Objective:
To evaluate the effectiveness of adding Myofascial Release Technique (MRT) to Clinical Pilates in adults with chronic non-specific low back pain (CNSLBP).
Hypothesis:
MRT combined with Pilates will lead to greater improvements in pain, functional disability, and soft tissue mobility compared to Pilates alone.
Design \& Intervention:
Randomized controlled trial. Participants (18-45 years) will be randomly assigned to:
MRT + Clinical Pilates Clinical Pilates only for 6 weeks (2 sessions/week).
Outcomes:
Primary: Pain (VAS), ultrasonographic thickness (multifidus \& thoracolumbar fascia) Secondary: Disability (ODI), lumbar mobility, balance
Eligibility:
Adults with CNSLBP ≥3 months; excluding spinal surgery, rheumatic disease, and pregnancy.
Chronic non-specific low back pain lasting at least 3 months
No clinical signs of nerve root compression or neurological deficit
Aged 18-45 years
No physical therapy or manual therapy for low back pain in the last 1 month
Systemic, neurological, or orthopedic conditions limiting exercise participation
Lumbar radiculopathy or severe spinal pathology
History of lumbar spine surgery
Unhealed fracture or recent surgical intervention