Low Back PainNCT05360121
Muscle Energy Technique Versus Back Stretching Among Non-specific Low Back Pain-subacute
A study testing Muscle energy technique of erector spinae muscle, Muscle energy technique of quadratus lumborum muscle and Stretching of erector spinae muscle in people with Low Back Pain, run by Dow University of Health Sciences at 1 site in Pakistan.
Trial summary
This study will highlight LBP management using MET and stretching application among subacute type of back pain Read more about this study
- Who is it for?
- Ages 20 to 45 years
- Conditions the study is for
- Low Back Pain
- What is being tested?
- Muscle energy technique of erector spinae muscle, Muscle energy technique of quadratus lumborum muscle and Stretching of erector spinae muscle
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 60 participants
- Where
- 1 sitePakistan
- Study dates
- 15 Sep 2021to 30 Apr 2022
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 20 to 45 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- low back pain (subacute)
- VAS score( more than 3 cm)
- Quadratus lumborum and erector spinae tightness present
Who cannot join
- back pain (specific)
Trial locations and contacts
1 site in 1 country.
Pakistan1 site, 1 recruiting
- Recruiting
Sindh Institute of physical medicine and rehabilitation
Karachi, Sindh
Saeed Akhter, MSPT, +923312049179, saeed787@hotmail.com
Abdul Rehman, DPT
About this study
Official title: Effects of Muscle Energy Technique and General Stretching in the Management of Sub-acute Non-specific Low Back Pain :A Randomized Control Trial
This study will highlight LBP management using MET and stretching application among subacute type of back pain
Read the detailed description
This study will explore effects of two approaches , out of two MET has not been used in clinical practice more often, therefore this study will explore its physiological impact among back pain
- Conditions
- Low Back Pain
- Being tested
- Muscle energy technique of erector spinae muscle, Muscle energy technique of quadratus lumborum muscle, Stretching of erector spinae muscle, Stretching of quadratus lumborum muscle, Back strengthening exercises
- Keywords
- Low back pain
- Medical subject headings
- Low Back Pain
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Muscle energy technique of erector spinae muscleOther
Therapist will develop cross hand position left hand on lower thoracic and right hand on sacrum. Patient will asked to lift shoulder out of couch to contract the lumber erector spinae and apply force twenty percent against therapist force and keep this position of muscle contraction 7 to 10 seconds then 5 second relax .
Then therapist will take new position of muscle restriction by slacking and will hold 30 second that position at the end of restriction then will finally end stretch with three repetition. Muscle energy technique of erector spinae muscle.
Muscle energy technique of quadratus lumborum muscleOther
Therapist will take step over the patient off leg and squeezes gently with their thigh. Patient will abduct leg with 20 percent force against the resistance of therapists thigh for 7 to 10 second. the therapist gently and passively will move patient leg towards adduction by squatting down slowly. Therapist at same time with both hands cradling the iliac crest of pelvic for 30 second stretch and 3 repetition.
Stretching of erector spinae muscleOther
The therapist standing on the side in a way to place his elbow placed on erector spine and apply stretching on the muscle belly in the direction of longitudinal or transverse plane( figure 1).Duration of stretch will be 15 seconds and four repetition.
Stretching of quadratus lumborum muscleOther
Placing patient's legs to one side of the table and upper body also move to the same side in lateral flexion. This position generate a basic gentle stretch of the muscle. The therapist use elbow on tight/ flat part of muscle belly to stretch out the muscle(figure 2). Duration of stretch will be 15 seconds and four repetition
Back strengthening exercisesOther
- Supine Abdominal Draw In
- Supine Butt Lift with Arms at Side
- Abdominal Draw In with Heel Slide
- Abdominal Draw In with Knee to Chest
- Abdominal Draw In with feet on the ball
- Abdominal Draw In with feet on the ball- add movement
ThermotherapyOther
Ten minute duration of hot pack given on low back for local superficial heat.
