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CTRI Number  CTRI/2025/08/092368 [Registered on: 05/08/2025] Trial Registered Prospectively
Last Modified On: 04/08/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   “EFFECT OF THORACOLUMBAR FASCIA ACTIVATION AND PRESS UP EXERCISE ON PAIN AND RANGE OF MOTION IN MECHANICAL LOW BACK PAIN PATIENTS – A RANDOMIZED CLINICAL TRIAL’’ 
Scientific Title of Study   Comparative Efficacy of Thoracolumbar Fascia Activation and Press-Up Exercises on Pain Reduction and Lumbar Mobility in Mechanical Low Back Pain: A Randomized Clinical 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  GAGAN M S 
Designation  Physiotherapist  
Affiliation  cauvery college of physiotherapy mysuru  
Address  MPT Classroom 1, 1st floor, building 1, cauvery college of physiotherapy KBL layout near devegowda circle mysuru 570028
MPT Classroom 1, 1st floor, building 1, cauvery college of physiotherapy KBL layout near devegowda circle mysuru 570028
Mysore
KARNATAKA
570028
India 
Phone  8549043887  
Fax    
Email  gaganm142@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Pavan Kumar G  
Designation  Prinicipal  
Affiliation  cauvery college of physiotherapy mysuru 
Address  MPT Classroom 1, 1st floor, building 1, cauvery college of physiotherapy KBL layout near devegowda circle mysuru 570028
MPT Classroom 1, 1st floor, building 1, cauvery college of physiotherapy KBL layout near devegowda circle mysuru 570028
Mysore
KARNATAKA
570028
India 
Phone  9964964550  
Fax    
Email  principalphy@gmail.com  
 
Details of Contact Person
Public Query
 
Name  GAGAN M S 
Designation  physiotherapist  
Affiliation  cauvery college of physiotherapy mysuru 
Address  MPT Classroom 1, 1st floor, building 1, cauvery college of physiotherapy KBL layout near devegowda circle mysuru 570028
MPT Classroom 1, 1st floor, building 1, cauvery college of physiotherapy KBL layout near devegowda circle mysuru 570028
Mysore
KARNATAKA
570028
India 
Phone  8549043887  
Fax    
Email  gaganm142@gmail.com  
 
Source of Monetary or Material Support  
cauvery college of physiotherapy mysuru 
 
Primary Sponsor  
Name  cauvery college of physiotherapy  
Address  cauvery college of physiotherapy KBL layout near devegowda circle mysuru 570028 
Type of Sponsor  Other [private college ] 
 
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 Srikanta K PT  OPD cauvery college of physiotherapy   Department of MSK, 1st floor, building 1, cauvery college of physiotherapy KBL layout near devegowda circle mysore 570028
Mysore
KARNATAKA 
8722725926

srikanta.kpt@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional ethics committee cauvery heart and multispeciality hospital, mysore  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  mechanical low back pain  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  press up exercise   press up exercise is given for 10 reps with 3 sets  
Intervention  thoracolumbar fascia activation via myofascial release and press up exercise   Myofascial release is given for anterior and posterior portion of back for 15 minutes and press up exercise is given for 10 reps with 3 sets  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  35.00 Year(s)
Gender  Both 
Details  i. Mechanical low back pain
ii. Age between 18 to 35
iii. Both male and females are included
iv. Back pain more than 2 weeks
v. NPRS between 3 to 6
vi. Reduced lumbar ROM
 
 
ExclusionCriteria 
Details  i. Patient with abdominal hernia
ii. IVDP
iii. Pregnancy
iv. History of trauma at lumbar region
v. History of recent abdominal surgeries
vi. Person on pain medications
vii. Any rheumatic disease
 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Numerical pain rating scale   before intervention and after intervention  
 
Secondary Outcome  
Outcome  TimePoints 
modified modified schober test   before intervention & after intervention  
 
Target Sample Size   Total Sample Size="46"
Sample Size from India="46" 
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)   15/08/2025 
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="0"
Months="2"
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 - NO
Brief Summary  

This clinical trial will aim to investigate the treatment effect of TLF activation with press up exercise on pain and range of motion in mechanical low back pain. The outcome measures to be used will be NPRS and MMST. NPRS will be employed as a subjective measure to establish the severity of pain. The Modified Modified Schober Test will be utilized as an objective measure to evaluate the lumbar flexion and extension range of motion. In this study MFR will be applied to activate the thoracolumbar fascia in the anterior and posterior portions of the body along with press up exercise and this treatment will be administered for 15 minutes in a single session. Based on the anticipated findings integrating MFR with press up exercises will enhance pain relief and mobility. This study will support the use of MFR in clinical practice for managing mechanical low back pain.

 
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