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IRCT20200228046639N1 IRCT 2020-09-22 Riphah International University Effects of Lumbar Sustained Natural Appophyseal Glide and Muscle energy technique in Low Back Pain. Effects of Lumbar Sustained Natural Appophyseal Glide versus Muscle energy techniques on pain, Range of Motion and function in chronic Nonspecific Low Back Pain. 2020-07-08 anticipated 36 Complete https://irct.ir/trial/49370 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Written informed consent will be taken. After enrollment into study, patient will be allocated either to group A or Group B by lottery method. No. of Chits will be equal to total sample size, odd Numbers will be allocated to Group A and even number will be allocated to Group B.Each patient will be requested to draw a chit from the box and after that patient will be recruited into either Group A or Group B, Blinding description: Participant, Assessor Blind: Data safety will be ensured by assigning Specific Identity numbers and all consent, readings forms will be placed in locker to blind Assessors. N/A Chronic nonspecific low back pain. Intervention 1: Intervention group:Lumber sustained natural appophyseal glide SNAG on Lumber L4/L5 vertebrae. The subjects will receive mulligan concept SNAG (sustained natural Appophyseal glide) position of subject: sitting on the edge of table and both feet will be support on footstep. The therapist must be standing behind the subject and place a belt around the subject’s lower abdomen (below the anterior superior illac spine) also the therapist below hips. The Ulnar border of therapist right hand will be placed under the spinous process of vertebra above the suspected spinal segment. The other hand will be placed on the bed to the left of subject. The mobilizing force will be parallel to the facet joint plan in cephalic direction and asked the subject to lean forward. Sustained the flexed position for few seconds and maintain the facet glide until the subject erect. Intervention 2: Intervention group:The subject will receive METS on Quadrates lumborum (post isometric relaxation technique) position of subject: side lying and the physiotherapist behind the subject at waist level. the subject will extend uppermost arm over the head to grasp the top end of the table and on inhalation subject will abduct his uppermost leg until the therapist palpates quadrates activity(elevated around 30◦).the subject is asked to hold the leg isometricaly in this state and allowing gravity to provide resistance. After 10 sec the subject let the leg to fall toward the floor. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is There is no further information.
public Muhammad Salman Bashir
28-M Quaid-e-Azam, Industrial Estate, Kot Lakhpat, Lahore
Lahore Pakistan 54000 +92 42 35126110 chistisalman@yahoo.com Riphah International University scientific Muhammad Salman Bashir
28-M Quaid-e-Azam, Industrial Estate, Kot Lakhpat, Lahore
Lahore Pakistan 54000 +92 42 35126110 chistisalman@yahoo.com Riphah International University Pakistan Subject between the ages 25 to 60. Both male and female patients with low back pain. Subject with history of 3 months continues or intermittent symptoms of low back pain. The flexion of trunk at least 40-degree ROM. 25 years 60 years Both Patient with history of pathology of spine (spine tumors,spinal infections, spondylosis, neurological deficit, pregnant women). Patient pain will radiate down to the knee. History of spinal surgery. M54.5 Low back pain Treatment - Other Treatment - Other Intervention group:Lumber sustained natural appophyseal glide SNAG on Lumber L4/L5 vertebrae. The subjects will receive mulligan concept SNAG (sustained natural Appophyseal glide) position of subject: sitting on the edge of table and both feet will be support on footstep. The therapist must be standing behind the subject and place a belt around the subject’s lower abdomen (below the anterior superior illac spine) also the therapist below hips. The Ulnar border of therapist right hand will be placed under the spinous process of vertebra above the suspected spinal segment. The other hand will be placed on the bed to the left of subject. The mobilizing force will be parallel to the facet joint plan in cephalic direction and asked the subject to lean forward. Sustained the flexed position for few seconds and maintain the facet glide until the subject erect. Intervention group:The subject will receive METS on Quadrates lumborum (post isometric relaxation technique) position of subject: side lying and the physiotherapist behind the subject at waist level. the subject will extend uppermost arm over the head to grasp the top end of the table and on inhalation subject will abduct his uppermost leg until the therapist palpates quadrates activity(elevated around 30◦).the subject is asked to hold the leg isometricaly in this state and allowing gravity to provide resistance. After 10 sec the subject let the leg to fall toward the floor. Pain. Timepoint: First (pre/post) and third and sixth week. Method of measurement: Numeric Pain Rating Scale. Range of motion for flexion and extension. Timepoint: First (pre/post) and third and sixth week. Method of measurement: Lumber inclinometer. Function. Timepoint: First (pre/post) and third and sixth week. Method of measurement: Modified Oswestry disability index. Riphah International University Approved 2020-02-08 Research Ethical Committee (REC), Riphah College of Rehabilitation Sciences,Lahore campus 28-M, Quaid-e-Azam Industrial Estate, Kot Lakhpat, Lahore Lahore Punjab Pakistan