Strain Counterstrain Technique and Graston Technqiue on Quadratus Lumborum Trigger Points

Not Applicable

Not yet recruiting

• Conditions: Trigger Point Pain, Myofascial

• Registration Number: NCT06986707
• Lead Sponsor: Riphah International University

Brief Summary

Poor body mechanics and posture affects body positioning and stresses quadratus lumborum muscle which ultimately leads to myofascial trigger points in muscle. This study aims to compare the effects of Strain counterstrain technique and Graston technique on trigger points of quadratus lumborum in nonspecific low back patients. This study will be a randomized controlled trial and will be conducted in Riphah Rehabilitation Clinic Lahore and SPARC Physiotherapy Clinic Lahore. Non-probability convenient sampling will be used to collect the data. Sample size of 34 subjects with age group between 20-45 years will be taken. baseline and after 4 weeks. Data analysis will be done by SPSS version 25.

Detailed Description

Researches have been conducted about effect of instrument assisted soft tissue mobilization versus kinesiotape for chronic mechanical low back pain: a randomized controlled trial. Introduction. The objective was to compare the effect of conventional program, instrument assisted soft tissue mobilization (IASTM) and kinesiotape (KT) in patients with chronic mechanical low back pain (CMLBP). 51 participants were randomly enrolled into three equal groups. Group A (n = 17) received conventional program, Group B (n = 17) received conventional program plus IASTM, and Group C (n = 17) received conventional program plus KT. The participants were evaluated before and after eight sessions using the Visual Analogue Scale (VAS), pressure algometer, dual inclinometer, and Oswestry Disability Index (ODI). It was concluded that Conventional program, IASTM and KT are effective methods for improving pain, ROM and function on CMLBP..Low back pain especially which is not related to any specific disease has become very common nowadays. Almost every other person complains about back pain. While there have been numerous studies on low back pain and its treatments but limited work has done on both techniques, the strain counterstrain technique and Graston technique. This study aims to determine the comparison of strain counterstrain technique and Graston technique on trigger points of quadratus lumborum among patients with non-specific low back pain

Study Timeline

• Status Verified: 2025-05
• Study First Submitted: 2025-05-15
• Study First Submitted QC: 2025-05-22
• Last Update Submitted: 2025-05-22
• Study First Posted: 2025-05-23
• Last Update Posted: 2025-05-23
• Study Start: 2025-06-10
• Primary Completion: 2025-09-01
• Study Completion: 2025-12-01

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 34

Inclusion Criteria

• Participant's age range 20-45 years
• Both genders.
• Individuals having low back pain for atleast 12 weeks with limited segmental mobility especially after maintaining certain prolonged posture .
• Individuals with localized pain and tenderness at attachments of quadratus lumborum due to the presence of trigger points (unilateral or bilateral).
• positive segmental mobility assessment at the level of L4 and L5 on one side or on both sides
• Patients having moderate pain on NPRS

Exclusion Criteria

• Individuals with anticoagulation or bleeding disorders, acute muscle trauma, infections, lumbar disc herniation, spinal deformities, or a history of spinal surgery or anticoagulation medication
• Orthopedic surgery or any other low back surgery .
• Fracture of vertebrae and any lower limb injury

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Oswestry Disability Index	4 weeks	The Oswestry Disability Index (ODI) a patient-completed questionnaire which gives a subjective percentage score of level of function (disability) in activities of daily living in those rehabilitating from low back pain. This is a 10-item index: 8 of them are related to activities of daily living and 2 refer to pain. The score of each item ranges from 0 to 5, with higher scores indicating greater disability. The total score is expressed as percentage

Secondary Outcome Measures

Name	Time	Method
Inclinometer	4 weeks	An inclinometer will be placed on the T12-L1 and L5-S1 spinal interspaces and zeroed with the patient in neutral standing position. The examiner asked the patient to bend forward maximally and then recorded the motion. Lumbar flexion will be represented by the difference in motion between the upper and lower inclinometers (12).
Numerical Pain Rating Scale (NPRS):	4 weeks	Patient level of pain will be assessed using this scale. This scale ranges from 0 to 10. 0 indicates "no pain" and 10 indicates "worst pain"

Trial Locations

Locations (1)

Kishwar sultana hospital; 🇵🇰 Lahore, Punjab, Pakistan