Comparing the Effects of Muscle Energy Technique Versus Myofascial Mobilization in Managing Sub-acute Low Back Pain

Not Applicable

Completed

Interventions: Other: Physiotherapy
Other: Muscle Energy technique
Other: Myofacial mobilization

Brief Summary: Institute for Clinical Systems Improvement (ICSI) defines sub-acute low back pain as low back pain lasting between 4 and 12 weeks. There is insufficient evidence regarding the comparative effect of muscle energy technique and myofascial mobilization in the management of sub-acute non-specific low back pain with the tightness of quadratus lumborum and erector spinae muscles

Detailed Description: A randomized experimental controlled trial will be carried out to compare the effectiveness of muscle energy technique and myofascial mobilization in the management of sub-acute non-specific low back pain. A total of 60 male and female volunteers having subjects with sub-acute nonspecific low back pain will be recruited in this study. Subjects will be assessed at baseline for pain and disability using Visual Analogue Scale and Ronald Morris Disability Questionnaire (RMDQ 0-24) respectively. After baseline assessment, all subjects will be allocated to two groups through computer-generated random sampling. Group 1 will perform Muscle energy technique combined with conventional exercise; Group 2 will receive Myofascial Mobilization combined with conventional exercise. This study will be conducted at the Physiotherapy Department of Sindh Institute of Physical Medicine and Rehabilitation (SIPM\&R). Data will be analyzed using SPSS 21 and ANCOVA technique will be used in this study.

Recruitment & Eligibility

Inclusion Criteria

Sub-acute low back pain with the range of 7 to 12 weeks of unresolved symptoms.
Positive test of tight Erector spinae muscle and Tight Quadratus Lumboram muscle

Exclusion Criteria

Arm && Interventions

Group	Intervention	Description
Muscle Energy Techniques	Physiotherapy	Following physiotherapy will be given to the participants in this group for 4 weeks, 3 times a week: 1. Muscle Energy Technique
Muscle Energy Techniques	Muscle Energy technique	Following physiotherapy will be given to the participants in this group for 4 weeks, 3 times a week: 1. Muscle Energy Technique
Myofascial Mobilization Techniques	Physiotherapy	Following physiotherapy will be given to the participants in this group for 4 weeks, 3 times a week: 1. Myofascial Mobilization
Myofascial Mobilization Techniques	Myofacial mobilization	Following physiotherapy will be given to the participants in this group for 4 weeks, 3 times a week: 1. Myofascial Mobilization

Primary Outcome Measures

Name	Time	Method
Visual Analogue Scale	Change from baseline pain intensity at 4 weeks	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 participant is asked to indicate a point of pain intensity by placing a line perpendicular to the Visual analogue scale line. The scale is most commonly referred by "no pain" with score of 0 and "worst imaginable pain" with score of 100 on the scale. The higher scores shows higher pain intensity and lower scores shows lower pain intensity.
Rolland Morris Disability Questionnaire	Change from baseline functional disability at 4 weeks	It is a standard questionnaire with questions regarding pain and the disabling effect on daily activities. Its score ranges from 0 to 24 (no disability to maximum disability)

Secondary Outcome Measures

Name	Time	Method

Locations (1): Sindh Institute of Physical Medicine and Rehabilitation
🇵🇰
Karachi, Sindh, Pakistan

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