The Effects of Myofascial Release Technique
Condition: Low Back Pain; Exercise; Elderly
MeSH terms: Back Pain; Low Back Pain
Study type: Interventional

Summary: 
      This study is designed as a single blind randomized controlled trial. Thirty-six elderly with
      non-specific low back pain (NSLBP) will be recruited. The participants will randomly divided
      two parallel groups as control and intervention. Traditional physiotherapy methods will be
      applied to all participants. Traditional physiotherapy will include heat modality (a hot pack
      for 15 minutes), electrotherapy (transcutaneous electrical nerve stimulation (TENS), a 50 Hz
      conventional TENS with a pulse duration <150 microseconds). For the control group, core
      stability exercise will be applied 3 days/week, 6 weeks. For the intervention group, in
      addition to the core stabilization exercises myofascial relaxation technique will be
      performed with roller massager ((Thera-Band; The Hygenic Corporation, Akron, OH) 3 days/week,
      6 weeks. The myofascial relaxation technique will be performed along the superficial back
      line. To the best of our knowledge, there is no randomized controlled study investigating the
      effect of the myofascial release technique combined with core stabilization in elderly with
      NSLBP. This study aimed to investigate the myofascial release technique combined with core
      stabilization exercise in elderly with NSLBP.
    

Detailed description: 
      Low back pain is a symptom that is an important health problem throughout the world.
      Non-specific low back pain (NSLBP) is the most widespread form of the low back pain. The
      NSLBP is called low back pain without recognisable specific underlying pathology. The
      lifetime prevalence of low back pain is up to 84%. The prevalence and burden the low back
      pain of increases with aging.

      The use of various methods of non-pharmacological and non-invasive especially exercise,
      mobilization, and manipulation in low back pain. Core stability exercise is a common exercise
      modality in the treatment of low back pain. Core stability exercises improve trunk strength
      and low back disability in elderly with NSLBP. However, the studies have showed that
      decreasing strength in the deep muscles (such as the transverse abdominis and multifidus) is
      accompanied by increased activation in the superficial muscles (such as the erector spina) in
      patients with low back pain. Therefore, myofascial release technique on superficial muscles
      can be effective in NSLBP.

      To the best of our knowledge, there is no randomized controlled study investigating the
      effect of the myofascial release technique combined with core stabilization in elderly with
      NSLBP. Therefore, this study aimed to investigate the myofascial release technique combined
      with core stabilization exercise in elderly with NSLBP.
    

Intervention name(s): Core Stability Exercise; Core Stability Exercise plus Myofascial Release Technique Group
Intervention type(s): Other; Other
Intervention description(s): The participants in the core stability exercise group will be included in a treatment program for 3 days per week for 6 weeks. Traditional physiotherapy methods will be applied to all participants. Traditional physiotherapy will include heat modality (a hot pack for 15 minutes), electrotherapy (transcutaneous electrical nerve stimulation (TENS), a 50 Hz conventional TENS with a pulse duration <150 microseconds).Each training session will be lasted 60 min, starting with a 10-min warm up program mainly consisting of core strength exercises and ending with a 5-min cool-down program (stretching). Progression of exercises will be tailored to individual patients' ability, fatigue and pain. Exercises will be designed from 1 set to 3 sets, from 8 to 15 repetitions and contractions from 5 seconds to 10 seconds.; In addition to the core stabilization exercise group myofascial relaxation technique will be performed with roller massager (Theraband®, The Hygenic Corporation, Akron, OH.) for 3 days per week for 6 weeks. The myofascial relaxation technique will be performed along the superficial back line (plantar fascia gastrocnemius muscles, hamstring muscles, sacrolumbar fascia, erector spinae muscles) bilaterally. Myofascial relaxation will be done to the anatomical structures indicated by roller massage technique. Applications will be made in 3 sets of 30sec for each zone (1 min rest between sets) and 7/10 according to VAS.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Randomized
Masking: Single (Investigator)
Primary purpose: Treatment
Keywords: Myofascial Release Technique; Core Stabilization Exercise