM \& functional disability
- Detailed Description
Following the screening, participants will be randomized to receive the experimental or the controlled treatment in a1:1 ratio. Computer-generated random numbers will be used for Randomization. After obtaining the basic information, a unique code will be provided to each included patient. The outcome assessor will be blinded to the type of treatment. Patients and investigator could not be blinded due to the nature of treatment.
Group "A "(experimental group) will receive Positional Release Technique on Painful Iliopsoas(Both if Necessary) Group "B" (control group) will receive conventional physical therapy treatment consisting of hot pack, TENS, Ultra Sound along with back strengthening exercises.
All patients will be Assessed for Pain , ROM and Functional Activities before and after treatment sessions.
Visual Analogue Scale(VAS) and Modified Schober Test will be used for pain and ROM respectively. Roland-Morris Questionnaire (RMQ) will be used for functional activities.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 100
- Sub-acute (pain for > 1.5 month)
- Age 18-40 years
- Willing to participate
- Both gender will be recruited.
- Any history related to spinal surgery
- Previous administration of epidural injections
- LBP due to specific pathology
- Neurological deficits (like stroke)
- Clinical disorder contraindicated to exercise
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Conventional therapy Conventional exercises Group B (Conventional therapy) Conventional Physical therapy i.e. Ultrasonic therapy 3 min 1 MHz, TENS 10 min, hot pack for 10 min and back strengthening exercises. Iliopsoas positional release Iliopsoas Positional release therapy Group A (Iliopsoas positional release group) Positional release therapy will be administered on both Iliopsoas muscles, three sets on each side with 30 seconds hold on tender point. A rest of 15 seconds will be given between all sets.
- Primary Outcome Measures
Name Time Method VAS Visual Analogue Scale VAS Visual Analogue Scale Baseline and After Four weeks of Treatment The visual analogue scale is used for measurement of pain intensity. It is a continuous scale. It comprises a horizontal or vertical 10 centimeters or 100 millimeters line. The higher scores shows higher pain intensity and lower scores shows lower pain intensity.
Modified Schober's test Baseline and After Four weeks of Treatment It is used during physical examination to assess the lumbar range of movement. It is highly co-related with lumbar range of movement measured through radiograph. Higher score reflect better range of motion of Spine.
- Secondary Outcome Measures
Name Time Method Roland-Morris Disability Questionnaire Baseline and After Four weeks of Treatment The Roland-Morris is a 24-item self-report questionnaire about how low-back pain affects functional activities.0 Score means No disability and score 24 means severe disability.
Each question is worth one point so scores can range from 0 (no disability) to 24 (severe disability).Reduction in score shows Improvement
Trial Locations
- Locations (1)
Sindh Institute of Physical Medicine and Rehabilitation
🇵🇰Karachi, Sindh, Pakistan