Comparative Effects of Graston Technique and Diacutaneous Fibrolysis on Pain, Functionality and Quality of Life in Patients With Non- Specific Low Back Pain: A Randomized Clinical Trial
试验速览
- 阶段
- 不适用
- 状态
- Enrolling By Invitation
- 发起方
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- numeric pain rating scale for pain
研究概览
简要总结
This randomized clinical trial compared Graston Technique (GT) and Diacutaneous Fibrolysis (DF) in 30 patients with non-specific low back pain. Both treatments significantly reduced pain and disability and improved lumbar mobility. However, DF was more effective than GT in improving functional disability and lumbar flexion, while both techniques showed similar effects on pain, lumbar extension, and lateral flexion. Overall, DF may be preferable when improving functional ability is the main treatment goal.
详细描述
This study was a two-arm parallel randomized clinical trial designed to compare the effectiveness of Graston Technique (GT) and Diacutaneous Fibrolysis (DF) in patients with non-specific low back pain (NSLBP). The main purpose was to determine whether one technique provided greater improvement in pain, lumbar mobility, and functional disability.
A total of 30 patients with NSLBP participated in the study. They were randomly divided into two equal groups: 15 participants received Graston Technique (GT) and 15 received Diacutaneous Fibrolysis (DF). Outcomes were assessed before and after the intervention.
The researchers evaluated several important clinical outcomes. Pain intensity was measured using the Numeric Pain Rating Scale (NPRS). Functional disability was assessed using the Oswestry Disability Index (ODI). Lumbar mobility was evaluated using inclinometric measurements of lumbar flexion, extension, right lateral flexion, and left lateral flexion. The Modified Schober Test was also used to assess lumbar flexion mobility and determine whether participants had restricted or normal lumbar movement.
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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 (Participant)
盲法说明
participants
入排标准
- 年龄范围
- 20 Years 至 40 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age 20-40, both male and female participants
- •Diagnosed with non-specific low back pain (pain not attributable to a specific pathology) which is typically localized lumbar pain
- •Pain intensity ≥ 3/10 on NPRS
- •Positive Modified Schober Test
- •Reduced functional ability (e.g. score on Oswestry Disability Index ODI ≥ mild/moderate disability).
- •Capable and eager to provide written informed permission and attend therapy sessions and follow-ups
- •Not currently receiving other structured physiotherapy/manual therapy for LBP
排除标准
- 未提供
研究组 & 干预措施
Group B(Diacutaneous Fibrolysis with conventional therapy).
Group B consisted of 15 patients with non-specific low back pain (NSLBP) who were randomly assigned to receive Diacutaneous Fibrolysis (DF). Participants received DF as the primary manual therapy intervention using specialized hook-shaped instruments.
干预措施: Diacutaneous Fibrolysis (Other)
Group A(Graston Technique with conventional therapy)
Group A consisted of 15 patients with non-specific low back pain (NSLBP) who were randomly assigned to receive the Graston Technique (GT). Participants received GT as the primary manual therapy intervention according to the standardized study protocol.
干预措施: Graston Technique (Other)
结局指标
主要结局
numeric pain rating scale for pain
时间窗: 4 weeks
Numerical Pain Rating Scale for pain
Oswestry Disability index scale for disability
时间窗: 4 weeks
Oswestry Disability index scale for diability
次要结局
- Modified Schober test for ROM and flexibilty(4 weeks)
- Digital Inclinometer for ROM(4 weeks)
研究者
Danyal Ahmad
HOD, lecturer
University of Management and Technology Sialkot Pakistan