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 ...
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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)
