About this trial
Chronic low back pain (CLBP) is the most common medical problem observed among musculoskeletal pain and spinal pain problems. It can reduce the movements due to muscular imbalances, decreased activity of daily living, and effects on health-related quality of life. It is the major cause of activity limitation, work absence, and reported clinical issues. Most of the cases of low back pain remained undiagnosed and received only symptomatic management.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Pain between the inferior gluteal folds and the costal margins.
Pain with a duration of a minimum of 24 weeks.
Moderate to severe pain (>3) was measured using the Numeric Pain Rating Scale.
Straight Leg raise Limited (hamstring tightness)
Disqualifiers
Pain in lower back with radiating/referring but limited to proximal legs
Pain for the last 03 months and at least half of the days in the last six months.
Presence of neurological problem/deficit/disease (e.g., nerve root compression, motor deficit, paresthesia) and lower limb symptoms.
Presence of disease like Infection, tumors, spondylolisthesis grade II or higher, vertebral fractures, identifiable cause like endometriosis
Trial design
Parallel
Treatments tested in this trial
SASTM
DeviceThe therapist will apply sound instrument-assisted soft tissue mobilization (SASTM) with a convex plastic (Ceramic) tool (Beer JA, 2019).
IASTM
DeviceThe IASTM technique contains a protocol for treatment that contains five components: i. Examination, ii. warm-up exercises 5 min iii. IASTM treatment (e.g., 30-60 seconds per session), iv. Post treatment stretching and strengthening, v. Icing (only when sub-acute inflammation is of concern).
Exercise
Other interventionIn conventional therapy, patients will be given an exercise program that will be targeted to low back muscles. This will be include three type of exercise focusing on stretching, strengthening and postural correction exercise.(Yana et al., 2024)
Treatment groups
Trial outcomes
Primary outcomes
Pain Intensity
The pain will be assessed using Chronic Pain grading Scale (CPGS).
Flexibility
Modified-Modified Schober Test will be used to measure Lumbar flexibility.
Secondary outcomes
Function
Functional movement Screen (FMS) will be used.
Disability
Roland Morris Disability Index will be used to measure disability Index.
Hamstring Flexibility
Active knee Extension Test will be used to assess hamstring Flexibility.
Other outcomes
Pelvic obliquity
Leg length difference will be measured as an indicator of pelvic obliquity.
Sponsors and contacts
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