RecruitingNot ApplicableNCT07328126

Effect of Muscle Energy Technique on Latissimus Dorsi on Pain , Functional Disability and Range of Motion in Patients With Mechanical Low Back Pain


Sponsor

Foundation University Islamabad

Enrollment

32 participants

Start Date

Jan 25, 2025

Study Type

INTERVENTIONAL

Summary

Mechanical low back pain (LBP) stems from spinal structures or surrounding tissues, often caused by overuse or trauma, and is prevalent globally with high recurrence rates. Key contributing factors include biomechanical, psychological, and social elements. The latissimus dorsi (LD), along with other back muscles, plays a crucial role in lumbar stability via the thoracolumbar fascia. Stretching the LD has shown positive effects in reducing pain and improving function in chronic LBP patients. Physical therapy treatments include manual therapy, core stabilization, and flexibility exercises. Muscle Energy Techniques (MET), particularly targeting the LD, can enhance flexibility and spinal mobility when applied correctly.


Eligibility

Min Age: 30 YearsMax Age: 55 Years

Inclusion Criteria1

  • Patients had low back pain for more than 3 months Moderate disability (20 to 40 %) determined through Oswestry Disability Index Subjects with pain ranging 3 to 8 on NPRS Able to perform ROM of lumbar spine (flexion and extension) within range of pain Patient were not under any medical treatment (analgesics etc) both male and female

Exclusion Criteria1

  • presence of any red flags (i.e tumor , metabolic disease, rheumatoid arthritis , osteoporosis , history of use of steroids ) SLR test positive Muscle weakness or paralysis of lower extremity Prior surgery of lumbar spine and pregnancy Any psychological problem

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Interventions

PROCEDUREConservative physical therapy

Hot pack + TENS (10 min), followed by a structured program of warm-up, 20-minute core/back strengthening, stretching (hip flexors, hamstrings, lumbar extensors), and cool-down exercises.

PROCEDUREPost-facilitation stretch of latissimus dorsi with conservative physical therapy

Receives the same conservative physical therapy as the control group plus Latissimus Dorsi Muscle Energy Technique (isometric contraction for 10seconds, relaxation 2-3seconds, followed by 10seconds stretch, applied bilaterally each session).


Locations(1)

Foundation University Islamabad

Rawalpindi, Punjab Province, Pakistan

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NCT07328126