| Study group | Role | What they receive |
|---|---|---|
| Muscle energy technique+ Thermotherapy +Back Strengthening exercise | Experimental | Not described Receives: Other: Muscle energy technique of erector spinae muscle; Other: Muscle energy technique of quadratus lumborum muscle; Other: Back strengthening exercises; Other: Thermotherapy |
| General stretching+ Thermotherapy +Back Strengthening exercise | Active comparator | Not described Receives: Other: Stretching of erector spinae muscle; Other: Stretching of quadratus lumborum muscle; Other: Back strengthening exercises; Other: Thermotherapy |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change from Visual Analogue scale scores at 3 weeks
It is subjective outcome measure for pain intensity on 1 to10 cm scores. The '0 cm' score refers no pain and '10 cm' refers more excruciating pain. Increase in scores suggest worst pain intensity.
Measured: at baseline and 3 weeks
Change from Rolland Morris Disability Questionnaire scores at 3 weeks
It is explore area of function leading to understand the level of disability. It consists of total 24 scores. The '0' score refers no disability and '24' refers maximum disability. Increase in scores suggest worst disability.
Measured: at baseline and 3 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted4 May 2022
- Study start15 Sep 2021
- Primary completion30 Apr 2022 (estimated)
- Study completion30 Apr 2022 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Low Back PainStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Single blinding will be used in which only the researcher doing the study knows which treatment or intervention the participant is receiving until the trial is over.
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 60 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Dow University of Health Sciences
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Abdul Rehman, Dow University of Health Sciences
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05360121
- Sponsor's protocol ID
- ARehman
- Status last verified
- Apr 2022
- First submitted
- 20 Apr 2022
- Last updated
- 4 May 2022
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 4 May 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects of Muscle Energy Technique and General Stretching in the Management of Sub-acute Non-specific Low Back Pain :A Randomized Control Trial
- ClinicalTrials.gov ID
- NCT05360121
- Acronym / sponsor ID
- ARehman
- Conditions
- Low Back Pain
- Keywords
- Low back pain
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 60 participants (estimated)
- Lead sponsor
- Dow University of Health SciencesUniversity, hospital or other
- Study start
- 15 Sep 2021 (actual)
- Primary completion
- 30 Apr 2022 (estimated)
- Study completion
- 30 Apr 2022 (estimated)
- First posted
- 4 May 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will highlight LBP management using MET and stretching application among subacute type of back pain
Detailed description
This study will explore effects of two approaches , out of two MET has not been used in clinical practice more often, therefore this study will explore its physiological impact among back pain
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
- Model description
- Single blinding will be used in which only the researcher doing the study knows which treatment or intervention the participant is receiving until the trial is over.
| Arm | Type | Receives |
|---|---|---|
| Muscle energy technique+ Thermotherapy +Back Strengthening exercise | Experimental | Other: Muscle energy technique of erector spinae muscle, Other: Muscle energy technique of quadratus lumborum muscle, Other: Back strengthening exercises, Other: Thermotherapy |
| General stretching+ Thermotherapy +Back Strengthening exercise | Active comparator | Other: Stretching of erector spinae muscle, Other: Stretching of quadratus lumborum muscle, Other: Back strengthening exercises, Other: Thermotherapy |
Who may qualify
- Ages
- 20 to 45 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (3 listed)
- low back pain (subacute)
- VAS score( more than 3 cm)
- Quadratus lumborum and erector spinae tightness present
Key exclusion criteria (1 listed)
- back pain (specific)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Muscle energy technique of erector spinae muscleTherapist will develop cross hand position left hand on lower thoracic and right hand on sacrum. Patient will asked to lift shoulder out of couch to contract the lumber erector spinae and apply force twenty percent against therapist force and keep this position of muscle contraction 7 to 10 seconds then 5 second relax . Then therapist will take new position of muscle restriction by slacking and will hold 30 second that position at the end of restriction then will finally end stretch with three repetition. Muscle energy technique of erector spinae muscle. | Other | Muscle energy technique+ Thermotherapy +Back Strengthening exercise |
