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IRCT20220922056020N1 IRCT 2023-06-24 University of Lahore Post-isometric relaxation technique in Mechanical low back pain Effects of Post-Isometric Relaxation Technique and Static Stretching of Quadratus Lumborum on Pain and Functional Disability in Patients with Mechanical Low Back Pain 2022-06-01 anticipated 78 Complete https://irct.ir/trial/66808 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: non-probability sampling technique will be used to enroll the patients in intervention and control group and concealed envelop will be used for the random allocation. we prepare opaque envelops which contain slip of paper that indicate the treatment allocation in control and interventional group. Then randomly assign the slip of paper to envelops, ensure concealment of treatment assignment. When participant enroll, they select the envelop randomly and assign the participant to the corresponding treatment without the knowledge of allocation. Then we open the envelop in the presence of participant and reveal the treatment assignment to maintain the transparency. Then repeat the process for subsequent participants and make ensure that the randomization is concealed and unbiased throughout the research, Blinding description: single blinding study with blinding of assessor by labeling the experimental and control groups with unidentifying terms such as symbols or digits. 2 Mechanical low back pain. Intervention 1: Control group: Participants received routine physical therapy which include TENS with Hot pack and exercises for the strengthening of muscles. Hot Moist pack: 10 mins for relaxing soft tissue structures and increase extensibility. Transcutaneous Electrical stimulator:10 mins for pain relief. Exercises: 10 repetitions- 5 sec hold for strengthening the muscles •Side bending •Side bridging• Pelvic bridging •Cat camel. Intervention 2: Intervention group: Participants received Post-isometric relaxation technique and static stretching with routine physical therapy. Post-isometric relaxation technique: Thirty-nine participants received post-isometric relaxation technique for Quadratus lumborum. Position of the patient is side lying with uppermost arm fully extended. Position of the therapist; behind the patient at waist level. Inhale and abduct the uppermost leg and hold the leg and breathe for 7-10 seconds allowing the gravity to provide resistance. Patient then hang the leg behind him over the back of the table. Release the breath on slowly ceasing contraction. Therapist cradles the pelvis with both hands to take out all slack during exhalation. Hold stretch for 10 seconds. Patient relaxed for 20 seconds and same procedure was repeated for 5 times. Hot moist pack:10 mins for relaxing soft tissue structure, increases extensibility and pain relief. Transcutaneous Electrical stimulator:10 mins for pain relief. Exercises: 10 repetitions- 5 sec hold for strengthening the muscles• Side bending• Static abdominal• Static back extensor• Side bridging• Pelvic bridging• Cat camel. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is information provided after
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Narowal Pakistan 540000 +92 336 8784250 afifaamanat6@gmail.com University of Lahore Pakistan low back pain less than 12 weeks. Both gender. Age 18 to 50 years. VAS not less than point 3. 18 years 50 years Both participants having specific low back pain lumber spondylosis lumber canal stenosis sensory deficient Malignancies prolapse intervertebral discs with instability or any radicular symptoms Tuberculosis M54.5 Low back pain Treatment - Other Treatment - Other Control group: Participants received routine physical therapy which include TENS with Hot pack and exercises for the strengthening of muscles. Hot Moist pack: 10 mins for relaxing soft tissue structures and increase extensibility. Transcutaneous Electrical stimulator:10 mins for pain relief. Exercises: 10 repetitions- 5 sec hold for strengthening the muscles •Side bending •Side bridging• Pelvic bridging •Cat camel Intervention group: Participants received Post-isometric relaxation technique and static stretching with routine physical therapy. Post-isometric relaxation technique: Thirty-nine participants received post-isometric relaxation technique for Quadratus lumborum. Position of the patient is side lying with uppermost arm fully extended. Position of the therapist; behind the patient at waist level. Inhale and abduct the uppermost leg and hold the leg and breathe for 7-10 seconds allowing the gravity to provide resistance. Patient then hang the leg behind him over the back of the table. Release the breath on slowly ceasing contraction. Therapist cradles the pelvis with both hands to take out all slack during exhalation. Hold stretch for 10 seconds. Patient relaxed for 20 seconds and same procedure was repeated for 5 times. Hot moist pack:10 mins for relaxing soft tissue structure, increases extensibility and pain relief. Transcutaneous Electrical stimulator:10 mins for pain relief. Exercises: 10 repetitions- 5 sec hold for strengthening the muscles• Side bending• Static abdominal• Static back extensor• Side bridging• Pelvic bridging• Cat camel Pain. Timepoint: outcome measured first at baseline then at the follow up of 3rd week then at 6th week. Method of measurement: pain measured by visual analogue scale. Functional disability. Timepoint: outcome measured first at baseline then at the follow up of 3rd week then at 6th week. Method of measurement: Functional disability measured by modified oswestry disability index. University of Lahore University of Lahore University of Lahore Approved 2022-07-18 Ethic committee of university of Lahore University of lahore new campus Defence road allied bank, lahore Lahore \ narowal Punjab Pakistan