Comparative Effects Of Eldoa And Post-Facilitation Stretching Technique On Low Back Pain And Functional Performance In Patients With Quadratus Lumborum Tightness
The aim of this study is to associate the effects of the ELDOA versus the (PFS) Post Facilitation Stretching technique to treat symptoms of Quadratus lumborum tightness affecting functional performance in (NSLBP) non-specific LBP patients.
Design
A Randomized Clinical Trials (Quantitative Study)
Settings and conduct
Participants of LBP were selected from the Outdoor Patient Department of Madina Teaching Hospital Faisalabad and Allied Hospital Faisalabad. It was of 4 months duration for the study to be completed after the approval of the synopsis.
Participants/Inclusion and exclusion criteria
Inclusion criteria
• 18 to 35 years adult
• Both males and females
• Study participants who are willing to take part
• Participants having 3 to 7 scores on NPRS
• No recent surgery in the past six months
Exclusion criteria
• No leg symptoms in the last week
• Any Neurological disorders
• Patients who have undergone back, pelvis, hip, or knee surgery within the preceding six months, as well as those with any history of lower limb fractures
• Pregnancy (All trimesters)
• Any medical condition contraindicatory to physical activity
Intervention groups
Participants were screened through the selection criteria and were recruited into the study. The patients signed informed consent forms subsequent to subjects, which were randomly allocated into different groups. The participants were separated into two groups, both of which were part of the experimental condition, and depending upon the group allocation, the treatment plan's sequence and scheduled period were provided to the patients. Measurements were taken at baseline before treatment protocol and after the treatment performed at the end of 2nd week. There were three sessions per week for two weeks, i.e. six sessions.
Main outcome variables
• Pain, ROM, Tightness, Disability
General information
Reason for update
Acronym
IRCT registration information
IRCT registration number:IRCT20240503061633N1
Registration date:2024-06-09, 1403/03/20
Registration timing:retrospective
Last update:2024-06-09, 1403/03/20
Update count:0
Registration date
2024-06-09, 1403/03/20
Registrant information
Name
Ruhmah Amin
Name of organization / entity
University of Faisalabad (Madinah Teaching Hospital)
Country
Pakistan
Phone
+92 331 6635005
Email address
2022-ms-pt-035@tuf.edu.pk
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2024-02-06, 1402/11/17
Expected recruitment end date
2024-04-26, 1403/02/07
Actual recruitment start date
2024-02-12, 1402/11/23
Actual recruitment end date
2024-04-30, 1403/02/11
Trial completion date
2024-04-30, 1403/02/11
Scientific title
Comparative Effects Of Eldoa And Post-Facilitation Stretching Technique On Low Back Pain And Functional Performance In Patients With Quadratus Lumborum Tightness
Public title
ELDOA and PFS technique on low back pain patient with Quadratus lumborum tightness
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
18 to 35 years adult
Both males and females
Study participants who are willing to take part
Participants having 3 to 7 scores on NPRS
No recent surgery in the past six months
Exclusion criteria:
No leg symptoms in the last week
Any Neurological disorders
Patients who have undergone back, pelvis, hip, or knee surgery within the preceding six months, as well as those with any history of lower limb fractures
Pregnancy ( All trimesters)
Any medical condition contraindicatory to physical activity
Age
From 18 years old to 35 years old
Gender
Both
Phase
N/A
Groups that have been masked
Participant
Sample size
Target sample size:
30
Actual sample size reached:
27
Randomization (investigator's opinion)
Randomized
Randomization description
Convenient Sampling randomization. Using the Random Number Table method, the 30 participants were allocated into groups, i.e., Groups A and B.
Blinding (investigator's opinion)
Single blinded
Blinding description
Participants were blinded until the cessation of treatment session.
