Evaluation of The Immediate Effect of Myofascial Release Application in Patients With Chronic Low Back Pain
Condition: Chronic Low-back Pain
MeSH terms: Back Pain; Low Back Pain
Study type: Interventional

Summary: 
      Purpose: To determine the immediate effect of myofascial release application on pain,
      flexibility and trunk mobility in chronic low back pain (CLBP).

      Materials and methods: Forty patients with CLBP participated in this experimental study.
      Participants were grouped in randomized control. Visual Analogue Scale (VAS) was used for
      pain assessment. Sit-Reach Test for flexibility evaluation and Straight Leg Raising Test with
      goniometric measurement for hamstring flexibility were used. Modified Schober Test was
      applied to evaluate trunk mobility. Comparison of the pre- and post-treatment evaluation data
      of the individuals in the same group was made using the "Wilcoxen Sum Rank Test", one of the
      non-parametric tests. Comparison of pre- and post-treatment evaluation data of both groups
      was performed using the non-parametric evaluation "Mann-Whitney U Test".
    

Detailed description: 
      It was aimed to determine the immediate effect of myofascial release application on pain,
      flexibility and trunk mobility in chronic low back pain (CLBP). Forty patients with CLBP
      participated in this experimental study. Participants were grouped in randomized control.
      Visual Analogue Scale (VAS) was used for pain assessment. Sit-Reach Test for flexibility
      evaluation and Straight Leg Raising Test with goniometric measurement for hamstring
      flexibility were used. Modified Schober Test was applied to evaluate trunk mobility.
      Comparison of the pre- and post-treatment evaluation data of the individuals in the same
      group was made using the "Wilcoxen Sum Rank Test", one of the non-parametric tests.
      Comparison of pre- and post-treatment evaluation data of both groups was performed using the
      non-parametric evaluation "Mann-Whitney U Test".
    

Intervention name(s): Myofascial release; Classical massage
Intervention type(s): Behavioral; Behavioral
Intervention description(s): The physiotherapist placed both palms on the two right and left ribs at the T12 level and applied continuous stretching to the superior for 2 minutes. After this application, the physiotherapist placed one hand on the sacrum with the other hand on T12 with his hands crossed, and applied rhythmically 2 seconds of stretching and 2 seconds of relaxation for a total of 2 minutes. Then, myofascial release was terminated by applying deep compression to the paraspinal muscles with palms for 2 minutes on the right and 2 minutes on the left side, respectively.; Classical massage was applied to the lumbar region for 9 minutes. Classical massage was applied with the patient in the prone position. A small amount of solid vaseline was taken and a gentle stroke was applied for 1 minute to spread it sufficiently to the lumbar region. Then, superficial stroking was applied to the right paraspinal region for 1 minute from distal to proximal by the physiotherapist. After the same procedure was performed on the right paraspinal region for 1 minute. Then, both hands were placed on the right and left paraspinal region and friction was applied for 2 minutes. Afterwards, the patient's right paraspinal region was kneeding for 1 minute and then the same procedure was applied to the left paraspinal region for 1 minute. As the last procedure, the fingertips of both hands were placed on the right and left paraspinal region and the classical massage was completed by performing 2 minutes of deep euphlorage from the L5-S1 level to the T12 level.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Participant)
Primary purpose: Supportive Care
Keywords: Myofascial release; Chronic low back pain; Flexibility