RecruitingNot ApplicableNCT06986707

Strain Counterstrain Technique and Graston Technqiue on Quadratus Lumborum Trigger Points

Comparative Effects of Strain Counterstrain Technique and Graston Technique on Trigger Points of Quadratus Lumborum Among Patients With Nonspecific Low Back Pain

Sponsor

Riphah International University

Enrollment

34 participants

Start Date

Jun 12, 2025

Study Type

INTERVENTIONAL

Conditions

Trigger Point Pain, Myofascial

Summary

Poor body mechanics and posture affects body positioning and stresses quadratus lumborum muscle which ultimately leads to myofascial trigger points in muscle. This study aims to compare the effects of Strain counterstrain technique and Graston technique on trigger points of quadratus lumborum in nonspecific low back patients. This study will be a randomized controlled trial and will be conducted in Riphah Rehabilitation Clinic Lahore and SPARC Physiotherapy Clinic Lahore. Non-probability convenient sampling will be used to collect the data. Sample size of 34 subjects with age group between 20-45 years will be taken. baseline and after 4 weeks. Data analysis will be done by SPSS version 25.

Eligibility

Min Age: 20 YearsMax Age: 45 Years

Inclusion Criteria6

Participant's age range 20-45 years
Both genders.
Individuals having low back pain for atleast 12 weeks with limited segmental mobility especially after maintaining certain prolonged posture .
Individuals with localized pain and tenderness at attachments of quadratus lumborum due to the presence of trigger points (unilateral or bilateral).
positive segmental mobility assessment at the level of L4 and L5 on one side or on both sides
Patients having moderate pain on NPRS

Exclusion Criteria3

Individuals with anticoagulation or bleeding disorders, acute muscle trauma, infections, lumbar disc herniation, spinal deformities, or a history of spinal surgery or anticoagulation medication
Orthopedic surgery or any other low back surgery .
Fracture of vertebrae and any lower limb injury

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Interventions

OTHERStrain counterstrain technique

Group A: Conventional treatment will be given for 45 minutes (repeated 2 sets in each session) * 1 day per week * 4 weeks protocol

OTHERGraston technique

GROUP B: Conventional treatment will be given for 45 minutes Before starting procedure, brisk walking or stretching is done for 4- 5 minutes * Applying heat for 3-4 minutes to warm the area * 40 seconds on right side * 40 seconds on left side * 1 day per week * 4 weeks protocol After treatment, apply Ice for 2 minutes