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NCT Number: NCT06138860

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

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.

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Key information

Conditions

Lower Back Myofascial Pain Syndrome Back Pain Low Back Pain Muscular Diseases Musculoskeletal Diseases Myofascial Pain Syndromes Neurologic Manifestations Pain Pathological Conditions, Signs and Symptoms Signs and Symptoms

Age range

20 year–40 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Ghada Mohamed Rashad Koura

Abhā, Saudi Arabia

About this study

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.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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.

Treatment and study plan

strain counter strain technique

Other

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.

physical therapy exercises

Other

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.

Primary outcomes

  1. pain intensity

    Time frame: 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 outcomes

  1. range of motion assessment

    Time frame: up to four weeks

    inclinometer will be used to assess lumbar flexion, extension and side bending

  2. functional impairment

    Time frame: up to four weeks

    Arabic version of Oswestry Disability Index will be used for assessment of functional disability

Sponsors and collaborators

Lead sponsor

Cairo University

Other

Collaborators

  • King Khalid University

Registry information

Official study title

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

Important dates

Study start
2023
Primary completion
2024
Study completion
2024
First posted
Nov 18, 2023
Registry last updated
Mar 5, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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