Myofascial Release and Core Stability Exercises Among Chronic Lower Back Pain Patients

Background: Chronic low back pain (CLBP) is a prevalent condition affecting individuals' quality of life, often managed through various physical therapy techniques. Myofascial release (MFR) and core stability exercises (CSE) are commonly used interventions aimed at reducing pain and improving functionality.Objective: To evaluate the effectiveness of MFR and CSE in reducing pain, improving disability levels, and enhancing core stability among female patients with CLBP.Methods: A randomized controlled trial was conducted at Memon Medical Institute Hospital, Karachi, enrolling 50 female patients aged 25-35 years with CLBP for over three months. Participants were randomly assigned to two groups: Group A received MFR with TENS, and Group B received CSE with TENS. Both groups underwent treatment thrice weekly for six weeks. Outcomes were measured using the Visual Analog Scale (VAS), Oswestry Disability Index (ODI), lower body flexibility tests, and core endurance assessments. Data were analyzed using paired t-tests with SPSS version 25.Results: Group A showed significant reductions in VAS (5.68 ± 1.28 to 3.36 ± 1.03, p < 0.001) and ODI (56.40 ± 11.27 to 42.52 ± 13.19, p = 0.001). Group B showed similar reductions in VAS (6.16 ± 1.17 to 3.72 ± 1.30, p < 0.001) and ODI (61.40 ± 8.89 to 44.44 ± 12.50, p < 0.001). Core endurance improved significantly in both groups.Conclusion: Both MFR and CSE effectively reduced pain and disability, with notable improvements in core stability among patients with CLBP.