Effects of Myofascial Release Therapy and Endurance Training on Mechanical Back Pain
Condition: Back Pain, Low
MeSH terms: Back Pain; Low Back Pain
Study type: Interventional

Summary: 
      This study is a randomized clinical trial to determine the effects of myofascial release
      therapy versus endurance training of trunk extensor muscles on pain, disability and muscle
      endurance in patients with mechanical back pain. A sample of 24 patients will be taken and
      divided into two groups each with 12 patients. Group A will receive myofascial release
      therapy and conventional physical therapy while group B will endurance training of trunk
      extensors and the conventional physical therapy protocol. The conventional physical therapy
      protocol will include a hot pack, back care advice, and postural modifications. The session
      will be around 40 to 45 min for each patient with four sessions per week. A total of
      four-week treatment regime will be given to the patients and assessment of the patient's
      pain, disability, and endurance with NPRS (numeric pain rating scale), Rolland Morris
      Disability Questionnaire and Sorenson Test will be done at the baseline, after the completion
      of treatment at pre interventional and post interventional to observe the long-term effects.
      The data will be analyzed using SPSS.
    

Detailed description: 
      Mechanical low back pain is an injury of an anatomic structure in the low back. It accounts
      for 97% of cases arising from spinal structures such as bone ligaments, nerves, etc. In
      chronic low back pain, exercise therapy has become a first-line treatment and should be
      routinely used. Fascia is a form of connective tissue made up of collagen, surrounds the body
      parts, and resists tissue tensile load. Fascial injury and adhesions are common and can lead
      to pain, restricted motion, and swelling. The treatment of the fascial injury is necessary to
      relieve those symptoms. There are many treatments for mechanical back pain and this study
      focuses on two new treatment techniques for mechanical back pain. The first is the myofascial
      release therapy, a manual approach that focuses on the structural segmentation of fascia and
      involves the application of gentle pressure while stretching the body's connective tissues.
      The other treatment technique is the endurance training of the trunk extensor muscles that
      involve the treatment which is directed to endurance training of erector spinae and
      latissimus dorsi. The current study is novel in a way that there is limited literature about
      myofascial release therapy versus endurance training of trunk extensor muscles in patients
      with mechanical back pain. Both methods were employed to see if they improve pain along with
      accompanying disability and muscle endurance.
    

Intervention name(s): Group A will receive myofascial release therapy + conventional physical therapy; Group B will receive endurance training of the trunk extensor muscles + conventional physical therapy
Intervention type(s): Other; Other
Intervention description(s): myofascial release therapy (4 sessions per week). It soft, deep and non-manipulative form of treatment that involves the application of gentle pressure while stretching the body's connective tissue. A specialized form of touch, somatic sense, and specific body movement protocols are the three steps involved in the myofascial release therapy + hot pack (15min) + back care advice and postural modification. A total of 45 min session four times a week.; It will be treated with endurance training of trunk extensor muscles. Erector spinae and latissimus dorsi will be included. The exercise protocol will be in four levels Bilateral shoulder left in prone position+ contralateral arm and leg lift in prone position+ both hands behind head and bilateral shoulder lift +bilateral shoulder lift with arm fully elevated + Hot pack (10 min) + back care advice and postural modification. A total of 45 min sessions four times a week.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary purpose: Treatment
Keywords: Mechanical low back pain; myofascial release; endurance training; NPRS