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CompletedNCT05939024Updated Aug 16, 2023

Efficacy of Muscle Energy Techniques in the Treatment of Chronic Non-specific Low Back Pain

An interventional study of Muscle Energy Technique plus Conventional Physical Therapy and Conventional Physical Therapy in Low Back Pain, Mechanical, sponsored by University of Lahore. Completed at 1 site in Pakistan. Open to participants aged 18 Years to 45 Years. Per ClinicalTrials.gov, last updated 2023-08-16.

Sponsored by University of Lahore · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 1 year 4 months after the study started (first participant enrolled Feb 2022, registered Jun 2023).
Phase
Not applicable
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
18 Years to 45 Years
Sex
All
01

Study summary

Chronic Non-Specific Low Back Pain is characterized as a tension, soreness and stiffness. Various studies, defined MET as a manual medicine treatment procedure that involves the voluntary contraction of the subject's muscle in a precisely controlled direction, at varying levels of intensity, against a distinctly executed counterforce applied by the therapist.

Read the detailed description

Chronic Non-specific LBP is located in region below lower costal margins and above inferior gluteal margins with or without any referred pain in legs, an essentially non-attributable to any specific cause. It may lasting for more than 7-12 months and affect individual over a long period of time once in a lifetime at least. METs is useful in increasing extensibility and range of motion of various joints and provides good results in the patients with back pain. These techniques are used as the treatment of weakened muscles, restricted joints, reducing pain reliving muscle tension \& spasm, \& increased strength of the muscle. MET is a verstile, safe, gentle technique traditionally used to address muscular strain, PAIN, local edema and joint dysfunction. It was reported that post isometric relaxation is considered a highly effective therapy for back dysfunction patients.

02

Conditions studied

  • Low Back Pain, Mechanical

Keywords

  • Muscle Energy Technique
  • Physical Therapy
  • Pain
  • Functional Disability
  • Fear Avoidance Beliefs
  • Quality of Life
  • Range of Motion
03

In context

Back Pain

2,373 studies on the registry are indexed under Back Pain; 284 are open to participants now.

This study's enrollment of 100 is above the median of 60 across 1,941 interventional studies indexed under Back Pain.

Browse Back Pain studies →

Lead sponsor

University of Lahore is the lead sponsor of 223 studies on the registry; 40 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Age: 18 - 45 years
  2. Gender : both genders
  3. Low Back Pain of more than 3 months duration
  4. ODI Score between 20-80%
  5. BMI: 25-29 Kg/m2
  6. VAS: Initial Pain Score > 3
  7. Pain Localized to Lower Lumbar Region
  8. Decreased Lumbar ROM

Exclusion criteria

Exclusion Criteria:

  1. Red Flag Signs of Low Back Pain (Metabolic Bone Disease, Malignancy, Cardiovascular Disorder, Pregnancy)
  2. Patient with Paraesthesia or Numbness
  3. Disturbed Reflexes (Hypo/Hyper Reflexia)
  4. Motor Weakness
  5. H/O Low Back Surgery
  6. H/O Recent Trauma \< 2 Months
  7. H/O Rheumatoid Arthritis, Osteoporosis and Fracture
  8. Joint hyper mobility.
  9. Psychological Mental Disorders
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
100 participants (actual)

Study arms

  • Active comparator
    Conventional Physical Therapy (CPT) Group

    Patients in this group will receive Conventional Physical therapy only, which includes hot pack, TENS, Ultrasonic, stretching and strengthening exercises.

    Other: Conventional Physical Therapy

  • Experimental
    Muscle Energy Technique plus Conventional Physical Therapy Group

    In this group, Post Isometric Relaxation of the Muscle Energy Techniques will be applied to the Spinal Stabilizers and Mechanoreceptors in addition to Conventional Physical Therapy.

    Other: Muscle Energy Technique plus Conventional Physical Therapy

Interventions

  • OtherMuscle Energy Technique plus Conventional Physical Therapy

    Post-Isometric Relaxation of the Muscle Energy Techniques will be applied to Spinal Stabilizers and Mechanoreceptors. Hold time will be 7 seconds with 5 seconds rest between two performance x 3 times /session. Whereas, Conventional Physical Therapy consists of hot pack, TENS, Ultrasonic along with stretching and exercises of back musculature.

    Also known as: Post-Isometric Relaxation Technique plus Conventional Physical Therapy

  • OtherConventional Physical Therapy

    Conventional Physical Therapy consists of hot pack, TENS, Ultrasonic along with stretching and exercises of back musculature.

06

What researchers measure

Primary outcomes

  1. Pain Intensity

    Pain intensity will be measured using Visual Analogue Scale. It consists of a 10cm line, with two end points, 0 representing no pain and 10 representing pain as bad as it could be possible.

    Time frame: Pain intensity will be measured at the baseline at the time of recruitment, and change in pain intensity will be measured at 2nd week and 3rd week of intervention.

  2. Lumbar Ranges of Motion

    Lumbar Ranges of Motion will be measured using inclinometer. The normal amount of lumbar flexion range of motion is 60 degrees, and the normal range of motion of lumbar extension is 25 degrees. The lumbar spine also normally moves 25 degrees in lateral flexion, or side bending.

    Time frame: Lumbar Range of Motion will be measured at baseline at the time of recruitment and change in range of motion will be measured at 2nd week and 3rd week of treatment.

  3. Functional Disability Level

    Oswestry Disability Index was used to determine the functional status of individual. The final score ranges from 0-100. A score of 0-20 reflects minimal disability, 21-40 moderate disability, 41-60 severe disability, 61-80 crippled, and 81-100 bed-bound.

    Time frame: Level of Functional Disability will be recorded as baseline at the time of recruitment and change in functional status will be observed at the 2nd week and 3rd week of intervention.

  4. Change in Fear Avoidance Belief

    Fear Avoidance Beliefs will be observed using Fear Avoidance Beliefs Questionnaire. There is a maximum score of 96. A higher score indicates more strongly held fear avoidance beliefs.

    Time frame: Fear Avoidance Beliefs will be observed as baseline at the time of recruitment and any change in Fear Avoidance Beliefs will be observed at the 2nd week and 3rd week of treatment.

  5. Change in Quality of Life

    Short Form-36 Health Survey Questionnaire was used to measure change in Quality of Life. The SF-36 measures eight scales: physical functioning (PF), role physical (RP), bodily pain (BP), general health (GH), vitality (VT), social functioning (SF), role emotional (RE), and mental health (MH). Total score of this questionnaire is 100, with lower the score the more disability, the higher the score the less disability.

    Time frame: Change in quality of life will be measured at baseline at the time of recruitment and change in quality of life will be measured at the 2nd week and 3rd week of intervention.

07

Study locations

1 site
  • The University of Lahore
    Lahore, Punjab 54000, Pakistan
08

References and documents

Individual participant data

Plan to share: Yes — Participants data that underlies the results after de-identification

Supporting information: Study protocol

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 16, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05939024
Lead sponsor
University of Lahore
Responsible party
Ayesha Jamil (Assistant Professor, University of Lahore) — Principal investigator
First posted
Jul 11, 2023
Start date
Feb 1, 2022
Primary completion
Jul 15, 2023
Completion
Jul 31, 2023
Last update
Aug 16, 2023

Study contacts

Prof. Dr Ashfaq Ahmed, PhD
study chair · The University of Lahore
Rashid Hafeez Nasir, M. Phil
principal investigator · The University of Lahore

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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