Combined Effects of Post-Isometric Relaxation and Myofascial Release in Patients With Low Back Pain and Lower Cross Syndrome: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Hamstring Flexibility
研究概览
简要总结
This randomized controlled trial aims to evaluate the combined effects of post-isometric relaxation and myofascial release on pain, flexibility, and functional disability in individuals with low back pain associated with lower cross syndrome. Eligible participants aged 18 to 45 years will be randomly allocated into two parallel intervention groups. One group will receive post-isometric relaxation combined with myofascial release, while the comparison group will receive conventional stretching combined with Therapeutic modalities. Outcomes will be assessed at baseline and after completion of the intervention period. The results of this study are expected to contribute to evidence-based physiotherapy management of low back pain associated with postural imbalance.
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)
盲法说明
This study will be single-blinded. The outcome assessor will be blinded to group allocation to minimize assessment bias. Due to the nature of the interventions, participants and treating physiotherapists cannot be blinded.
入排标准
- 年龄范围
- 18 Years 至 45 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Participants aged 18-45 years old
- •having low back pain persisting for at least 4 weeks
- •with clinical diagnosis of LCS, and hamstring tightness (AKE >15°)
排除标准
- •Participants with the history of spinal surgery active neurological conditions
- •systemic disease affecting connective tissue (Rheumatoid arthritis, Systemic lupus erythematosus)
- •recent lower limb or spinal injury (within 6 months)
- •pregnancy or inability to lie prone for treatment.
研究组 & 干预措施
Post-Isometric Relaxation and Myofascial Release Group
Participants in this group will receive post-isometric relaxation combined with myofascial release targeting the hamstring muscles as part of a supervised physiotherapy program.
干预措施: post isometric relaxation (Other)
Post-Isometric Relaxation and Myofascial Release Group
Participants in this group will receive post-isometric relaxation combined with myofascial release targeting the hamstring muscles as part of a supervised physiotherapy program.
干预措施: MYOFASCIAL RELEASE (Other)
Conventional Stretching and modalities Group
Participants in this group will receive conventional static hamstring stretching combined with therapeutic modalities, including ultrasound or superficial heat, as part of standard physiotherapy care.
干预措施: Conventional Static Stretching (Other)
Conventional Stretching and modalities Group
Participants in this group will receive conventional static hamstring stretching combined with therapeutic modalities, including ultrasound or superficial heat, as part of standard physiotherapy care.
干预措施: Therapeutic Modalities (Other)
结局指标
主要结局
Hamstring Flexibility
时间窗: Outcome measures will be assessed at baseline, immediately after the first session, after 36 sessions at 12 weeks (3 months), and after 72 sessions at 24 weeks (6 months)
Hamstring flexibility will be assessed using Active Knee Extension (AKE) test measured in degrees with a goniometer.
次要结局
- Pain Intensity(assessed at baseline, immediately after the first session, after 36 sessions at 12 weeks (3 months), and after 72 sessions at 24 weeks (6 months))
- functional flexibility(Straight Leg Raise Test)(Outcome measures will be assessed at baseline, immediately after the first session, after 36 sessions at 12 weeks (3 months), and after 72 sessions at 24 weeks (6 months))
- Posture Assessment (REEDCO Posture Scale)(Outcome measures will be assessed at baseline, immediately after the first session, after 36 sessions at 12 weeks (3 months), and after 72 sessions at 24 weeks (6 months))
研究者
Bushra Madad Ali Malik
Principal Investigator
University of Karachi