Analysis of the Combined Effects of Myofascial Release and Postero Anterior Mobilization in Chronic Non-Specific Low Back Pain: A Randomized Control Trial

Abstract

Background amp Objective Lumbar stiffness is a very common condition. About 60-80 of population suffer from this condition at any stage of life. The aim of this study was to investigate the effects of incorporating Myofascial Release MFR with Posterior Anterior PA mobilization in addition to conventional therapy compared to conventional therapy alone on the pain levels measured by the Visual Analog Scale VAS lumbar flexion range of motion ROM measured by the modified Schobers test and functional ability assessed by the Oswestry Low Back Pain Disability Index questionnaire ODI in patients with low back pain.Method Sixty subjects were included in the study. After obtaining informed consent from the patients they were assigned to two groups with thirty subjects in each group Group A n30 and Group B n30 as part of the experimental study design. For Group A the control group conventional therapy was administered while in Group B the experimental group MFR Myofascial Release with PA Posterior Anterior mobilization were given along with conventional therapy. Pain was measured using the Visual Analog Scale VAS lumbar flexion range of motion ROM was measured using the modified Schobers test and functional ability was assessed using the Oswestry Low Back Pain Disability Index questionnaire ODI.Results Significant improvements were observed in both the groups in terms of pain VAS and functional ability ODI p lt.000. Group B showed greater improvement in pain reduction mean difference 2.200 vs. 1.567 and functional ability mean difference 7.233 vs. 4.167 compared to Group A. Both the groups demonstrated significant increase in lumbar flexion ROM p lt.000. No significant differences were found between the groups for VAS ROM and ODI p gt.05.Conclusion MFR with the PA mobilization reduces pain and improves lumbar flexion ROM and functions in Chronic Non-Specific Low Back Pain CNSLBP cases.