Comparative Effects of Active Release and Positional Release Technique on Pain and Flexibility in Patients With Chronic Nonspecific Low Back Pain.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- Numerical Pain Rating Scale
研究概览
简要总结
Chronic Non-Specific Low Back Pain is the pain with tension, soreness or stiffness of lower back muscles lasting from 3 months or longer due to off unidentifiable cause. Low back pain (LBP), one of the most common musculoskeletal disorders seen in the general population and has effect on every age group. The objective of the study is to compare effects of positional and active release technique on pain and flexibility among chronic non-specific low back pain patients. This study was a Randomized Clinical trial and was conducted at Arif Memorial teaching hospital. A sample size of Total 30 patients was taken in this study using a consecutive sampling technique. Patients were randomly assigned into two groups. Group A was treated with positional release therapy (PRT) and Group B was treated with active release therapy (ART). Then the evaluation was done on day one as pre-treatment values and post treatment values were assessed after receiving the treatment session of 6 days for 2 consecutive weeks. The collected data was analyzed on SPSS 25. By using the Shapiro-wilk test found that the data was normally distributed with a p-value>0.05. By using paired t-test it has been that both techniques show significant results are effective for treating chronic non-specific low back pain. Using independent t-test with p-value<0.05 it has been found that Positional Release Technique being superior to Active Release Technique with p-value<0.05 by bringing the reduced flexibility to near normal and pain to the lowest level. The results suggest that both Active Release Technique and Positional Release Technique are effective in reducing the pain and improving the flexibility of the muscles in patients with Chronic non-specific low back pain. But Positional Release Technique has shown significant reduction in pain and increasing the flexibility of the muscles thus considered to be more effective than Active Release Technique.
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 (Outcomes Assessor)
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
- •Patients with Low Back Pain (for more than 3 months) with Mild and Moderate Intensity, Tenderness over Low Back, Buttocks and Hip Joint
排除标准
- •Patients with Inflammatory Conditions (RA, Ankylosing Spondylosis)
- •Patients with previous history of surgery around Hip and Knee
- •Patients with Peripheral Vascular Disease
研究组 & 干预措施
Baseline treatment + Positional Release Technique
干预措施: Positional Release Therapy (Other)
Baseline treatment + Positional Release Technique
干预措施: Baseline Treatment (Other)
Baseline treatment + Active Release Technique
干预措施: Active Release Therapy (Other)
Baseline treatment + Active Release Technique
干预措施: Baseline Treatment (Other)
结局指标
主要结局
Numerical Pain Rating Scale
时间窗: Pre and post 2 weeks
Pain intensity was assessed using the Numeric Pain Rating Scale (NPRS), a self-reported measure ranging from 0 to 10, where 0 represents "no pain" and 10 represents "the worst pain imaginable." Higher scores indicate greater pain intensity and therefore a worse outcome.
Active Knee Extension Test
时间窗: Pre and Post 2 weeks
Hamstring flexibility was assessed using the Active Knee Extension Test (AKET). Participants were positioned supine with the hip flexed to 90°, and active knee extension range of motion was measured in degrees (°) using a universal goniometer. The measurement was referenced from 0° (full knee extension). Higher knee extension values indicate a greater range of knee extension and therefore greater hamstring flexibility and a better outcome. Conversely, lower values indicate greater limitation in knee extension and reduced hamstring flexibility.
Flexion, Adduction, and Internal Rotation (FAIR) Test
时间窗: Pre and 2 weeks post intervention
Piriformis flexibility was assessed using the Flexion, Adduction, and Internal Rotation (FAIR) Test. Hip internal rotation range of motion was measured in degrees (°) using a universal goniometer. The measurement was recorded from 0° (neutral position), with higher values indicating greater hip internal rotation range of motion and therefore greater flexibility. Thus, higher scores indicate a better outcome, reflecting greater hip mobility/flexibility.
Thomas Test
时间窗: Pre and Post 2 weeks intervention
Hip flexor flexibility was assessed using the Thomas Test, with hip extension range of motion measured in degrees (°) using a universal goniometer. The neutral hip position was defined as 0°. Positive values indicate hip extension beyond the neutral position, whereas negative values indicate a hip flexion position and greater hip flexor tightness. Higher hip extension values indicate greater hip flexor flexibility and therefore a better outcome.
Ankle Dorsiflexion Test
时间窗: Pre and 2 week Post intervention
It was assessed using a universal goniometer and recorded in degrees (°). The measurement ranges from 0° to 20°, with 0° representing the neutral ankle position and higher values indicating greater ankle dorsiflexion range of motion. Therefore, higher scores represent a better outcome, reflecting greater ankle mobility.
次要结局
未报告次要终点
研究者
Aleena Waheed
Senior Lecturer
Rashid Latif Medical College