Effects of instrument assisted soft tissue mobilisation in patients with chronic mechanical low back pain----A randomized control trial.

IF 0.8 4区医学 Q3 MEDICINE, GENERAL & INTERNAL Journal of the Pakistan Medical Association Pub Date : 2025-02-01 DOI:10.47391/JPMA.11511

Sameera Gul, Sana Bashir, Nida Mushtaq Kayani, Zoha Sabir, Hafiza Qurat-Ul-Ain

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Abstract

Objective: To determine the effects of instrument-assisted soft tissue mobilisation compared to manual myofascial release in terms of managing pain, improving range of motion, and reducing disability in patients with chronic mechanical low back pain.

Methods: The randomised controlled trial was conducted from July 2022 to July 2023 at the Foundation University College of Physical Therapy and Gul's Rehab Clinic, Rawalpindi, Pakistan, and comprised patients of either gender diagnosed with chronic mechanical low back pain. The patients were randomised into group A receiving manual myofascial release, and group B receiving instrument-assisted soft tissue mobilisation using long bar tool. The intervention lasted 9 sessions over 3 weeks. Data was analysed using SPSS 21.

Results: Of the 50 participants 37(74%) were females and 13(26%) were males. The overall mean age was 25.1±6.9 years. There were 25(50%) patients in each group. Pain, lumbar range of motion, and lumbar disability improved significantly in both groups (p< 0.05). Intergroup difference was not significant (p>0.05).

Conclusions: Manual myofascial release and instrument-assisted soft tissue mobilisation were equally effective in the treatment of chronic mechanical low back pain.

Rct number: NCT05709925. https://classic.clinicaltrials.gov/.

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器械辅助软组织活动对慢性机械性腰痛患者的影响----一项随机对照试验。

目的：确定器械辅助软组织活动与手动肌筋膜松解在治疗慢性机械性腰痛患者疼痛、改善活动范围和减少残疾方面的效果。方法：该随机对照试验于2022年7月至2023年7月在巴基斯坦拉瓦尔品第基础大学物理治疗学院和古尔康复诊所进行，包括诊断为慢性机械性腰痛的男女患者。患者随机分为A组接受手动肌筋膜松解，B组接受器械辅助的长棒工具软组织活动。干预持续了9个疗程，超过3周。数据采用SPSS 21进行分析。结果：50名参与者中37名（74%）为女性，13名（26%）为男性。总平均年龄25.1±6.9岁。每组25例（50%）。两组患者疼痛、腰椎活动度、腰椎失能均显著改善（p< 0.05）。组间差异无统计学意义（p < 0.05）。结论：手动肌筋膜松解和器械辅助软组织活动在治疗慢性机械性腰痛方面同样有效。试验编号：NCT05709925。https://classic.clinicaltrials.gov/。

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来源期刊

Journal of the Pakistan Medical Association Medicine-General Medicine

CiteScore

1.10

自引率

11.10%

发文量

983

审稿时长

3-6 weeks

期刊介绍： Primarily being a medical journal, JPMA publishes scholarly research focusing on the various fields in the areas of health and medical education. It publishes original research describing recent advances in health particularly clinical studies, clinical trials, assessments of pathogens of diagnostic importance, medical genetics and epidemiological studies. Review articles highlighting importance of various issues in the domain of public health, drug research and medical education are also accepted. As a leading journal of South Asia, JPMA remains cognizant of the recent advances in the rapidly growing fields of biomedical sciences, it invites and encourages scholars to write short reviews and invited editorials on the emerging issues. We particularly aim to promote health standards of developing countries by encouraging manuscript submissions on issues affecting the public health and health delivery services.