Comparison of Positional Release and Manual Pressure Technique in Chronic Low Back Pain

Comparative Effects of Positional Release and Manual Pressure Techniques of Tight Hip Flexors on Pain, Range of Motion, Lumbosacral Angle, and Disability in Patients With Chronic Low Back Pain

The purpose of the study is to compare the effect of positional release technique and manual pressure technique of hip flexors on pain, range of motion, lumbosacral angle and disability in patients with chronic low back pain

This will be Randomized clinical trial. Individuals who met inclusion criteria will be included in this study. All participants will go through randomization and divided into two groups. Pre intervention assessment is made for both groups. Then intervention will apply to both groups. Group A will receive positional release technique and Group B will be treated by manual pressure technique and pain, range of motion, lumbosacral angle and functional disability will be measured before and after the treatment using NPRS, Inclinometer and ODI. Estimated time of treatment protocol will be 30 minutes per session, 4 times/week for 4 weeks in the hospital setting. Subjects will be evaluated at baseline and 4th week assessment will be the final.

Inclusion Criteria:

• Males and females
• age group 25 to 40yrs
• Atraumatic chronic low back pain more than 3 months
• Patients with Anterior pelvic tilt
• Patients with lumbosacral angle > than 50 degrees

Exclusion Criteria:

• Pregnancy
• history of vertebral fracture
• History of any spinal surgery
• Disc disease
• Osteoporosis
• Bone disease
• Patient unable to give consent