Evaluation of The Immediate Effect of Myofascial Release Application in Patients With Chronic Low Back Pain

Not Applicable

Completed

• Conditions: Chronic Low-back Pain
• Interventions: Behavioral: Myofascial release; Behavioral: Classical massage

• Registration Number: NCT05302882
• Lead Sponsor: Halic University

Brief Summary

Purpose: To determine the immediate effect of myofascial release application on pain, flexibility and trunk mobility in chronic low back pain (CLBP).

Materials and methods: Forty patients with CLBP participated in this experimental study. Participants were grouped in randomized control. Visual Analogue Scale (VAS) was used for pain assessment. Sit-Reach Test for flexibility evaluation and Straight Leg Raising Test with goniometric measurement for hamstring flexibility were used. Modified Schober Test was applied to evaluate trunk mobility. Comparison of the pre- and post-treatment evaluation data of the individuals in the same group was made using the "Wilcoxen Sum Rank Test", one of the non-parametric tests. Comparison of pre- and post-treatment evaluation data of both groups was performed using the non-parametric evaluation "Mann-Whitney U Test".

Detailed Description

It was aimed to determine the immediate effect of myofascial release application on pain, flexibility and trunk mobility in chronic low back pain (CLBP). Forty patients with CLBP participated in this experimental study. Participants were grouped in randomized control. Visual Analogue Scale (VAS) was used for pain assessment. Sit-Reach Test for flexibility evaluation and Straight Leg Raising Test with goniometric measurement for hamstring flexibility were used. Modified Schober Test was applied to evaluate trunk mobility. Comparison of the pre- and post-treatment evaluation data of the individuals in the same group was made using the "Wilcoxen Sum Rank Test", one of the non-parametric tests. Comparison of pre- and post-treatment evaluation data of both groups was performed using the non-parametric evaluation "Mann-Whitney U Test".

Study Timeline

• Study Start: 2021-03-05
• Primary Completion: 2021-04-30
• Study Completion: 2021-05-27
• Status Verified: 2022-03
• Study First Submitted: 2022-03-07
• Study First Submitted QC: 2022-03-21
• Last Update Submitted: 2022-03-21
• Study First Posted: 2022-03-31
• Last Update Posted: 2022-03-31

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

1. age between 20 and 55 years;
2. low back pain lasting more than 3 months;
3. stable clinical status;
4. no cognitive and mental problems;
5. self-expression ability;
6. volunteering to participate in the study.

Exclusion Criteria

1. problems of cooperation;
2. malignancy or infection;
3. acute fractures;
4. occlusive edema;
5. osteoporosis;
6. advanced degenerative joint problems;
7. acute rheumatologic conditions;
8. cortisone therapy;
9. use of blood thinners;
10. skin problems.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Experimental Group	Myofascial release	Myofascial release was applied to the experimental group
Control Group	Classical massage	Classical massage was applied to the control group

Primary Outcome Measures

Name	Time	Method
Change in Visual Analog Scale (VAS) Pain Score	Baseline, immediately after the intervention	The VAS is a widely used scale for pain assessment in daily practice. VAS, with 0-10 numbers on it and they are asked to give a value between these numbers. 0: I have no pain, 10: I have very severe pain
Change in Sit and Reach Test Score	Baseline, immediately after the intervention	test was used for flexibility evaluation. While the patient was performing maximum trunk flexion in the knee extension, the distance between the fingertip and the box aganist the sole of the foot was measured as +/- centimeters
Change in The Straight Leg Raise Test Score	Baseline, immediately after the intervention	test was used to assess hamstring flexibility. While the patient is in the supine position, the physiotherapist makes passive hip flexion with the knee straight and the measurement is made with a goniometer.
Change in The Modified Schober Test Score	Baseline, immediately after the intervention	Test is an assessment method that measures lumbar flexion flexibility. The lumbosacral junction and 10 cm above were marked when the person was in an upright position. Then third mark was placed 5 cm below the lumbosacral junction. After anterior flexion as far forward as possible, the distance between the highest and lowest marks was measured.

Trial Locations

Locations (1)

Halic University; 🇹🇷 Istanbul, Eyupsultan, Turkey