| Muscle energy technique of quadratus lumborum muscleTherapist will take step over the patient off leg and squeezes gently with their thigh. Patient will abduct leg with 20 percent force against the resistance of therapists thigh for 7 to 10 second. the therapist gently and passively will move patient leg towards adduction by squatting down slowly. Therapist at same time with both hands cradling the iliac crest of pelvic for 30 second stretch and 3 repetition. | Other | Muscle energy technique+ Thermotherapy +Back Strengthening exercise |
| Stretching of erector spinae muscleThe therapist standing on the side in a way to place his elbow placed on erector spine and apply stretching on the muscle belly in the direction of longitudinal or transverse plane( figure 1).Duration of stretch will be 15 seconds and four repetition. | Other | General stretching+ Thermotherapy +Back Strengthening exercise |
| Stretching of quadratus lumborum musclePlacing patient's legs to one side of the table and upper body also move to the same side in lateral flexion. This position generate a basic gentle stretch of the muscle. The therapist use elbow on tight/ flat part of muscle belly to stretch out the muscle(figure 2). Duration of stretch will be 15 seconds and four repetition | Other | General stretching+ Thermotherapy +Back Strengthening exercise |
| Back strengthening exercises1. Supine Abdominal Draw In 2. Supine Butt Lift with Arms at Side 3. Abdominal Draw In with Heel Slide 4. Abdominal Draw In with Knee to Chest 5. Abdominal Draw In with feet on the ball 6. Abdominal Draw In with feet on the ball- add movement | Other | General stretching+ Thermotherapy +Back Strengthening exercise, Muscle energy technique+ Thermotherapy +Back Strengthening exercise |
| ThermotherapyTen minute duration of hot pack given on low back for local superficial heat. | Other | General stretching+ Thermotherapy +Back Strengthening exercise, Muscle energy technique+ Thermotherapy +Back Strengthening exercise |
Primary outcome
Change from Visual Analogue scale scores at 3 weeks
Time frame: at baseline and 3 weeks
It is subjective outcome measure for pain intensity on 1 to10 cm scores. The '0 cm' score refers no pain and '10 cm' refers more excruciating pain. Increase in scores suggest worst pain intensity.
Change from Rolland Morris Disability Questionnaire scores at 3 weeks
Time frame: at baseline and 3 weeks
It is explore area of function leading to understand the level of disability. It consists of total 24 scores. The '0' score refers no disability and '24' refers maximum disability. Increase in scores suggest worst disability.
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 4 May 2022.
Related trials for Low Back Pain
Not yet recruiting
Effects of Hip Hinge Exercises on Pain, Range of Motion and Functional Disability in Non-specific Low Back Pain.
Low Back Pain
Not yet recruiting
Effect of Lumbar Stabilization Exercises With and Without YTWL (Scapular Stabilization Exercises) on Reducing Chronic Low Back Pain and Related Disability. A Randomized Clinical Trial,
Chronic Non Specific Mechanical Low Back Pain
Not yet recruiting
Comparing Non-Medicine Strategies for Improving Low Back Pain
Chronic Low-back Pain (cLBP), High-Impact Chronic Pain (HICP)
Not yet recruiting
Effects of Whole-Body Vibration and Cervical Stabilization With Core Stabilization in Young Adults With Non-Specific Low Back Pain
Nonspecific Low Back Pain
Not yet recruiting
Spinery Basivertebral Nerve Ablation for Vertebrogenic Chronic Low Back Pain
Low Back Pain, Chronic Low Back Pain (CLBP)
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Sindh Institute of physical medicine and rehabilitation
Karachi, Pakistan
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Muscle energy technique of erector spinae muscle, Muscle energy technique of quadratus lumborum muscle and Stretching of erector spinae muscle in people with Low Back Pain, run by Dow University of Health Sciences at 1 site in Pakistan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 4 May 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Pakistan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Each site lists its own contact: choose the nearest one under Trial locations. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change from Visual Analogue scale scores at 3 weeks (time frame: at baseline and 3 weeks). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 May 2022.