Comparative Efficacy Of Muscle Energy Technique Combined with Diaphragmatic Training Versus Muscle Energy Technique Alone In Managing Lumbar Functional Instability -A Randomized Control Trial
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Pain, Disability, Lumbar mobility (ROM), Muscle Strength of diaphragm, erector spinae and multifidus, Internal/ External Abdominal Obliques, and transversus abdominis, Quality of life
研究概览
简要总结
Lumbar instability is a key factor in chronic low back pain (CLBP), often resulting from muscle imbalances, motor dysfunction, and impaired spinal stabilization. It is commonly classified as functional, structural, or combined instability, with the neutral zone theory explaining segmental laxity as a marker of instability. Lumbar stabilization relies on three subsystems: passive (bones, discs, ligaments), active (muscles), and neural control. Core muscles, including the lumbar multifidus, transversus abdominis, pelvic floor, and diaphragm, play a vital role in maintaining spinal stability. Muscle Energy Technique (MET) is widely used to improve muscle function, reduce spasm, and restore neuromuscular coordination. The diaphragm, a key core stabilizer, works synergistically with the transversus abdominis and pelvic floor muscles, making diaphragmatic training and inspiratory muscle training (IMT) valuable in lumbar instability rehabilitation. This study aims to assess the impact of MET and diaphragmatic techniques on spinal stability and respiratory function, providing insights into optimizing treatment strategies for CLBP.
Null Hypothesis1. H0 1 - There will be no significant difference in the effect of muscle energy technique combined with diaphragmatic training versus muscle energy technique alone in managing pain and improve muscle strength of stabilizing muscle in case of lumbar functional instability.
2. H0 2 - There will be no significant difference in the effect of muscle energy technique combined with diaphragmatic training versus muscle energy technique alone in managing disability, lumbar mobility, respiratory parameters and quality of life
Alternate Hypothesis1. H0 1 - There will be significant difference in the effect of muscle energy technique combined with diaphragmatic training versus muscle energy technique alone in managing pain and improve muscle strength of stabilizing muscle in case of lumbar functional instability.
2. H0 2 There will be significant difference in the effect of muscle energy technique combined with diaphragmatic training versus muscle energy technique alone in managing disability, lumbar mobility, respiratory parameters and quality of life
研究设计
- 研究类型
- Interventional
- 分配方式
- Coin toss, Lottery, toss of dice, shuffling cards etc
- 盲法
- Participant Blinded
入排标准
- 年龄范围
- 18.00 Year(s) 至 35.00 Year(s)（—）
- 性别
- All
入选标准
- •Persons between 18–35 years of age and having had low back pain of more than 3 months.
- •low back without referred leg pain of at least 3 months duration.
- •Male and female both will be included.
- •Score of 3 or higher on the numeric rating scale (NRS)
- •Positive in 3 or more out of the 5 items in the lumbar instability test
- •Localized midline pain in the low back and tenderness on palpation, painful arc during spinal movements, pain on jerky movements.
- •Participants were asked not to have any other treatment during the time of the training.
- •Subjects with previous history of low back pain were also included.
排除标准
- •Diagnosed other specific causes of low back pain
- •balance problems of neurological origin
- •Respiratory diseases, cardiopulmonary diseases
- •Osteoporosis, rheumatoid arthritis
- •Previous thoracic surgery
- •Previous surgical interventions affecting the trunk or the limbs and the subjects being uncooperative.
- •The participants were asked to indicate immediately if an acute inflammatory disease occurred, had suffered from infection, inflammation,
- •Fractures, malignancies, or any kind of systematic diseases were excluded.
结局指标
主要结局
Pain, Disability, Lumbar mobility (ROM), Muscle Strength of diaphragm, erector spinae and multifidus, Internal/ External Abdominal Obliques, and transversus abdominis, Quality of life
时间窗: Day 1 assessment, 4th week assessment
次要结局
- FVC, FEV1, FEV1/FVC %(Day 1 assessment, 4th week assessment)