COMPARATIVE EFFECTS OF GRASTON TECHNIQUE AND MYOFASCIAL RELEASE TECHNIQUE ON HAMSTRING FLEXIBILITY, PAIN AND LUMBAR ROM IN PATIENTS WITH NON-SPECIFIC CHRONIC LOW BACK PAIN
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Keywords
AKE, Flexibility, Graston Technique, Hamstring, Lumbar ROM, Myofascial Release, NSCLBP, VAS
Abstract
Background: Non-specific Chronic low back pain (NSCLBP) is described as pain or discomfort in the lower back that originates from the waist to the inferior gluteal folds and lasts for at least three months with no radiculopathy or particular spinal disorders. Zygapophyseal joint pain, discogenic low back pain, sacroiliac joint (SIJ) pain & lumbar muscle strain are all clinical manifestations of NSCLBP.
Objectives: To evaluate the comparative effects of Graston technique and myofascial release on hamstring flexibility, lumbar pain and range of motion in patients with Non-specific chronic low back pain.
Methods: It was a randomized clinical trial where 42 male participants were included. Inclusion criteria included Participants with history of NSLBP for 3 or more months and having pain due to other pathology with exclusion criteria focusing on Participants enrolled in regular exercise or Yoga programs, having pain due to other pathology, Recent history (<3 months) of surgery and soft tissue injury. Group A received Graston technique on hamstring whereas the group B participants received therapist assisted compressive myofascial release. SPSS version 23.0 was used for the analysis of data, normality of data was assessed by Shapiro-wilks test. Friedman test and Wilcoxon signed ranked test was used for the within group analysis. The Mann-Whitney U test was used for the between group analysis.
Results: 42 male participants (mean age 41.76 ± 6.60) underwent Graston technique or myofascial release technique. The within group analysis of SRT, AKE, VAS and lumbar ROM showed that both Graston technique and myofascial release technique has significantly improved (p<0.05) the hamstring flexibility, lumbar pain and range of motion. The between group analysis showed that Graston technique was statistically significant (p<0.05) as compared to myofascial release technique group in improving the hamstring flexibility, lumbar pain and ROM in patients of non-specific chronic low back pain.
Conclusion: The Graston technique and myofascial release technique produced significant improvements in the hamstring flexibility, lumbar pain and range of motion, but the results produced by Graston technique were more significant as compared to myofascial release group on patients of non-specific chronic low back pain.
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Osama Ramzan
Clinical Physiotherapist, Yasmin Physiotherapy Center, Lahore Pakistan
Rabia Saeed
DPT, MS(MSK), Assistant Professor, University of Lahore Teaching Hospital, Lahore Pakistan
Hira Riaz
DPT, MS-OMPT, Assistant Professor, University of Lahore, Pakistan
Dr. Rafia Imtiaz
Lecturer College of Physical Therapy, Government College University, Faisalabad, Pakistan
Dr. Kanwal Fatima
DPT, MS-OMPT, Lecturer, Department of Allied Health Sciences, University of Sargodha, Pakistan
Ahsan Taqweem
Riphah International University, Lahore Campus/ Physiotherapist at Gut Physiotherapy Clinic, Lahore Pakistan
Ayesha Bashir
M. Phill. Lecturer, Islamia University of Bahawalpur, Pakistan
Dr. Anum Saleem
DPT (SMC), MSPPT (RIU), Lecturer, University of Lahore, Sargodha Campus, Pakistan
Dr. Intsam Aslam
DPT (ANMC), MSPPT (RIU), Lecturer, PSRD College of Rehabilitation Sciences,
Lahore Pakistan