Compare The Efficacy Of Instrument Through Assisted Soft Tissue Mobilization Over Posterior Meridian Line And Local Back Muscles In Mechanical Low Back Pain
Keywords:
Instrument assisted soft tissue mobilization(IASTM),, back pain, Range of motion, Joint sense proprioception(JSP)Abstract
Background: individuals with mechanical back pain experience pain primarily in their lower back. The pain may radiates to buttocks and thighs. Instrument assisted soft tissue mobilization(IASTM) is a highly advanced method for treating myofascial trigger points, has gained widespread popularity but the application of same over PML and local back muscles is not established.
Objective: The study compared the effectiveness of IASTM over posterior meridian line and local back muscles (multifidus, erector spinae, gastrocnemius, hamstrings) in mechanical low back pain.
Participants and methods: The study involved 40 individuals with mechanical low back pain who were randomly divided into two groups, with group A receiving IASTM on PML for three treatment sessions for one week and group B receiving IASTM on SM for back pain. 3 days of washout period is given to both the groups. Crossover has been done to both the groups received three treatment session for another week. Outcome variables flexibility, Range of motion (ROM), joint sense proprioception (JSP), visual analogue scale (VAS) were measured at baseline, 2 weeks.
Results:The significant improvement was reported in ROM ( flexion and extension)after 2 weeks following IASTM in PML and SM groups, but PML showed a greater improvement. After 2 weeks, IASTM on PML showed a significantly greater improvement in VAS, ROM, JSP, flexibility. The repeated measures ANOVA showed a significant interaction effect between time and group for all outcome variables.
Conclusion: The study suggests that IASTM on PML may be more effective treatment for chronic low back pain than SM.
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