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CTRI Number  CTRI/2025/04/085881 [Registered on: 29/04/2025] Trial Registered Prospectively
Last Modified On: 28/04/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   Does Adding Real or Fake Muscle Stretching Techniques to Regular Physiotherapy Help with Pain, Movement, Daily Activities, and Mental Health in People with General Low Back Pain. A Study with Randomly Chosen Groups.  
Scientific Title of Study   EFFICACY OF MUSCLE ENERGY TECHNIQUE VS SHAM MUSCLE ENERGY TECHNIQUE IN ADJUNCT TO CONVENTIONAL PHYSIOTHERAPY ON PAIN, RANGE OF MOTION, FUNCTIONAL DISABILITY AND PSYCOLOGICAL COMORBIDTIES IN NON SPECIFIC LOW BACK PAIN: A RANDOMIZED CONTROLLED TRIAL. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Prachi Koche 
Designation  Junior Resident 
Affiliation  Ravi Nair Physiotherapy College  
Address  Ravi Nair PHysiotherapy College Datta Meghe Institute Of Higher Education and Research sawangi Wardha

Wardha
MAHARASHTRA
442001
India 
Phone  8329430485  
Fax    
Email  prachikoche9@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Mitushi Deshmukh 
Designation  Associate Professor 
Affiliation  Ravi Nair Physiotherapy College  
Address  Ravi Nair PHysiotherapy College Datta Meghe Institute Of Higher Education and Research sawangi Wardha

Wardha
MAHARASHTRA
442001
India 
Phone  9822220906  
Fax    
Email  mitushideshmukh11@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Prachi Koche 
Designation  Junior Resident 
Affiliation  Ravi Nair Physiotherapy College 
Address  Ravi Nair PHysiotherapy College Datta Meghe Institute Of Higher Education and Research sawangi Wardha

Wardha
MAHARASHTRA
442001
India 
Phone  8329430485  
Fax    
Email  prachikoche9@gmail.com  
 
Source of Monetary or Material Support  
Ravi Nair Physiotherapy College, sawangi, wardha 442001, India 
 
Primary Sponsor  
Name  Ravi Nair Physiotherapy College  
Address  Sawangi Meghe Wardha 442001, India 
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Prachi Koche  Aacharya vinoba bhave rural hospital   Aacharya Vinoba Bhave Rural Hospital Sawangi Meghe Wardha, 204 musculoskeletal opd and ipd
Wardha
MAHARASHTRA 
8329430485

prachikoche9@gmail.com9 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Datta meghe institute of higher education and research  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M638||Disorders of muscle in diseases classified elsewhere,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Muscle Energy Technique  The study involves comparing Muscle Energy Technique (MET) combined with conventional therapy to sham MET with conventional therapy for individuals with chronic nonspecific low back pain.   In Group A, MET will be applied to targeted muscles using isometric contractions and passive stretching, lasting 5–10 minutes per session, three times a week for 4–6 weeks, followed by conventional therapy.   Group B will receive sham MET, mimicking the MET procedure without therapeutic effects, with the same duration and frequency as Group A, also followed by conventional therapy.   Both groups will be assessed for pain, range of motion, functional disability, and psychological comorbidities at baseline, mid-intervention, and post-intervention.  
Comparator Agent  Sham Muscle Energy Technique  Participants in the control group will receive sham MET.   It is designed to mimic the physical setup of MET but without delivering its therapeutic effects.   Sham MET will involve gentle non-specific positioning and light touch, without inducing muscle contraction or stretching. The duration and frequency of sham MET will match that of the actual MET sessions. This is done to maintain blinding and uniformity in treatment exposure between the two groups. 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  Willingness to participate and provide written informed consent.
Stable medical condition with no contraindications to physical therapy.
Subjects having chronic non specific low back pain. 
 
ExclusionCriteria 
Details  History of systemic disorders affecting outcomes eg rheumatoid arthritis
Recent surgery more than 6 months unrelated to the study focus.
Cognitive impairments or inability to follow instructions.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Pain- Assessed using the Visual Analog Scale (VAS) to measure the intensity of pain at rest and during activity.

Range of Motion (ROM): Measured using a goniometer to evaluate joint mobility in degrees.
 
baseline 2 weeks  
 
Secondary Outcome  
Outcome  TimePoints 
Back Pain functional Scale
Psychological inflexibility in pain scale
 
baseline 2 weeks  
 
Target Sample Size   Total Sample Size="70"
Sample Size from India="70" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   15/05/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - YES
  1. What data in particular will be shared?
    Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).

  2. What additional supporting information will be shared?
    Response - Informed Consent Form

  3. Who will be able to view these files?
    Response - Researchers who provide a methodologically sound proposal.

  4. For what types of analyses will this data be available?
    Response - To achieve aims in the approved proposal.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [prachikoche9@gmail.com].

  6. For how long will this data be available start date provided 18-03-2025 and end date provided 18-03-2030?
    Response - Beginning 9 months and ending 36 months following article publication.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary  

This research study aims to evaluate the effectiveness of Muscle Energy Technique (MET) in treating chronic nonspecific low back pain. It is a randomized controlled trial that will compare MET combined with conventional therapy to sham MET combined with conventional therapy.  

Participants will be divided into two groups. Group A will receive MET, a manual therapy that uses muscle contractions and stretching, along with conventional physiotherapy exercises. Group B will receive sham MET, a placebo treatment that mimics MET without the therapeutic effects, combined with the same conventional therapy.  

The study will assess the impact of these interventions on pain, range of motion, functional disability, and psychological comorbidities.

Data will be collected at baseline, during, and after the treatment period to compare the outcomes between the two groups

 
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