Effects of Soft Ball Tissue Release Exercises on Low Back Pain Secondary to Tight Hip Muscles.

Low Back Pain Clinical Trial

Official title:

Effects of Soft Ball Tissue Release Exercises on Low Back Pain Secondary to Tight Hip Muscles.

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04815941
• Other study ID #: REC/Lhr/1063
• Status: Completed
• Phase: N/A
• Start date: April 1, 2020
• Est. completion date: December 30, 2020

Study information

• Verified date: August 2021
• Source: Riphah International University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

It is also suggested that low back pain patients tend to have trigger point or tight muscles, i.e. Gluteus Maximus, Gluteus Medius, iliopsoas and Quardatus Lumborum, on at least one side.After approval from the university ethical committee, 23 (male, female) were enrolled in this study. All patients who presented nonspecific low back pain were included on the basis of inclusion and exclusion criteria. Demographic data of the patients were collected. Oswestry low back disability index was used to evaluate the disability level of low back. Piriformis muscle tightness was diagnosed among low back pain patients using FAIR (Flexion, abduction, internal rotation) and Freiberg's test. The FAIR test was performed on the patient in, side lying position, with the hip flexed at 60º and the knee flexed at 90º. With the hip being stabilized, a single examiner will internally rotate and adduct the hip by applying downward pressure onto the knee. Freiberg's test was performed on the patient in the supine position with the thigh extended. The leg and thigh are passively internally rotated by the examiner. If pain is registered, the test is positive. The effects of soft ball tissue release exercises on low back pain secondary to tight hip muscles

Recruitment information / eligibility

• Status: Completed
• Enrollment: 23
• Est. completion date: December 30, 2020
• Est. primary completion date: November 30, 2020
• Accepts healthy volunteers: No
• Gender: All
• Age group: 35 Years to 50 Years

Eligibility

Inclusion Criteria:

• Age: 35-50 years Gender: Male and Female Low back pain for at least 12 weeks. Tight hip muscles (Priformis (FAIR test), TFL (Ober's test), Iliopsoas (Thomas test).

Exclusion Criteria:

• Any anatomical or neurophysiological causes of disease (X-ray and examination by a medical doctor) of spine.

Abnormal past histories of the spine, i.e. spondylitis, fracture, etc. Neurologic diseases. Functional restrictions on the upper and lower limbs. Disc prolapse Lumber Spinal stenosis L4-5 Spondylolysthesis Any abnormality at Sacroilliac joint (Faber,Pattricks,thigh thurst, ASIS distraction, Sacral compression test)

Related Conditions & MeSH terms

• Back Pain
• Low Back Pain
• Tight Hip Muscles

Intervention

Other:
• Soft ball tissue release exercises
Exercise program were given to patients with low back pain secondary to hip muscle tightness using soft balls, i.e. tennis balls plus core stability exercises. 3 days a week for four weeks.

Locations

Country	Name	City	State
Pakistan	Riphah Rehabilitation Center	Lahore	Punjab

Sponsors (1)

Lead Sponsor	Collaborator
Riphah International University

Country where clinical trial is conducted

Pakistan, 

References & Publications (7)

Boyajian-O'Neill LA, McClain RL, Coleman MK, Thomas PP. Diagnosis and management of piriformis syndrome: an osteopathic approach. J Am Osteopath Assoc. 2008 Nov;108(11):657-64. Review. — View Citation

Byrne DP, Mulhall KJ, Baker JF. Anatomy & biomechanics of the hip. The open sports medicine Journal. 2010;4(1).

Casser HR, Seddigh S, Rauschmann M. Acute Lumbar Back Pain. Dtsch Arztebl Int. 2016 Apr 1;113(13):223-34. doi: 10.3238/arztebl.2016.0223. Review. — View Citation

Durrani Z, Winnie AP. Piriformis muscle syndrome: an underdiagnosed cause of sciatica. J Pain Symptom Manage. 1991 Aug;6(6):374-9. — View Citation

Geiger F, Bengtsson J, Berendse F, Weisser WW, Emmerson M, Morales MB, et al. Persistent negative effects of pesticides on biodiversity and biological control potential on European farmland. Basic and Applied Ecology. 2010;11(2):97-105.

Heneweer H, Vanhees L, Picavet HS. Physical activity and low back pain: a U-shaped relation? Pain. 2009 May;143(1-2):21-5. doi: 10.1016/j.pain.2008.12.033. Epub 2009 Feb 12. — View Citation

Hopayian K, Song F, Riera R, Sambandan S. The clinical features of the piriformis syndrome: a systematic review. Eur Spine J. 2010 Dec;19(12):2095-109. doi: 10.1007/s00586-010-1504-9. Epub 2010 Jul 3. Review. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Numeric Pain Rating Scale	The 11-point numeric scale ranges from '0' representing one pain extreme (e.g. "no pain") to '10' representing the other pain extreme (e.g. "pain as bad as you can imagine" or "worst pain imaginable").	2 months
Primary	Neck disability Index	the overall score range is between 0 and 50, 0 being no to little pain and discomfort while 50 being the severest degree of pain and disability with complete activity limitation. The score is sometimes expressed in percentage as well.	2 months