Effect Of Different Diaphragmatic Myofascial Release Approaches On Low Back Pain And Quality Of Life Among Young Females With Irritable Bowel Syndrome

Effect Of Different Diaphragmatic Myofascial Release Approaches On Low Back Pain And Quality Of Life Among Young Females With Irritable Bowel Syndrome

this study will be conducted to investigate the effect of different diaphragmatic myofascial release approaches on low back pain and quality of life among young females with irritable bowel syndrome

Irritable bowel syndrome (IBS) is a functional gastrointestinal disorder linked to disruptions in autonomic nervous system regulation, gut inflammation, alterations in stool frequency, and visceral hypersensitivity. Irritable bowel syndrome (IBS) is a chronic condition affects 7 to 21% of the general population.The symptoms usually include abdominal cramping, discomfort or pain, bloating, loose or frequent stools and constipation.The diaphragm has a fundamental role in defining posture, its maintenance, and body position changes; dysfunction of the diaphragm is one of the recognized be causes of low back and sacroiliac joint pain. People with low back pain often experience early fatigue of the diaphragm muscle, altered and reduced excursion during respiration, and inadequate proprioceptive activation.

Inclusion Criteria:

• Subjects with irritable bowel syndrome
• Young female subjects
• All patients will have low back pain.
• All subjects will be clinically and medically stable when attending the study

Exclusion Criteria:

• Lack of attention and cooperation
• History of cancer and any systemic disease
• Pregnancy
• History of any structural gastrointestinal pathology or surgery
• History of repeated inflammatory gastrointestinal pathology
• Diabetes mellitus and lactose intolerance.
• Abuse of laxative
• Depression
• Celiac disease
• Endocrine disorders as hypothyroidism and hyperthyroidism.
• Gastrinoma
• Recent/unhealed rib fracture
• History of any lumbar spine serious pathology ( tumor, infection fracture, osteoporosis , long term use of steroid, rheumatoid arthritis and surgery )