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Low back pain is a complex of musculoskeletal disorders or muscular imbalance and one of the most common problems of patients referred to physiotherapy clinics, but still diagnosis and especially the provision of special back pain therapy is a challenge. According to the studies, 84% of the population at least once in a lifetime. Non-specific Lower back pain NSLBP does not have any specific cause and almost 90% of patients experience undiagnosed pathologic LBP. It is multifactorial and has different causes depends on the type of injury. Common etiologies behind NSLBP are muscular weakness, postural instability, fascial restriction, lumbo-pelvic muscle imbalance, change in spinal curvature and abnormal tilting of pelvic.
A randomized controlled trail will be conducted to demonstrate the mutual effects of McGill exercise with and without 3-Dimensional Myofascial release technique on pain, lumbar hyperlordosis LHL and pelvic tilt in patients with NSLBP. Sample size is calculated through Epitool,38 subjects of age 18-55years will be taken. Non-probability convenient sampling will be used to collect data from Riphah rehabilitation clinic Lahore and Private clinical setups of Lahore, by using Numeric pain rating scale (NPRS) for pain, Flexicurve rubber ruler for hyperlordosis, Inclinometer for anterior pelvic tilt from the patients having present complain of LBP without history of traumatic low back injury. A written consent form will be taken from participants meeting inclusion criteria and will be randomly allocated into two groups consisting equal members. One group will receive 3-Dimentional myofascial release with McGill and other group will just receive with McGill exercise. The session will be provided for 40-45minutes, 3 days/week for 6 weeks. All participants will be evaluated at baseline and after 6 weeks. Data will be statistically analyzed by using SPSS Version 29.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| McGill exercise with Three-Dimensional Myofascial Release along with Baseline. | Experimental | Patients will receive McGill exercise with Three-Dimensional Myofascial Release along with Baseline Physical therapy treatment protocol. |
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| McGill exercise without 3-D MFR along with Baseline protocol. | Active Comparator | Patients Will receive McGill exercise without 3-D MFR along with Baseline protocol. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| McGill exercise with 3 D Myofascial Release. | Other | Treatment will include McGill's big 3 core exercises initially 2 sets of 10rep then progress with increasing sets and repetitions. And 3-D Myofascial release stretches, each for 90sec. 1 set of 3rep in every physiotherapy session. Patient will get 3 sessions of 40-45minutes, per week for 6 weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| Inclinometer: | An inclinometer (or clinometer), is an instrument used for measuring the angles of slope/tilt and elevation/depression of an object with respect to gravity. The average ranges of anterior tilting are 13.0 ± 4.9° degree. The inter-class reliability showed that there was a low 16 reliability of absolute angular error by digital inclinometer (with ICC=0.467 and Pvalue=0.004). | 8 WEEKS |
| Numerical Pain Rating Scale (NPRS): | Tool for the assessment of pain intensity (NPRS) will be used. This scale ranges from 0 to 10, where 0 indicates "no pain" at all and 10 indicates "worst pain". NPRS have shown high test- retest reliability (r = 0.96 and 0.95, respectively). | 8 WEEKS |
| Flexicurve | The Flexicurve (portable flexible rubber ruler) is a non-invasive and inexpensive tool used to perform the quick assessment of spinal curvatures. Therefore, it is some time consider as the valuable instrument to evaluate kyphosis and lordosis in the clinical set-up. According to the literature, it is reliable and valid with 85% Sensitivity and 97% specificity. | 8 WEEKS |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Faiza Taufiq | Riphah International University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Riphah rehabilitation clinic Lahore. | Lahore | Punjab Province | 56700 | Pakistan |
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Participants received McGill exercise with and without 3-Dimensional Myofascial release technique.
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| McGill exercise without 3-D MFR | Other | Perform McGill's big 3 core exercises initially 2 sets of 10rep then progress with increasing sets and repetitions. Patient will get total 3 sessions per week of 40- 45minutes for 6 weeks. |
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| ID | Term |
|---|---|
| D009043 | Motor Activity |
| D017116 | Low Back Pain |
| D008141 | Lordosis |
| ID | Term |
|---|---|
| D001519 | Behavior |
| D001416 | Back Pain |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D013121 | Spinal Curvatures |
| D013122 | Spinal Diseases |
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |
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