Effect of Strain Counter Strain Technique in Treatment of Lower Back Myofascial Pain Syndrome: a Randomized Controlled Clinical Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 30
- 试验地点
- 2
- 主要终点
- pain intensity
研究概览
简要总结
This study aims to investigate the impact of impact of strain counterstrain technique on pain, lumbar range of motion and functional impairment in patients with lower back Myofascial pain syndrome.
详细描述
Myofascial Pain Syndrome (MPS) is a prevalent form of musculoskeletal pain that impedes everyday activities and reduces productivity.Those who experience difficulties with regional pain frequently report myofascial pain. According to statistics, between 85% and 93% of patients who attend specialized pain treatment facilities and between 21% and 30% of people with regional pain who visit a general medical clinic also have it.Trigger points, which are hyperirritable tender spots in palpably tense bands of skeletal muscles, are what define it. These spots can cause referred pain patterns, painfully limited range of motion, stiffness, muscle fatigue, and autonomic dysfunction.
Numerous clinical therapies as well as training regimens have been developed to combat trigger points. Strain counterstrain technique (SCS), is one of several manual methods for trigger points, which is a passive method that opens shortened tissues and reduces musculoskeletal pain. It may be possible to activate the Golgi tendon organ, which relaxes tense and tight muscles, by positioning shortened and painful tissues in a comfortable way, which would result in a reduction in the sensitivity of the trigger point.
Hence, the purpose of this study is to ascertain how SCS affects pain, ROM, and functional disability in individuals suffering from lower back myofascial pain syndrome.
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
- Double (Investigator, Outcomes Assessor)
盲法说明
random generator
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
- •The patients age from 20 to 40 years for both genders.
- •Patients (office worker) with mechanical back pain for 3 months ago and has not been diagnose as a specific disease or spinal abnormality.
- •Patients suffering from active MTrPS in lower back muscle.
- •According to the Oswestry Low Back Pain Disability Questionnaire, patients suffered moderate disability care (20-40%).
- •Patients capable of doing ROM assessment of Lumbar Spine (flexion, extension, as well as side binding) within the limit of pain.
排除标准
- •Neurological, systemic illness and infectious diseases such as rheumatologic diseases, tumor.
- •Psychiatric/mental deficit.
- •Patients who had a previous surgical history (within 6 months) were also excluded prior to the baseline assessment.
- •Vertebral compression fracture
- •Pregnancy and lactation.
- •Existing lower limb symptoms.
- •Activity intolerance due to cardiopulmonary disease.
研究组 & 干预措施
strain counter strain technique
the patients will receive strain counter strain technique plus physical therapy exercises three times a week for four weeks
干预措施: strain counter strain technique (Other)
strain counter strain technique
the patients will receive strain counter strain technique plus physical therapy exercises three times a week for four weeks
干预措施: physical therapy exercises (Other)
physical therapy exercises
the patients will receive physical therapy exercise three times a week for four week
干预措施: physical therapy exercises (Other)
结局指标
主要结局
pain intensity
时间窗: up to four weeks
A Visual Analogue Scale (VAS) will be used by the patient to mark his or her level of pain, usually 10 cm long, ranging from no pain or discomfort (zero) to the worst pain that the patient can possibly feel.
次要结局
- range of motion assessment(up to four weeks)
- functional impairment(up to four weeks)
研究者
Doaa Ayoub Elimy Mohammed
Lecturer of physical therapy for basic science department., faculty of physical Therapy
Cairo University