Transverse Friction Massage Versus Instrumented Assisted Soft Tissue Mobilization in Quadratus Lumborum Syndrome

Comparative Effects of Transverse Friction Massage Versus Instrument-assisted Soft Tissue Mobilization on Pain, Range of Motion, and Posture in Patients With Quadratus Lumborum Syndrome

To find effective therapeutic interventions for QLS, a study is being conducted to compare the efficacy of two promising techniques: Transverse Friction Massage (TFM) and Instrument-Assisted Soft Tissue Mobilization (IASTM) . Participants will be randomly assigned to either the TFM or IASTM groups. Outcome measures will be collected before and after the intervention, including pain levels assessed through NPRS, range of motion using inclinometer and posture by measuring leg length discrepancy with tape method.Non probability convenience sampling will be used and 34 partcipants will be randomly allocated in two groups after meeting inclusion criteria.Both groups will receive hotpack for 10-15min.Stretching quadratus lumborum will also be performed with strengthening on the opposite side of affected quadratus lumborum.This methodology provides a solid assessment of the effectiveness of TFM and IASTM for Quadratus Lumborum Syndrome therapy.

Inclusion Criteria:

• Age group between 18-40years
• Males only with target population was office workers
• NPRS>4
• Patients with a positional fault of the pelvis (lateral tilt)
• Patients having chronic LBP for more than six months
• Hyperirritable spot or taut band
• Positive jump sign for trigger points/ Referred pain related to the trigger point area
• Positive Lewis's functional palpation test for QL overactivity
• At least one trigger point in Quadratus lumborum
• Leg length discrepancy due to QL tightness

Exclusion Criteria:

• Congenital or acquired spinal deformities
• Spinal stenosis or radiculopathy
• Diagnosed disc prolapse
• Rheumatoid arthritis
• Any malignancy
• Recent history of surgery less than three months
• Acute infections