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Effectiveness of ELDOA Stretching Combined With Standard Physiotherapy in Adults With Chronic Low Back Pain and Dural Hypomobility; A Randomized Controlled Trial.
Sponsor: Ibadat International University, Islamabad
Summary
Adults with chronic low back pain (CLBP) frequently experience persistent pain, functional disability, and reduced quality of life despite receiving conventional physiotherapy. Dural hypomobility has been proposed as a contributing factor in some individuals with CLBP by limiting normal neural tissue mobility and increasing mechanosensitivity. ELDOA (Étirements Longitudinaux avec Décoaptation Ostéo-Articulaire) is a targeted stretching technique designed to improve spinal decompression, fascial mobility, and neural tissue mobility. However, evidence regarding its effectiveness in patients with CLBP and dural hypomobility remains limited. This randomized controlled trial aims to evaluate the effectiveness of ELDOA stretching combined with standard physiotherapy compared with standard physiotherapy alone in adults with chronic low back pain and dural hypomobility. Participants will receive treatment three times per week for six weeks. Pain intensity, disability, and dural mobility will be assessed using the Numeric Pain Rating Scale (NPRS), Oswestry Disability Index (ODI), and Slump Test before and after the intervention. The findings may provide evidence regarding the additional benefit of ELDOA as an adjunct to conventional physiotherapy in the management of chronic low back pain associated with dural hypomobility.
Official title: Effectiveness of ELDOA Stretching Combined With Standard Physiotherapy in Adults With Chronic Low Back Pain and Dural Hypomobility:
Key Details
Gender
All
Age Range
20 Years - 45 Years
Study Type
INTERVENTIONAL
Enrollment
48
Start Date
2026-01-10
Completion Date
2026-06-07
Last Updated
2026-07-28
Healthy Volunteers
No
Conditions
Interventions
ELDOA Stretching
Participants will perform standardized ELDOA (Étirements Longitudinaux avec Décoaptation Ostéo-Articulaire) stretching exercises targeting the lumbar spine (L1-L2, L2-L3, L3-L4, L4-L5, and L5-S1). Each exercise will be performed for 2 sets of 5 repetitions with a 45-second hold and 15-second rest between sets. Treatment will be supervised by a physiotherapist and administered three times per week for six weeks in addition to standard physiotherapy.
Standard Physiotherapy
Standard physiotherapy will consist of superficial heat therapy (hot pack for 10-15 minutes), transcutaneous electrical nerve stimulation (TENS, 80-100 Hz for 10-15 minutes), and manual therapy including myofascial release and soft tissue mobilization of the lumbar paraspinal muscles (5-10 minutes). Treatment will be provided three times per week for six weeks.
Locations (1)
Ibadat International hospital Liaqat Rd, opposite Gordon college, Liaquat Bagh, Rawalpindi.
Islamabad, Federal, Pakistan