Clinical trial NCT05939024: Efficacy of Muscle Energy Techniques in the Treatment of Chronic Non-specific Low Back Pain
Official title: Efficacy of Conventional Physical Therapy With and Without Muscle Energy Techniques in the Treatment of Chronic Non-Specific Low Back Pain
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Low Back Pain, Mechanical
Keywords: Muscle Energy Technique
Physical Therapy
Pain
Functional Disability
Fear Avoidance Beliefs
Quality of Life
Range of Motion
Lead sponsor: University of Lahore
Sponsor class: OTHER
First posted: 2023-07-11
Enrollment: 100
Sex: ALL
Minimum age (years): 18
Maximum age (years): 45
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Chronic Non-Specific Low Back Pain is characterized as a tension, soreness and stiffness. Various studies, defined MET as a manual medicine treatment procedure that involves the voluntary contraction of the subject's muscle in a precisely controlled direction, at varying levels of intensity, against a distinctly executed counterforce applied by the therapist.

Detailed description: Chronic Non-specific LBP is located in region below lower costal margins and above inferior gluteal margins with or without any referred pain in legs, an essentially non-attributable to any specific cause. It may lasting for more than 7-12 months and affect individual over a long period of time once in a lifetime at least. METs is useful in increasing extensibility and range of motion of various joints and provides good results in the patients with back pain. These techniques are used as the treatment of weakened muscles, restricted joints, reducing pain reliving muscle tension \& spasm, \& increased strength of the muscle. MET is a verstile, safe, gentle technique traditionally used to address muscular strain, PAIN, local edema and joint dysfunction. It was reported that post isometric relaxation is considered a highly effective therapy for back dysfunction patients.

Eligibility criteria: Inclusion Criteria:

1. Age: 18 - 45 years
2. Gender : both genders
3. Low Back Pain of more than 3 months duration
4. ODI Score between 20-80%
5. BMI: 25-29 Kg/m2
6. VAS: Initial Pain Score \> 3
7. Pain Localized to Lower Lumbar Region
8. Decreased Lumbar ROM

Exclusion Criteria:

1. Red Flag Signs of Low Back Pain (Metabolic Bone Disease, Malignancy, Cardiovascular Disorder, Pregnancy)
2. Patient with Paraesthesia or Numbness
3. Disturbed Reflexes (Hypo/Hyper Reflexia)
4. Motor Weakness
5. H/O Low Back Surgery
6. H/O Recent Trauma \< 2 Months
7. H/O Rheumatoid Arthritis, Osteoporosis and Fracture
8. Joint hyper mobility.
9. Psychological Mental Disorders

Primary outcomes:
measure: Pain Intensity
timeFrame: Pain intensity will be measured at the baseline at the time of recruitment, and change in pain intensity will be measured at 2nd week and 3rd week of intervention.
measure: Lumbar Ranges of Motion
timeFrame: Lumbar Range of Motion will be measured at baseline at the time of recruitment and change in range of motion will be measured at 2nd week and 3rd week of treatment.
measure: Functional Disability Level
timeFrame: Level of Functional Disability will be recorded as baseline at the time of recruitment and change in functional status will be observed at the 2nd week and 3rd week of intervention.
measure: Change in Fear Avoidance Belief
timeFrame: Fear Avoidance Beliefs will be observed as baseline at the time of recruitment and any change in Fear Avoidance Beliefs will be observed at the 2nd week and 3rd week of treatment.
measure: Change in Quality of Life
timeFrame: Change in quality of life will be measured at baseline at the time of recruitment and change in quality of life will be measured at the 2nd week and 3rd week of intervention.
Secondary outcomes:
Other outcomes:
Locations:
city: Lahore
country: Pakistan
facility: The University of Lahore
state: Punjab
Study officials:
affiliation: The University of Lahore
name: Prof. Dr Ashfaq Ahmed, PhD
role: STUDY_CHAIR
affiliation: The University of Lahore
name: Rashid Hafeez Nasir, M. Phil
role: PRINCIPAL_INVESTIGATOR
References: