Evaluation of the effect of adding Mayofacial Release technique to routine physiotherapy on lumbar spine kinematics, pain and disability in patients with non-specific chronic low back pain.
Design
A clinical trial with a control group, with parallel groups, double-blind, randomized, permuted block randomization was used for randomization.
Settings and conduct
People with non-specific chronic low back pain will be included in the study voluntarily in the research center of Semnan University of Medical Sciences and will be randomly divided into two groups of control and intervention; Then the kinematics of their lumbar spine will be measured during physiological and functional movements and their pain and disability. Both groups will receive ten sessions of routine physiotherapy treatment (Tennessee, USA, Hot Pack), the intervention group will receive treatment in four sessions using myofacial release technique, and the control group will undergo four sessions of myofacial release technique without applying Will receive traction. After two weeks of kinematic intervention, the subjects in the study will be measured and the results will be compared.
Participants/Inclusion and exclusion criteria
People with non-specific chronic low back pain that lasts more than 12 weeks and who have a VAS of less than 3 per day will be included in the study, and people with a BMI above 25, with certain conditions, or those with myofascial release or rehabilitation treatment. Received two months ago will be excluded from the study.
Intervention groups
Each group will receive ten sessions of routine physiotherapy with four sessions (twice a week for two weeks) of myofascial treatment, but the myofascial control group will receive sham release.
Main outcome variables
Pain
Disability
Maximum angular displacement
Angular velocity
Relative phase angle
General information
Reason for update
Acronym
IRCT registration information
IRCT registration number:IRCT20160808029264N12
Registration date:2021-07-03, 1400/04/12
Registration timing:prospective
Last update:2021-07-03, 1400/04/12
Update count:0
Registration date
2021-07-03, 1400/04/12
Registrant information
Name
Rasool Bagheri
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 23 3344 1022
Email address
rasool.bagheri@ymail.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2021-07-23, 1400/05/01
Expected recruitment end date
2021-12-22, 1400/10/01
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Effect of Myofascial Release Technique on Lumbar Spine Kinematics in People with Non-Specific Chronic Low Back Pain
Public title
The effect of myofascial release on lumbar kinematics
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Age between 18 and 55 years
People with nonspecific chronic low back pain that lasts for more than 12 weeks
VAS less than 3 per day of study
Exclusion criteria:
BMI above 25
Spinal cord tumor
Infection
Fracture
Autoimmune disease
Vascular disease
Endocrine disease
Metabolic disease
Systemic neoplastic disease
Fibromyalgia
Cauda equina syndrome
Previous spinal surgery
Muscular injuries of the lower extremities
Previous experience with myofascial
History of rehabilitation treatment for low back pain over the past two months
Age
From 18 years old to 55 years old
Gender
Both
Phase
N/A
Groups that have been masked
Participant
Data analyser
Sample size
Target sample size:
60
Randomization (investigator's opinion)
Randomized
Randomization description
permuted block randomization:
4 blocks are used for randomization. The intervention groups are called A and the control group is called B. Different 4 blocks including A, B are defined in different permutations. We will have 15 blocks of 4. Each block is assigned a number from 1 to 6. Using a random number generator, the blocks are selected from 6 selected blocks, respectively. Eligible individuals are assigned to either A or B in each block (from left to right) in a predetermined order.
Blinding (investigator's opinion)
Double blinded
Blinding description
Participants will not be aware of their group, nor will the data analyzer be aware of patients being assigned to groups.
