Clinical trial NCT06986707: Strain Counterstrain Technique and Graston Technqiue on Quadratus Lumborum Trigger Points
Official title: Comparative Effects of Strain Counterstrain Technique and Graston Technique on Trigger Points of Quadratus Lumborum Among Patients With Nonspecific Low Back Pain
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: Trigger Point Pain, Myofascial
Keywords: low back pain
quadratus lumborum
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2025-05-23
Enrollment: 34
Sex: ALL
Minimum age (years): 20
Maximum age (years): 45
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Poor body mechanics and posture affects body positioning and stresses quadratus lumborum muscle which ultimately leads to myofascial trigger points in muscle. This study aims to compare the effects of Strain counterstrain technique and Graston technique on trigger points of quadratus lumborum in nonspecific low back patients. This study will be a randomized controlled trial and will be conducted in Riphah Rehabilitation Clinic Lahore and SPARC Physiotherapy Clinic Lahore. Non-probability convenient sampling will be used to collect the data. Sample size of 34 subjects with age group between 20-45 years will be taken. baseline and after 4 weeks. Data analysis will be done by SPSS version 25.

Detailed description: Researches have been conducted about effect of instrument assisted soft tissue mobilization versus kinesiotape for chronic mechanical low back pain: a randomized controlled trial. Introduction. The objective was to compare the effect of conventional program, instrument assisted soft tissue mobilization (IASTM) and kinesiotape (KT) in patients with chronic mechanical low back pain (CMLBP). 51 participants were randomly enrolled into three equal groups. Group A (n = 17) received conventional program, Group B (n = 17) received conventional program plus IASTM, and Group C (n = 17) received conventional program plus KT. The participants were evaluated before and after eight sessions using the Visual Analogue Scale (VAS), pressure algometer, dual inclinometer, and Oswestry Disability Index (ODI). It was concluded that Conventional program, IASTM and KT are effective methods for improving pain, ROM and function on CMLBP..Low back pain especially which is not related to any specific disease has become very common nowadays. Almost every other person complains about back pain. While there have been numerous studies on low back pain and its treatments but limited work has done on both techniques, the strain counterstrain technique and Graston technique. This study aims to determine the comparison of strain counterstrain technique and Graston technique on trigger points of quadratus lumborum among patients with non-specific low back pain

Eligibility criteria: Inclusion Criteria:

* Participant's age range 20-45 years
* Both genders.
* Individuals having low back pain for atleast 12 weeks with limited segmental mobility especially after maintaining certain prolonged posture .
* Individuals with localized pain and tenderness at attachments of quadratus lumborum due to the presence of trigger points (unilateral or bilateral).
* positive segmental mobility assessment at the level of L4 and L5 on one side or on both sides
* Patients having moderate pain on NPRS

Exclusion Criteria:

* Individuals with anticoagulation or bleeding disorders, acute muscle trauma, infections, lumbar disc herniation, spinal deformities, or a history of spinal surgery or anticoagulation medication
* Orthopedic surgery or any other low back surgery .
* Fracture of vertebrae and any lower limb injury

Primary outcomes:
measure: Oswestry Disability Index
timeFrame: 4 weeks
Secondary outcomes:
measure: Inclinometer
timeFrame: 4 weeks
measure: Numerical Pain Rating Scale (NPRS):
timeFrame: 4 weeks
Other outcomes:
Locations:
city: Lahore
country: Pakistan
facility: Kishwar sultana hospital
state: Punjab
Study officials:
affiliation: Riphah International University
name: Hira Shaukat, TDPT
role: PRINCIPAL_INVESTIGATOR
References: