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.
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).
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
Parallel
Strain counterstrain technique
Other interventionGroup A: Conventional treatment will be given for 45 minutes (repeated 2 sets in each session) * 1 day per week * 4 weeks protocol
Graston technique
Other interventionGROUP 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
Oswestry Disability Index
The Oswestry Disability Index (ODI) a patient-completed questionnaire which gives a subjective percentage score of level of function (disability) in activities of daily living in those rehabilitating from low back pain. This is a 10-item index: 8 of them are related to activities of daily living and 2 refer to pain. The score of each item ranges from 0 to 5, with higher scores indicating greater disability. The total score is expressed as percentage
Inclinometer
An inclinometer will be placed on the T12-L1 and L5-S1 spinal interspaces and zeroed with the patient in neutral standing position. The examiner asked the patient to bend forward maximally and then recorded the motion. Lumbar flexion will be represented by the difference in motion between the upper and lower inclinometers (12).
Numerical Pain Rating Scale (NPRS):
Patient level of pain will be assessed using this scale. This scale ranges from 0 to 10. 0 indicates "no pain" and 10 indicates "worst pain"
Click on the lead sponsor to view all of their trials.
