Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Lower back pain has been one of the most frequently occurring musculoskeletal disorder among the females. This act as a global burden and is highly prevalent in our society. This pain can result in life long disability, loss of function and mobility among individuals. The female of the society suffers from lower back pain the most because of the under lying causes, prolong standing and stooping as well as because of hormonal changes in their bodies
After studying the prevalence of the lower back pain among the females of Pakistan, the investogator find the need to assess the type of their pain and find out the best way to ease their pains. The motive was to develop a treatment protocol whose effects last longer and is inexpensive for the management of lower back pain.
Moreover, the investigator decided to study that which treatment protocol is better when compared to another and what is the role of sham treatment when given to the patients.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Myofascial Release (MFR) | Active Comparator | The therapist will place its hands on the T12-L1 levels as well as on the sacrum. A cross handed hold will be performed along the fascia. Then for the gluteus Medius and maximus muscle, the therapist will stand facing the participant's leg and closed to the superior border of participant's pelvis. The therapist will place the palm of the hand on the anterior surface, allowing the fingers to rest on the outer fibers of the gluteal muscles stabilizing the pelvis of the participants. Allow the participant to flex its knee while applying adequate amount of stretch on the hip joint in an open pack position. Hold, wait for the release and stretch again. for tensor fascia Latae, The therapist will place several slightly adducted fingers of its one hand on the superior fibers proximal to the insertion on the anterior superior iliac crest and the thumb as well as the other fingers of the other hand on the distal muscle fibers. Hold, wait for the release and stretch again. |
|
| Kinesio Taping (KT) | Active Comparator | Lumbar star correction technique was applied. 4 tape I strips will be cut. The paper from the center will be torn. The targeted area will be stretched as tolerated at the lumbar region. The therapist will apply 25% to 35% tension to the strip within the therapeutic zone over the target tissue. End the strip with no tension and activate the adhesive. For the second strip change the posture in order to change the stretch on the tissue, apply the second strip with 25% to 35% tension in the center of the tape and end with no tension. Activate the adhesive. Now flex the trunk and rotate on one side. Apply the third tape strip with 25% to 35% tension in the center of the tape. Apply the fourth tape strip with flexion and rotation on the opposite side again with 25% to 35% tension on the strip. The tape will be changed 3 times per week. |
|
| Myofascial Release with Taping (MFKT) |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Therapy | Procedure | Only Myofascial Release will be provided |
|
| Measure | Description | Time Frame |
|---|---|---|
| Lower Back Pain | Numeric Pain Rating Scale | Change from baseline to week 3 |
| Disability of lower back | Oswestry Disability Index | Change from baseline to week 3 |
| Measure | Description | Time Frame |
|---|---|---|
| Range of Motion | Flexion, Extension and Lateral Bending (L and R) | Change from baseline to week 3 |
| Pain Pressure Threshold | Algometer was used to check the pain pressure threshold of Thoraco lumbar fascia, Gluteus Medius, Gluteus Maximus and Tensor Fascia Latae |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Only females will be included in the study because lower back pain is highly prevalent among them.
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Kiran Arshad, M.Phil | University of Karachi | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Al-Tibri Medical college and hospital | Karachi | Sindh | Pakistan |
Data will be collected in the form of distribution of questionnaire to the participants.
Confidentiality of the participants will be maintained. Consent will be taken form participants before collection of data.
Not provided
Not provided
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D017116 | Low Back Pain |
| D009140 | Musculoskeletal Diseases |
| ID | Term |
|---|---|
| D001416 | Back Pain |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
Not provided
Not provided
| ID | Term |
|---|---|
| D013812 | Therapeutics |
| D000089803 | Myofascial Release Therapy |
| C005703 | salicylhydroxamic acid |
| ID | Term |
|---|---|
| D008405 | Massage |
| D064746 | Therapy, Soft Tissue |
| D026201 | Musculoskeletal Manipulations |
| D000529 | Complementary Therapies |
Not provided
Not provided
The study was a parallel group, four arm superiority trial with 1:1 allocation ratio and balanced randomization
Not provided
Not provided
Not provided
Same Protocol of MFR followed by KT |
|
| Placebo Treatment | Sham Comparator | The control group received a sham myofascial release for 40 minutes per treatment session, three times a week for three weeks. The sham myofascial release was applied by gently placing the hands over the same areas treated in the MFR group,without sliding, just enough to maintain contact for the desired time. |
|
| Taping technique | Procedure | Only Kinesiotaping will be provided |
|
|
| Therapy with taping | Procedure | Myofascial release will be provided followed by Kinesiotaping |
|
|
| SHAM | Procedure | Placebo Treatment will be given |
|
| Change from baseline to week 3 |
| Tissue Hardness | Algometer was used to check the tissue hardness of Thoraco lumbar fascia, Gluteus Medius, Gluteus Maximus and Tensor Fascia Latae | Change from baseline to week 3 |
| Quality of Life of patients with Lower back pain | 36-Item Short Form Health Survey (SF-36) | Change from baseline to week 3 |
| D013568 |
| Pathological Conditions, Signs and Symptoms |
| D026741 |
| Physical Therapy Modalities |
| D012046 | Rehabilitation |