Integrated Neuromuscular Inhibition Versus Instrument Assisted Soft Tissue Mobilization in Chronic Back Pain

Integrated Neuromuscular Inhibition Technique Versus Instrument Assisted Soft Tissue Mobilization in Patients With Chronic Non Specific Low Back Pain

this study will be conducted to identify the difference between the effect of integrated neuromuscular inhibition technique and instrument assisted soft tissue mobilization on back pain, pain threshold, back rang of motion ,back proprioception and back disability in chronic non specific low back pain

Inclusion Criteria:

• 1. The patient's age ranged from 18 to 30 years.(Geogre et al, 2021) 2. Patients with low back pain for more than 3 months (pain felt between T12 and the gluteal fold).

  3. Patient with chronic low back pain 4. Normal body mass index from 18 -25kg/m2.

Exclusion Criteria:

• The subjects will be excluded if they have any of the followings:

  1. Lumbar discogenic lesions or any inflammatory arthritis, tumors, infection involving the lumbar spine.
  2. Patients with decreased range of motion secondary to congenital anomalies, muscular contracture, or bony block.
  3. Previous lumbar or hip surgery or trauma.
  4. Any hip structural abnormality such as malformations, impingements and degeneration.
  5. Patients With cognitive impairments that would limit their participation