Muscle Energy Technique in Patients With Nonspecific Low Back Pain

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-40
SponsorRiphah International University

About this trial

The aim of this Randomized control trial is to find out the comparative effects of muscle energy technique on iliotibial band versus hamstring and abdominal muscle activation in patients with non specific low back pain in improving pain intensity and functional disability. The sample size was 28. Subjects are randomly divided into two groups. 14 subjects in muscle energy technique group and 14 in hamstring and abdominal muscle activation group. Study duration was of 6 months. Sampling technique applied was Non probability purposive sampling. Subjects between the age group 18- 40 years with acute non specific low back were included. Tools used are Numeric pain rating scale and Oswestry disability index.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Both gender

Age between 18 to 40 years.

Participants with acute non specific low back pain.

Participants with postural low back pain.

Disqualifiers

Participants of age more than 40 years.

Patients with history of lumbopelvic surgery.

Having history of spinal or pelvic fracture, trauma of motor vehicle accident, fracture of lower extremity.

Participants having systemic disease such as arthritis, TB, liver or kidney failure.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Muscle energy technique on iliotibial band

    Other intervention

    Post isometric relaxation involves the peripheral and central modulating mechanism by activating the muscles and joint mechanoreceptors. It can be effective for a variety of purposes including lengthening a shortened muscles, as a lymphatic or venous pump to aid the drainage of fluid or blood and increasing the range of motion. MET is a manual therapy intervention that can be used to stretch or lengthen muscles and fascia that lack flexibility.

  • Hamstring and abdominal muscle activation

    Other intervention

    The 90/90 exercises for abdominal and hamstring activation rotate the pelvis posteriorly in the sagittal and transverse plane, into a more neutral position. Hamstrings extend the hip, and therefore reciprocally inhibit hip flexors. Hamstrings and abdominals also aid in inhibiting paraspinal muscles via a posterior pelvic tilt / hip extension, a decrease in lumbar extension, and an increase in lumbar flexion.

Treatment groups

28 Participants
are divided into 2 treatment groups
Group A: Muscle energy techniqueActive comparator 1 intervention
Group B: Hamstring and abdominal muscle activationExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Numeric pain rating scale

It is an 11-point scale comprising a number from 0 through 10; 0 indicates "no pain", and 10 indicate the "worst imaginable pain". Patients are instructed to choose a single number from the scale that best indicates their level of pain.

Time frame
3 weeks
2

Modified Oswestry disability index

It is one of the most common patient-reported outcome measures used to evaluate the impact of back pain on patients" activities of daily living. It is used to access pain-related disability in people with acute, sub acute, or chronic low back pain. It consists of 10 items- 1 item on pain while the other 9 items are on activities of daily living. It is a self-administered questionnaire divided into ten sections designed to assess limitations of various activities of daily living. Each section is scored on a 0-5 scale, 5 representing the greatest disability. The index is calculated by dividing the summed score by the total possible score, which is then multiplied by 100.

Time frame
3 weeks

Secondary outcomes

Other outcomes

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