Journal of Rehabilitation Sciences & Research

Effects of three sessions of diaphragmatic myofascial release on pain, balance and quality of life in patients with Chronic nonspecific low back pain (A regional interdependence model): protocol of randomized clinical trial

soheil hejazi yekta; kazem malmir; Sara Fereydounnia; Khadijeh Otadi; Fatemeh Ehteshami

Articles in Press, Accepted Manuscript, Available Online from 26 January 2025

Abstract

Background: Chronic nonspecific low back pain (CNLBP) is a prevalent cause of disability, despite advancements in management. The diaphragm, a key respiratory muscle crucial for adjusting ... Read More Background: Chronic nonspecific low back pain (CNLBP) is a prevalent cause of disability, despite advancements in management. The diaphragm, a key respiratory muscle crucial for adjusting intraabdominal pressure and maintaining lumbar spine stability, often experiences dysfunction in chronic LBP. Improving diaphragm function may yield positive effects on chronic LBP. Therefore, the main aim of present study is assessment of adding myofascial release of diaphragm to traditional treatment on pain, balance and quality of life in patients with Chronic nonspecific LBP. Methods: A prospective, double blind, randomized controlled clinical trial will include 24 participants with CNLBP, randomly assigned to control group (sham diaphragm myofascial release) or the interventional group (diaphragm myofascial release). ALL patients will receive three sessions of main release or sham interventions, which followed by the application of TENS. Outcome measures will be assessed at baseline, third session (Post treatment) and after one week (Follow up). Pain by VAS, disability by Roland Morris questionnaire, static balance by single leg stance test, dynamic balance by functional reach test, lumbopelvic mobility by tip to floor test and chest expansion by tape measure will be assessed. Discussion: This trial will examine the effects of diaphragm myofascial release in comparison with sham diaphragm myofascial release on pain, balance, chest expansion, lumbopelvic mobility and disability in individuals with chronic nonspecific LBP. Potential implications for clinical practice and future research will be discussed. Limitations of the study will also be considered. Results: Repeated measures ANOVA will be used for analysis of data after data gatheringConclusion: This trial will examine the effects of diaphragm myofascial release in comparison with sham diaphragm myofascial release on pain, balance, chest expansion, lumbopelvic mobility and disability in individuals with chronic nonspecific LBP. Potential implications for clinical practice and future research will be discussed. Limitations of the study will also be considered. Trial registration: This trial was registered in the Iranian Registry of Clinical Trials (IRCT) (https://www.irct.ir: IRCT20221216056836N1, on Feburary 28, 2023)

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Comparing the Effects of Tele-Physical therapy and Supervised Physical Therapy on Pain, Range of Motion, Function, and Satisfaction in Patients with Sub Acromial Pain Syndrome: A Protocol of Randomized Clinical Trial

Fatemeh Ehteshami; Nastaran Ghotbi; Khadijeh Otadi

Volume 11, Issue 1 , March 2024, , Pages 36-42

Abstract

Background: Subacromial Pain Syndrome (SAPS) is one of the most common causes of shoulder pain, leading to long-lasting disability if left untreated or if there is no access to a rehabilitation ... Read More Background: Subacromial Pain Syndrome (SAPS) is one of the most common causes of shoulder pain, leading to long-lasting disability if left untreated or if there is no access to a rehabilitation center. Treating musculoskeletal shoulder pain is challenging; however, evidence suggests that a combination of Exercise Therapy (ET) and Manual Therapy (MT) can be an effective approach for addressing shoulder dysfunctions. To ensure timely treatment and prevent the pain from becoming chronic, tele-physical therapy appears to be an effective method for properly delivering ET and MT Methods: A prospective, assessor-blind, randomized controlled clinical trial study protocol include 33 patients with Subacromial Pain Syndrome (SAPS). These patients will be divided into three groups (11 participants in each group): the Control group (supervised Exercise Therapy (ET) + Manual Therapy (MT)), the Videoconferencing group (ET + self-release therapy), and the Video-based group (ET + self-release therapy). Self-release therapies include self-joint mobilization and self-myofascial release with a tennis ball. MT includes joint mobilization techniques and transverse friction massages. ET consists of stretching and strengthening exercises. Each patient in the three groups will receive 10 sessions of ET and MT over three weeks. Assessments will be conducted three times: at baseline, midterm, and post-treatment. The Visual Analogue Scale, function by the Shoulder Pain and Disability Index, and Range of Motion will measure pain. The Telehealth Satisfaction Scale and Physical Therapy Patient Satisfaction Questionnaire will also be assessed. Results: Repeated measures ANOVA will be used for analysis of data after data gathering Conclusion:This trial will focus on the assessment of tele-physical therapy based on ET and myofascial release, in comparison to a face-to-face approach with supervised ET and MT, on pain, function, Range of Motion, and patient satisfaction.

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Author = Khadijeh Otadi

Effects of three sessions of diaphragmatic myofascial release on pain, balance and quality of life in patients with Chronic nonspecific low back pain (A regional interdependence model): protocol of randomized clinical trial

Abstract

Comparing the Effects of Tele-Physical therapy and Supervised Physical Therapy on Pain, Range of Motion, Function, and Satisfaction in Patients with Sub Acromial Pain Syndrome: A Protocol of Randomized Clinical Trial

Abstract