Graston Versus Active Release Technique in Females With Non Specific Low Back Pain
Trial Parameters
Brief Summary
Non-specific Low Back Pain defined by tension, soreness, and/or stiffness of the lower back with unknown origins of pain. Reduction in hamstrings flexibility has found to be one of the causes for development of low back pain. Soft tissue manipulation can help loosen these muscles up and decrease a lot of the pain an individual may be having. Two specific kinds of soft tissue techniques will be utilized in this study are Graston Technique and Active Release Technique. So the aim of this project is to compare the effects of Graston Technique (GT) and Active Release Technique (ART) in the females with NSLBP. The study will be a randomized clinical trial and will be conducted in Allama Iqbal Memorial Teaching Hospital Sialkot. Non-probability convenience sampling technique will be used and participants will be recruited in groups after randomization. The subjects (n=40) will be divided into two groups. First group will include 20 women and graston technique will be applied. Group B will include 20 women and receive active release technique. Both the Groups will receive Hot Pack for 10 minutes, Passive stretching and Therapeutic Exercises for core stability; will be performed 2 times a week with 10 second hold of each exercise. Outcome measures will be taken using Numeric pain rating scale (NPRS) for pain, Universal Goniometer (GU) for Active knee extension test and popliteal angle measurement and Oswestry Disability Index for disability in the female patients with NSLBP. Outcome measures will be measured at baseline and after 4 weeks. Data analysis will be done by SPSS version 25.
Eligibility Criteria
Inclusion Criteria: * Females with Non Specific Low Back Pain * Age group between 25 and 50 years * History of NSLBP for at least 3 months * Popliteal angle Numeric Rating Scale (NRS) score of 3-7/10 * The Oswestry Disability Index (ODI) score of 20-60 * Patients agree to sign written consent form. Exclusion Criteria: * Acute onset of pain and pain with radiation below knee. * Any history of injury in the lower extremity in the past three months. * Constant or persistent severe pain, inflammatory conditions (rheumatoid arthritis, ankylosing spondylitis) * participants must not be taking any treatment of a musculoskeletal nature. * Any previous surgery around the knee and hip * hamstrings injury and strains * Pregnant females * Allergy to hot pack