Placebo
Not used
Assignment
Parallel
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Ethical Committee of The University of Faisalabad
Street address
West Canal Road, Faisalabad-37610
City
Faisalabad
Postal code
38000
Approval date
2024-02-17, 1402/11/28
Ethics committee reference number
TUF/DR/SA/MSPP/2024/394
Health conditions studied
1
Description of health condition studied
Quadratus Lumborum Tightness
ICD-10 code
M62.838
ICD-10 code description
Other muscle spasm
2
Description of health condition studied
Low back pain
ICD-10 code
M54.05
ICD-10 code description
Panniculitis affecting regions of neck and back, thoracolumbar region
Primary outcomes
1
Description
Quadratus Lumborum Tightness
Timepoint
Before intervention and at 2 weeks after intervention (6 sessions total)
Method of measurement
Side bend test by using measuring tape
2
Description
Pain
Timepoint
Before intervention and at 2 weeks after intervention (6 sessions total)
Method of measurement
NPRS scale
3
Description
Lumbar range of motion
Timepoint
Before intervention and at 2 weeks after intervention (6 sessions total)
Method of measurement
Schober's test
Secondary outcomes
1
Description
Functional Limitation
Timepoint
Before intervention and at 2 weeks after intervention (6 sessions total)
Method of measurement
LEFS
2
Description
Disability
Timepoint
Before intervention and at 2 weeks after intervention (6 sessions total)
Method of measurement
ODI
Intervention groups
1
Description
Intervention group 1; ELDOA group: Warm up before starting; The session will be for two weeks, alternate days a week, once daily. Hold the static position according to spinal level for 60 seconds or about one minute and breathe normally. Hold each rep for ten to thirty seconds, L4-L5 ELDOA posture was performed by asking the patient to slightly stretch their neck, to draw chin downward and backward, complete shoulder flexion and arms parallel to shoulder, upper limbs in external rotation, shoulder blades in upward rotation, wrists in complete extension, The pelvis is neutral and the spine is straight and supported by the wall, Lower limbs externally rotated, Knees pulled back in 90 degrees flexion, heels hip distance, by maintaining ankle dorsiflexion and eversion actively and Actively draw knees toward the floor. Repeat this procedure 3 to 4 times once a day.
Category
Rehabilitation
2
Description
Intervention group 2; Post Facilitation Stretching Technique: The session will be for two weeks, alternate days a week, once daily. Post Facilitation Stretching (PFS) technique was performed as the QL of the involved side will be in the mid-range, Patient will be asked to perform contractions of the affected muscle (Isometrically) against resistance for 10 seconds, Stretch will be applied in a new range and will be given 10 second hold and then relaxed for 10 seconds. The procedure will be repeated 3 – 5 times once a day.
Category
Rehabilitation
Recruitment centers
1
Recruitment center
Name of recruitment center
Madinah Teaching Hospital
Full name of responsible person
Dr. Ahmed Gul Kainth
Street address
P160 Niazi Street Faisal Town, Canal Road Faisalabad
City
Faisalabad
Postal code
38000
Phone
+92 331 6635005
Email
2022-ms-pt-035@tuf.edu.pk
2
Recruitment center
Name of recruitment center
Allied Hospital
Full name of responsible person
Dr. Sobia Nawaz
Street address
P160 Niazi Street Faisal Town, Canal Road Faisalabad
City
Faisalabad
Postal code
38000
Phone
+92 331 6635005
Email
2022-ms-pt-035@tuf.edu.pk
Sponsors / Funding sources
1
Sponsor
Name of organization / entity
The University of Faisalabad
Full name of responsible person
Ruhmah Amin
Street address
P160 Niazi Street Faisal Town, Canal Road Faisalabad
City
Faisalabad
Postal code
38000
Phone
+92 331 6635005
Email
2022-ms-pt-035@tuf.edu.pk
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
The University of Faisalabad
Proportion provided by this source
100
Public or private sector
Private
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic
Person responsible for general inquiries
Contact
Name of organization / entity
The University of Faisalabad
Full name of responsible person
Ruhmah Amin
Position
Physiotherapist
Latest degree
Master
Other areas of specialty/work
Physiotherapy
Street address
P160 Niazi Street Faisal Town, Canal Road Faisalabad
City
Faisalabad
Province
Punjab
Postal code
38000
Phone
+92 331 6635005
Email
2022-ms-pt-035@ruf.edu.pk
Person responsible for scientific inquiries
Contact
Name of organization / entity
The University of Faisalabad
Full name of responsible person
Ruhmah Amin
Position
Physiotherapist
Latest degree
Master
Other areas of specialty/work
Physiotherapy
Street address
P160 Niazi Street Faisal Town, Canal Road Faisalabad
City
Faisalabad
Province
Punjab
Postal code
38000
Phone
+92 331 6635005
Email
2022-ms-pt-035@tuf.edu.pk
Person responsible for updating data
Contact
Name of organization / entity
The University of Faisalabad
Full name of responsible person
Ruhmah Amin
Position
Physiotherapist
Latest degree
Master
Other areas of specialty/work
Physiotherapy
Street address
P160 Niazi Street Faisal Town, Canal Road Faisalabad
City
Faisalabad
Province
Punjab
Postal code
38000
Phone
+92 331 6635005
Email
2022-ms-pt-035@tuf.edu.pk
Sharing plan
Deidentified Individual Participant Data Set (IPD)
Undecided - It is not yet known if there will be a plan to make this available
Study Protocol
Undecided - It is not yet known if there will be a plan to make this available
Statistical Analysis Plan
Undecided - It is not yet known if there will be a plan to make this available
Informed Consent Form
Undecided - It is not yet known if there will be a plan to make this available