Overview
Non-specific low back pain refers to pain in the lower back region that cannot be attributed to a specific identifiable pathology such as infection, tumor, osteoporosis, lumbar disc herniation, spinal stenosis or fracture. It is the most common type of low back pain, accounting for about 85-90% of cases. Non specific low back pain is posteriorly occurring that is located between lower rib margin and gluteal fold. It is exacerbated by sustained back postures, back movements or back muscle imbalances. The aim of study is to find out which technique whether Spray and stretch technique or strain Counter strain works better in reducing pain ,improving movement ,and decreasing disability caused by tight hamstring muscles in people with non specific low Back Pain.
Description
This double blinded randomized Clinical Trial will be conducted at Ibne Siena Hospital MULTAN through consecutive sampling technique on 30 patients which will be allocated using simple random sampling through sealed opaque enveloped into Group A and Group B. Group A will be treated with spray and stretch technique and Group B will be treated with strain counter technique at the frequency of 2 sets with 5 repetitions and thrice a week. Outcome measures will be conducted through NPRS, ODI, AKE ,PKET and SLR before treatment and after 4 weeks. Data will be analyzed during SPSS software version 26. After assessing normality of data by Shapiro-wilk test, it will be decided either parametric or non parametric test will be used within a group or between two groups.
Eligibility
Inclusion Criteria:
- AGE(35 to 50)
- Gender (both male and female)
- Negative lasegue test
- Negative slump test
- Negative prone instability test
Exclusion Criteria:
- Fracture or instability (4)
- History of cancer
- Inflammatory condition like ankylosing spondylitis
- Neurological deficits like cauda equina syndrome or motor weakness
- History of previous of previous lumber surgery
- Pregnancy
- Structural deformity like scoliosis
- Herniated disc
- Nerve compression
- Spinal stenosis
