Effects of Post-Isometric Relaxation and Myofascial Release on Low Back Pain With Lower Cross Syndrome
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-45
SponsorUniversity of Karachi
About this trial
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.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
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°)
Disqualifiers
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.
Trial design
Design model
Parallel
Treatments tested in this trial
post isometric relaxation
Other interventionPost-isometric relaxation will be applied to the hamstring muscles. Participants will be positioned supine with the hip flexed to 90 degrees and will perform a submaximal isometric contraction of the hamstrings against therapist resistance for 5 to 8 seconds, followed by a passive stretch of approximately 10 seconds. The procedure will be repeated three times per limb per session.
MYOFASCIAL RELEASE
Other interventionMyofascial release will be applied to the hamstring muscles with the participant in a prone position. Sustained manual pressure will be applied along the length of the hamstring muscles using the therapist's hands for approximately 30 seconds per application, repeated multiple times per session to improve tissue extensibility.
Conventional Static Stretching
Other interventionConventional static stretching of the hamstring muscles will be performed with the participant in a supine position. Each stretch will be held for approximately 30 seconds and repeated three times per limb per session as part of routine physiotherapy management.
Therapeutic Modalities
Other interventionTherapeutic modalities, including ultrasound therapy or superficial heat application using a heating pad, will be applied prior to stretching to reduce pain and improve tissue extensibility as part of conventional physiotherapy care.
Treatment groups
60 Participants
are divided into 2 treatment groupsGroup A: Post-Isometric Relaxation and Myofascial Release GroupExperimental treatment 2 interventions
Group B: Conventional Stretching and modalities GroupActive comparator 2 interventions
Trial outcomes
Primary outcomes
1
Hamstring Flexibility
Hamstring flexibility will be assessed using Active Knee Extension (AKE) test measured in degrees with a goniometer.
Time frame
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)Secondary outcomes
1
Pain Intensity
Pain intensity will be assessed using the Visual Analogue Scale for Pain, a 10-centimeter scale ranging from 0 to 10, where: 0 = no pain 10 = worst imaginable pain Higher scores indicate worse pain intensity.
Time frame
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)2
functional flexibility(Straight Leg Raise Test)
Functional flexibility will be assessed using the Straight Leg Raise (SLR) Test, measured in degrees using a goniometer.
Time frame
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)3
Posture Assessment (REEDCO Posture Scale)
Posture will be assessed using the REEDCO Posture Scale, a standardized observational scale used to evaluate body posture. The scale ranges from 0 to 100, where: Lower scores indicate poor posture Higher scores indicate better posture alignment
Time frame
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)Sponsors and contacts
Click on the lead sponsor to view all of their trials.
University of Karachi
Lead sponsor
IQRA University
Collaborator
Source ClinicalTrials.gov