Javaid Hafiz Muhammad Waseem, Rehman Syed Shakil Ur, Kashif Muhammad, Bashir Muhammad Salman, Zia Wajeeha
Riphah College of Rehabilitation Sciences, Riphah International University, Islamabad 46000, Pakistan.
School of Health Sciences, University of Management and Technology, Lahore 54000, Pakistan.
J Clin Med. 2025 Apr 19;14(8):2830. doi: 10.3390/jcm14082830.
: Non-specific low back pain is a discomfort that affects individuals at any point in their lives. This study's aim was to determine the effects of myofascial release and joint mobilization on muscle thickness via ultrasonography in individuals experiencing non-specific low back pain. : This double-blinded randomized clinical trial was conducted on 84 participants in three groups: joint mobilization, myofascial release, and a combination of joint mobilization and myofascial release. Data were collected during a two-week treatment regimen (days 1, 4, 8, and 12) and at a one-month follow-up. Ultrasound evaluations were used to measure the thickness of deep lumbar muscles at rest and contraction, i.e., the transverse abdominis (rTrA and cTrA) and lumbar multifidus (rLM and cLM). Repeated-measures ANOVA was utilized to analyze the follow-ups within the groups and among the groups, with post hoc tests conducted to identify specific differences. Significant increases in muscle thickness were observed over time in the transverse abdominis, with improvements in both rTrA (right, = 0.001; left, = 0.001) and cTrA (right, = 0.001; left, = 0.008). The lumbar multifidus also demonstrated significant changes, with increases in the rLM (right, = 0.001; left, = 0.047) and cLM (right, = 0.004; left, = 0.037). However, the main effects showed no significant differences in muscle thickness among the groups. Joint mobilization demonstrated increased effectiveness in improving muscle thickness relative to myofascial release and a combination of both treatments for individuals with non-specific low back pain.
非特异性下腰痛是一种在人们生命中的任何时候都可能影响个体的不适症状。本研究的目的是通过超声检查确定肌筋膜松解和关节松动术对非特异性下腰痛患者肌肉厚度的影响。：这项双盲随机临床试验对84名参与者进行了分组，分为三组：关节松动术组、肌筋膜松解组以及关节松动术与肌筋膜松解术联合组。在为期两周的治疗方案期间（第1、4、8和12天）以及一个月的随访期收集数据。超声评估用于测量静息和收缩时深层腰部肌肉的厚度，即腹横肌（右侧静息腹横肌[rTrA]和收缩腹横肌[cTrA]）和多裂肌（右侧静息多裂肌[rLM]和收缩多裂肌[cLM]）。采用重复测量方差分析来分析组内和组间的随访情况，并进行事后检验以确定具体差异。随着时间的推移，观察到腹横肌的肌肉厚度显著增加，rTrA（右侧，P = 0.001；左侧，P = 0.001）和cTrA（右侧，P = 0.001；左侧，P = 0.008）均有改善。多裂肌也表现出显著变化，rLM（右侧，P = 0.001；左侧，P = 0.047）和cLM（右侧，P = 0.004；左侧，P = 0.037）增加。然而，主要效应显示各组之间肌肉厚度无显著差异。对于非特异性下腰痛患者，相对于肌筋膜松解术以及两种治疗方法的联合，关节松动术在改善肌肉厚度方面显示出更高的有效性。
