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NCT Number: NCT07441031

McGill Exercise With and Without 3-dimensional Myofascial Release Technique in Non-specific Low Back Pain

Low back pain is a complex of musculoskeletal disorders or muscular imbalance and one of the most common problems of patients referred to physiotherapy clinics, but still diagnosis and especially the provision of special back pain therapy is a challenge. According to the studies, 84% of the population at least once in a lifetime. Non-specific Lower back pain NSLBP does not have any specific cause and almost 90% of patients experience undiagnosed pathologic LBP. It is multifactorial and has different causes depends on the type of injury. Common etiologies behind NSLBP are muscular weakness, postural instability, fascial restriction, lumbo-pelvic muscle imbalance, change in spinal curvature and abnormal tilting of pelvic.

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Key information

Conditions

Exercise Back Pain Behavior Bone Diseases Lordosis Low Back Pain Lumbar Motor Activity Musculoskeletal Diseases Neurologic Manifestations Pain Pathological Conditions, Signs and Symptoms Signs and Symptoms Spinal Curvatures Spinal Diseases

Age range

18 year–55 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Riphah rehabilitation clinic Lahore.

Lahore, Punjab Province, 56700, Pakistan

About this study

A randomized controlled trail will be conducted to demonstrate the mutual effects of McGill exercise with and without 3-Dimensional Myofascial release technique on pain, lumbar hyperlordosis LHL and pelvic tilt in patients with NSLBP. Sample size is calculated through Epitool,38 subjects of age 18-55years will be taken. Non-probability convenient sampling will be used to collect data from Riphah rehabilitation clinic Lahore and Private clinical setups of Lahore, by using Numeric pain rating scale (NPRS) for pain, Flexicurve rubber ruler for hyperlordosis, Inclinometer for anterior pelvic tilt from the patients having present complain of LBP without history of traumatic low back injury. A written consent form will be taken from participants meeting inclusion criteria and will be randomly allocated into two groups consisting equal members. One group will receive 3-Dimentional myofascial release with McGill and other group will just receive with McGill exercise. The session will be provided for 40-45minutes, 3 days/week for 6 weeks. All participants will be evaluated at baseline and after 6 weeks. Data will be statistically analyzed by using SPSS Version 29.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Pain rate 3-7 on NPRS.
  • Localized back pain between the 12th rib and the gluteal folds.
  • Hyperlordotic curvature of lumber spine beyond range 37° to 42°.
  • No radiating pain or paresthesia during SLR.
  • No evidence of congenital anomalies.
  • Diagnosed hyprlordotic lumbar.
  • Positive special test (mini 2): Thomas test, wall test, The modified Schöber technique test (MST), The fingertip-to-floor test and Straight leg raise test.

Exclusion criteria

  • Individual with diagnosed neurological and rheumatologically disorder.
  • History of abdominal, lumber or sacral spine, recent spinal surgery.
  • Person on painkillers during last 3 months.
  • Having history of spinal fracture.
  • Females in post-partum period or pregnancy.
  • History of Severe osteoporosis, Tumor.
  • Severe heart failure or respiratory failure, active drug addiction, active psychiatric pathology.
  • Intervertebral disc pathology.

Treatment and study plan

McGill exercise with 3 D Myofascial Release.

Other

Treatment will include McGill's big 3 core exercises initially 2 sets of 10rep then progress with increasing sets and repetitions. And 3-D Myofascial release stretches, each for 90sec. 1 set of 3rep in every physiotherapy session.

Patient will get 3 sessions of 40-45minutes, per week for 6 weeks.

McGill exercise without 3-D MFR

Other

Perform McGill's big 3 core exercises initially 2 sets of 10rep then progress with increasing sets and repetitions. Patient will get total 3 sessions per week of 40- 45minutes for 6 weeks.

Primary outcomes

  1. Inclinometer:

    Time frame: 8 WEEKS

    An inclinometer (or clinometer), is an instrument used for measuring the angles of slope/tilt and elevation/depression of an object with respect to gravity. The average ranges of anterior tilting are 13.0 ± 4.9° degree. The inter-class reliability showed that there was a low 16 reliability of absolute angular error by digital inclinometer (with ICC=0.467 and Pvalue=0.004).

  2. Numerical Pain Rating Scale (NPRS):

    Time frame: 8 WEEKS

    Tool for the assessment of pain intensity (NPRS) will be used. This scale ranges from 0 to 10, where 0 indicates "no pain" at all and 10 indicates "worst pain". NPRS have shown high test- retest reliability (r = 0.96 and 0.95, respectively).

  3. Flexicurve

    Time frame: 8 WEEKS

    The Flexicurve (portable flexible rubber ruler) is a non-invasive and inexpensive tool used to perform the quick assessment of spinal curvatures. Therefore, it is some time consider as the valuable instrument to evaluate kyphosis and lordosis in the clinical set-up. According to the literature, it is reliable and valid with 85% Sensitivity and 97% specificity.

Sponsors and collaborators

Lead sponsor

Riphah International University

Other

Registry information

Official study title

Effects of McGill Exercise With and Without 3-dimensional Myofascial Release Technique on Pain, Lumbar Hyperlordosis and Pelvic Tilt in Patients With Non-specific Low Back Pain

Important dates

Study start
2025
Primary completion
2026
Study completion
2026
First posted
Feb 27, 2026
Registry last updated
Feb 27, 2026

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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