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Trials to Determine the Effects of Mckenzie Extension Protocol With and Without Graston Technique on Pain Intensity, Range of Motion and Functional Disability in Patients With Lumbar Myofascial Pain Syndrome

NCT07593586 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 70

Last updated 2026-05-18

No results posted yet for this study

Summary

The goal of this clinical trial is to learn if the Mckenzie Extension Protocol with and without Graston technique works to treat Lumbar Myofascial Pain Syndrome.This clinical trial compares the Effects of Mckenzie Extension Protocol with and without Graston technique on Pain intensity, Range of Motion and functional Disability in Patients with Lumbar Myofascial Pain Syndrome.Adults with Lumbar Myofascial Pain were included in this study. A total of 70 participants were divided into two groups with 35 patients in each group.

One group received Mckenzie Extension Protocol with Graston technique and the other group received Mckenzie Extension Protocol without Graston technique . Pain was assessed using the visual analogue scale and functional disability was measured using modified oswestry disability index . Range of motion was also evaluated before and after treatment by universal goniometer.

Conditions

  • Myofascial Pain Syndrome - Lower Back

Interventions

PROCEDURE

Mckenzie Extension Protocol with Graston technique

The exercise program will include exercises for stretching the lower back muscles including knee to chest, double knee to chest, straight leg raises, cat and camel, and quadratus lumborum stretch. The program will be prescribed and supervised by a physiotherapist and will be adapted according to each patient's tolerance. The stretching exercise will be prescribed three times a day, for three sets of ten repetitions, with each stretch lasting 15 to 30 seconds. The number of repetitions will be checked weekly and increased gradually according to tolerance. To treat the affected areas of patients in the intervention group, a Graston instrument will be applied to the superficial and deep fascia of the erector spinae, gluteus maximus, gluteus medius, and hamstrings by the physiotherapist. Initially, patients will be asked to kneel directly on the bed and lean forward. In this position, the superficial and deep fascia of the erector spinae will be treated.

PROCEDURE

Mckenzie Extension Protocol without Graston technique

The McKenzie exercise approach will focus on addressing posterior derangement, which is a common occurrence in patients with low back pain. The reductive force used in this approach will be extension. The expected response to McKenzie exercises will include centralization of symptoms, reduction or elimination of pain, a possible temporary increase in centralized pain, increased range of motion in extension, and overall reduction of derangement.

Sponsors & Collaborators

  • Green International University

    lead OTHER

Study Design

Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Model
PARALLEL

Eligibility

Min Age
18 Years
Max Age
55 Years
Sex
ALL
Healthy Volunteers
No

Timeline & Regulatory

Start
2025-04-28
Primary Completion
2026-04-29
Completion
2026-05-04

Countries

  • Pakistan

Study Locations

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Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT07593586 on ClinicalTrials.gov