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.
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
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