Effect of Strain Counter Strain Technique in Treatment of Lower Back Myofascial Pain Syndrome

Sponsor

Cairo University (Other)

Overall Status

Not yet recruiting

CT.gov ID

NCT06138860

Collaborator

King Khalid University (Other)

Enrollment

Location

Arms

Anticipated Duration (Months)

9.9

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

This study aims to investigate the impact of impact of strain counterstrain technique on pain, lumbar range of motion and functional impairment in patients with lower back Myofascial pain syndrome.

Condition or Disease	Intervention/Treatment	Phase
Lower Back Myofascial Pain Syndrome	Other: strain counter strain technique Other: physical therapy exercises	N/A

Detailed Description

Myofascial Pain Syndrome (MPS) is a prevalent form of musculoskeletal pain that impedes everyday activities and reduces productivity.Those who experience difficulties with regional pain frequently report myofascial pain. According to statistics, between 85% and 93% of patients who attend specialized pain treatment facilities and between 21% and 30% of people with regional pain who visit a general medical clinic also have it.Trigger points, which are hyperirritable tender spots in palpably tense bands of skeletal muscles, are what define it. These spots can cause referred pain patterns, painfully limited range of motion, stiffness, muscle fatigue, and autonomic dysfunction.

Numerous clinical therapies as well as training regimens have been developed to combat trigger points. Strain counterstrain technique (SCS), is one of several manual methods for trigger points, which is a passive method that opens shortened tissues and reduces musculoskeletal pain. It may be possible to activate the Golgi tendon organ, which relaxes tense and tight muscles, by positioning shortened and painful tissues in a comfortable way, which would result in a reduction in the sensitivity of the trigger point.

Hence, the purpose of this study is to ascertain how SCS affects pain, ROM, and functional disability in individuals suffering from lower back myofascial pain syndrome.

Study Design

Study Type:

Interventional

Anticipated Enrollment :

30 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Intervention Model Description:

strain counter strain technique and physical therapy exercisesstrain counter strain technique and physical therapy exercises

Masking:

Double (Investigator, Outcomes Assessor)

Masking Description:

random generator

Primary Purpose:

Treatment

Official Title:

Effect of Strain Counter Strain Technique in Treatment of Lower Back Myofascial Pain Syndrome: a Randomized Controlled Clinical Trial

Anticipated Study Start Date :

Nov 1, 2023

Anticipated Primary Completion Date :

Jan 1, 2024

Anticipated Study Completion Date :

Feb 1, 2024

Arms and Interventions

Arm	Intervention/Treatment
Experimental: strain counter strain technique the patients will receive strain counter strain technique plus physical therapy exercises three times a week for four weeks	Other: strain counter strain technique It will be done in accordance with the technique principles in which the therapist will locate trigger point, and then find a position of comfort or mobile point (at least a 70% decrease in tenderness),monitored the tender point, holding the position o f comfort for 90 seconds, It will be conducted three times per session, for twelve sessions three times per week every other day over the course of a month. Other: physical therapy exercises Physical therapy exercises for twelve sessions, three times a week, over the course of a month. Exercises will include: stretching exercises for the hamstring, calf muscles, and back muscles. strengthening exercises for back muscles and abdominal muscles.
Active Comparator: physical therapy exercises the patients will receive physical therapy exercise three times a week for four week	Other: physical therapy exercises Physical therapy exercises for twelve sessions, three times a week, over the course of a month. Exercises will include: stretching exercises for the hamstring, calf muscles, and back muscles. strengthening exercises for back muscles and abdominal muscles.

Arm

Intervention/Treatment

Experimental: strain counter strain technique

the patients will receive strain counter strain technique plus physical therapy exercises three times a week for four weeks

Other: strain counter strain technique

It will be done in accordance with the technique principles in which the therapist will locate trigger point, and then find a position of comfort or mobile point (at least a 70% decrease in tenderness),monitored the tender point, holding the position o f comfort for 90 seconds, It will be conducted three times per session, for twelve sessions three times per week every other day over the course of a month.

Other: physical therapy exercises

Physical therapy exercises for twelve sessions, three times a week, over the course of a month. Exercises will include: stretching exercises for the hamstring, calf muscles, and back muscles. strengthening exercises for back muscles and abdominal muscles.

Active Comparator: physical therapy exercises

the patients will receive physical therapy exercise three times a week for four week

Other: physical therapy exercises

Outcome Measures

Primary Outcome Measures

pain intensity [up to four weeks]
A Visual Analogue Scale (VAS) will be used by the patient to mark his or her level of pain, usually 10 cm long, ranging from no pain or discomfort (zero) to the worst pain that the patient can possibly feel.

Secondary Outcome Measures

range of motion assessment [up to four weeks]
inclinometer will be used to assess lumbar flexion, extension and side bending
functional impairment [up to four weeks]
Oswestry Disability Index will be used for assessment of functional disability

Eligibility Criteria

Criteria

Ages Eligible for Study:

20 Years to 40 Years

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Inclusion Criteria:

The patients age from 20 to 40 years for both genders.
Patients (office worker) with mechanical back pain for 3 months ago and has not been diagnose as a specific disease or spinal abnormality.
Patients suffering from active MTrPS in lower back muscle.
According to the Oswestry Low Back Pain Disability Questionnaire, patients suffered moderate disability care (20-40%).
Patients capable of doing ROM assessment of Lumbar Spine (flexion, extension, as well as side binding) within the limit of pain.

Exclusion Criteria:

Neurological, systemic illness and infectious diseases such as rheumatologic diseases, tumor.
Psychiatric/mental deficit.
Patients who had a previous surgical history (within 6 months) were also excluded prior to the baseline assessment.
Vertebral compression fracture
Pregnancy and lactation.
Existing lower limb symptoms.
Activity intolerance due to cardiopulmonary disease.

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Ghada Mohamed Rashad Koura	Abha		Saudi Arabia

Sponsors and Collaborators

Cairo University
King Khalid University

Investigators

Study Director: Ghada MR Koura, Ass. prof, King Khalid University, Saudi Arabia

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

Responsible Party:

Doaa Ayoub Elimy Mohammed, Lecturer of physical therapy for basic science department., faculty of physical Therapy, Cairo University

ClinicalTrials.gov Identifier:

NCT06138860

Other Study ID Numbers:

ECM#2023-1101; HAPO-06-B-001

First Posted:

Nov 18, 2023

Last Update Posted:

Nov 18, 2023

Last Verified:

Nov 1, 2023

Studies a U.S. FDA-regulated Drug Product:

Studies a U.S. FDA-regulated Device Product:

Keywords provided by Doaa Ayoub Elimy Mohammed, Lecturer of physical therapy for basic science department., faculty of physical Therapy, Cairo University

Low back Pain

Myofascial pain syndrome

Strain counter strain technique

trigger point

Additional relevant MeSH terms:

Myofascial Pain Syndromes

Study Results

No Results Posted as of Nov 18, 2023