A Comparative Study Of Modified Manual Therapy Approach, Integrated Osteopathic Approach And Conventional Physiotherapy In Lumbar Canal Stenosis A Randomised Control Trial.

This will be randomized, parallel-group, active-control clinical trial aimed at evaluating the effect of Modified Manual Therapy Approach, Integrated Osteopathic Approach and Conventional Physiotherapy in Lumbar Canal Stenosis.

Participants will be recruited from the accessible population after pre-screening and assessment based on the inclusion and exclusion criteria. Each participant will be informed about the study procedure in a language understandable to them, and a written consent will be obtained before enrollment.

Eligible participants will be randomly allocated into three groups using simple random sampling through online Study Randomizer tool.

The allocation will be on the basis of code provided to the participants with the randomized sequence maintained.

The study will have three treatment methods conducted in parallel:

1. Group A - Experimental group: Modified Manual Therapy Approach - will recieve MFR of quadratus lumborum and iliopsoas, MET of lumbar and sacrum.

2. Group B- Experimental group: Integrated Osteopathic Approach - will recieve lumbo-sacral release, dural mobilization, sacral release and sacral rhythm.

3. Group C- Control group: Conventional Physiotherapy- will recieve Moist Heating for low back area (using Hydrocollateral Pack), Electrotherapy modality TENS, exercises for lower back.

The three groups will undergo 6 weeks of treatment programme with 18 session in it ( alternate session in a week; 3 sessions in one week)

The pre and post intervention assessments will be carried out using outcome measures mentioned above to see the most benefited group.