Placebo
Used
Assignment
Parallel
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Ethics Comitee of Semnan University of Medical Sciences
Street address
Basij Blvd.,Semnan., Semnan Province
City
Semnan
Province
Semnan
Postal code
99951-35198
Approval date
2021-06-27, 1400/04/06
Ethics committee reference number
IR.SEMUMS.REC.1400.073
Health conditions studied
1
Description of health condition studied
Non-specific chronic low back pain
ICD-10 code
M54.5
ICD-10 code description
Low back pain
Primary outcomes
1
Description
Kinematic
Timepoint
The first session, last session
Method of measurement
3D motion analysis system
Secondary outcomes
1
Description
Pain
Timepoint
The first session, last session
Method of measurement
Visual Analogue Scale
2
Description
Disability
Timepoint
The first session, last session
Method of measurement
Oswestry checklist
Intervention groups
1
Description
Intervention group: Participants in this group will receive ten routine sessions of physiotherapy along with four sessions (twice a week for two weeks) of myofascial treatment. Routine physiotherapy includes 20 minutes of using TENS electric current with a frequency of 50 to 120 Hz, 1 MHz Ultrasound with an intensity of 1.5w / cm2 for 5 minutes and a hot pack. Myofascial release protocol will include release of thoracolumbar fascia, paravertebral lumbar muscles, quadratus lumbarum and seasickness.
Category
Rehabilitation
2
Description
Control group: Participants in this group will receive ten routine sessions of physiotherapy along with four sessions (twice a week for two weeks) of myofascial treatment. Routine physiotherapy includes 20 minutes of using TENS electric current with a frequency of 50 to 120 Hz, 1 MHz Ultrasound with an intensity of 1.5w / cm2 for 5 minutes and a hot pack. The myofascial release protocol will include the release of the thoracolumbar fascia, the paravertebral lumbar muscles, the quadratus lumbarum, and the seas, which the group will receive as sham.
Category
Rehabilitation
Recruitment centers
1
Recruitment center
Name of recruitment center
Neuromuscular Rehabilitation Research Center,. Semnan University of Medical Scinces., Semnan., Iran.
Full name of responsible person
Dr Rasool Bagheri
Street address
Basij Blvd.,Semnan., Semnan Province
City
Semnan
Province
Semnan
Postal code
3513135111
Phone
+98 23 3336 4180
Email
rasool.bagheri@ymail.com
Sponsors / Funding sources
1
Sponsor
Name of organization / entity
Semnan University of Medical Sciences
Full name of responsible person
Dr Parviz Kokhaei
Street address
Semnan University of Medical Sciences, Basij Blvd
City
Semnan
Province
Semnan
Postal code
3514799442
Phone
+98 23 3345 1336
Fax
Email
P_kokha@yahoo.com
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Semnan University of Medical Sciences
Proportion provided by this source
100
Public or private sector
Public
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
Semnan University of Medical Sciences
Full name of responsible person
Rasool Bagheri
Position
Assisstant professor
Latest degree
Ph.D.
Other areas of specialty/work
Physiotherapy
Street address
Km 5 Damghan Road., Semnan University of Medical Sciences., School of Rehabilitation., Semnan town
City
Semnan
Province
Semnan
Postal code
3513135111
Phone
+98 23 3344 1022
Email
rasool.bagheri@ymail.com
Person responsible for scientific inquiries
Contact
Name of organization / entity
Semnan University of Medical Sciences
Full name of responsible person
Rasool Bagheri
Position
Assisstant professor
Latest degree
Ph.D.
Other areas of specialty/work
Physiotherapy
Street address
Km 5 Damghan Road., Semnan University of Medical Sciences., School of Rehabilitation., Semnan town
City
Semnan
Province
Semnan
Postal code
3513135111
Phone
+98 23 3344 1022
Email
rasool.bagheri@ymail.com
Person responsible for updating data
Contact
Name of organization / entity
Semnan University of Medical Sciences
Full name of responsible person
Rasool Bagheri
Position
Assisstant professor
Latest degree
Ph.D.
Other areas of specialty/work
Physiotherapy
Street address
Km 5 Damghan Road., Semnan University of Medical Sciences., School of Rehabilitation., Semnan town
City
Semnan
Province
Semnan
Postal code
3513135111
Phone
+98 23 3344 1022
Email
rasool.bagheri@ymail.com
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
Clinical Study Report
Undecided - It is not yet known if there will be a plan to make this available
Analytic Code
Undecided - It is not yet known if there will be a plan to make this available
Data Dictionary
Undecided - It is not yet known if there will be a plan to make this available