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IRCT20240724062532N1 IRCT 2024-10-19 University of Lahore Thoracolumbar myofascial release and Graston technique on pain, range of motion and disability among patients with chronic low back Thoracolumbar myofascial release and Graston technique on pain, range of motion and disability among patients with chronic low back 2024-01-10 anticipated 86 Complete https://irct.ir/trial/79085 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: A randomization clinical trail will be conducted using purposive sampling technique to collect data. Participants will be randomly allocated into two groups by lottery method, Blinding description: A single blinded study is a clinical trial design in which accessor does not know which treatment is administered to the patients. 2-3 Low back pain is a highly prevalent condition that affects individuals worldwide and represents one of the most common complaints in primary care settings. LBP can originate from a variety of sources, including musculoskeletal, neural, and skeletal structures, and may be exacerbated by factors such as prolonged postures, physical strain, and age-related degenerative changes.. Intervention 1: Experimental group A: Myofascial release technique The intervention to the MFR group will be placed in the prone position for subjects. The therapist will be stand at the subject's back level and will be placed the hands crossed over the spinous processes of the thoracic vertebrae (T12) and the iliac crest. Soft tissue mobilization will be applied for 10 min to the TL area, with the hands moving away from each other and compressing the fascial tissue. Intervention 2: Experimental group B: Soft tissue mobilization with Graston instruments will be applied to the TLF on the GT group. Individuals will be asked to kneel directly on the bed and lie forward. The largest Graston instrument (GT1) will be used for large surface areas and will be chosen for treatment. The Graston instrument will be applied superficially on the TLF between the sacrum and T12 (lumbosacral and lower thoracic region) at an angle of 45° for 10 min. The treatment will be applied to the entire fascial surface without being bound to any direction. Yes - There is a plan to make this available What will be shared: Demographic data and data related to final outcome will be shared by maintaining the confidentially When: Data will be available after the publication of findings till six months To whom: Ainan Siddique Conditions: For researcher purpose Where to obtain: To the corresponding author of the study, Ainan Siddique and can contact on +92 323 2323334,ainansiddique980@gmail.com How to obtain: Open access and there is the traditional public data release where anyone can get access to the data Comments:
public Ainan Siddique
University of Lahore Teaching Hospital Lahore , Punjab , Pakistan
Lahore Pakistan 55150 +92 323 2323334 ainansiddique980@gmail.com University of Lahore scientific Ainan Siddique
University of Lahore Teaching Hospital Lahore , Punjab , Pakistan
Lahore Pakistan 55150 +92 323 2323334 ainansiddique980@gmail.com University of Lahore Teaching Hospital Pakistan Aged between 35 and 50 years Both Male and females Low back pain for more than 3 months in a year Having a 4 score on the Visual Analogue Scale The prone position must be pain-free for the patients 35 years 50 years Both History of fracture, tumor, and infections Had undergone any spine-related surgery between Th 12 and S 1 Had radiating pain in the legs, and had pacemakers Pregnancy M54.50 Low back pain Treatment - Other Treatment - Other Experimental group A: Myofascial release technique The intervention to the MFR group will be placed in the prone position for subjects. The therapist will be stand at the subject's back level and will be placed the hands crossed over the spinous processes of the thoracic vertebrae (T12) and the iliac crest. Soft tissue mobilization will be applied for 10 min to the TL area, with the hands moving away from each other and compressing the fascial tissue. Experimental group B: Soft tissue mobilization with Graston instruments will be applied to the TLF on the GT group. Individuals will be asked to kneel directly on the bed and lie forward. The largest Graston instrument (GT1) will be used for large surface areas and will be chosen for treatment. The Graston instrument will be applied superficially on the TLF between the sacrum and T12 (lumbosacral and lower thoracic region) at an angle of 45° for 10 min. The treatment will be applied to the entire fascial surface without being bound to any direction The pain visual analog scale (VAS) is a one-dimensional way to quantify the intensity of pain; it's used for keeping track of how a patient's pain develops over time or for comparing the pain levels of people with similar medical conditions. Timepoint: 8th weeks. Method of measurement: The most basic VAS is a horizontal line with a fixed length, typically 100 mm. At each end of the line are the extremes of the parameter that is going to be measured, on the left side are the worst symptoms, and on the right side are the best health outcomes. When looking for a reduction in lumbar spine range of motion (flexion), as might happen with conditions like ankylosing spondylitis, the traditional gold standard is Schober's test. Timepoint: 8th weeks. Method of measurement: While the patient is upright, the examiner makes two marks on the PSIS and then, in the exact middle of those marks, draws a horizontal line. A second line is indicated fifteen centimeters above the first line. The examiner next has the patient bend forward as if reaching for their toes and takes new measurements from the top and bottom lines. One popular self-report tool for gauging the extent to which low back pain impairs a person's functional capacity and quality of life is the Modified Oswestry Disability Index. Timepoint: 8th weeks. Method of measurement: On a scale from 0 to 5 or 6, the respondent scores their level of disability for each of the ten parts that cover different everyday tasks. A higher percentage indicates a greater degree of disability, as the results are combined and expressed as a whole. University of Lahore Approved 2024-01-10 Research Ethics Committee of University of Lahore University of Lahore Teaching Hospital Lahore , Punjab , Pakistan Lahore Punjab Pakistan