Acta Scientific Orthopaedics (ISSN: 2581-8635)

Research Article Volume 3 Issue 6

Effect of Positional Release Technique with/Out Exercise in Treatment of Chronic Low Back Pain Patients

Azzam Alarab*, Anas Hammad, Laith Shami, Rinad Daoud and Ruba Farraj

Physiotherapy Department, Faculty of Allied Medical Sciences, Palestine Ahliya University, Bethlehem, Palestine

*Corresponding Author: Azzam Alarab, Physiotherapy Department, Faculty of Allied Medical Sciences, Palestine Ahliya University, Bethlehem, Palestine.

Received: April 07, 2020; Published: May 19, 2020



Objective: To know the effect of positional release technique with/out exercise in patients with chronic low back pain.

Materials and Methods: The study was performed in the physiotherapy department at Palestine Ahliya University. Patients with chronic low back pain were randomly gathered. The sample was 16 individuals, 20 - 65 years old. They were split into two groups, Group A with 8 patients, receiving positional release technique with exercise over 2 weeks for 6 sessions. Group B with 8 patients received 6 sessions of positional release technique treatment for 2 weeks. The resulting measurements were used for pain (VAS), functional evaluation (RMQ) and endurance (curl up test).

Results: The P value in after treatment was equal to 0.798, which is greater than 0.05. Therefore, there is no significant difference between the two treatments, but effect size calculations suggest that pain in patients is reduced by position release technique with exercise more than position release technique without exercise. For (RMQ) outcomes, there was no significant difference between groups with P-value = 0.234 that is greater than 0.05 after treatment, but effect size calculations suggest that position release technique without exercise enhances more than position release technique with exercise function for chronic low back pain patients. The test for post-therapy results showed a P value of 0.234 for endurance results. This value greater than 0.05, so it deduces that after therapy there is no statistically significant distinction in outcomes of endurance test between group A and group B. but the effect size of position release technique with exercises is higher than the effect size without exercises. Therefore, it can conclude that PRT with exercises increases the abdominal strength and endurance more efficiently than the position release technique without exercises.

Conclusion: Position release technique with exercise is better than position release technique without exercise in reducing pain.

Keywords: Positional Release Therapy; Stretching Exercises; Strength Exercises; Chronic Low Back Pain



  1. Zakari Usman., et al. “Comparison of the Effects of Positional Release Therapy and Lumbar Stabilization Exercises in the Management of Chronic Mechanical Low Back Pain; Randomized Controlled Trial”. Critical Reviews in Physical and Rehabilitation Medicine (2020).
  2. Mohamed MN and El Shiwi AMF. “Effect of Therapeutic Exercises With or Without Positional Release Technique in Treatment of Chronic Mechanical Low Back Pain Patients: A Randomized Controlled Trial”. Egyptian Journal of Occupational Medicine2 (2014): 125-139.
  3. Eldin Emad., et al. “Conventional Therapy Versus Positional Release Technique in the Treatment of Chronic Low Back Dysfunction”. International Journal of Physiotherapy and Research 5 (2017): 2325-2331.
  4. El Mohamed., et al. “Positional Release Versus Myofascial Release Technique in Chronic Low Back Dysfunction”. International Journal of ChemTech Research2 (2017): 496-522.
  5. Leonardo OP Costa., et al. “Motor Control Exercise for Chronic Low Back Pain: A Randomized Placebo-Controlled Trial”. Physical Therapy12 (2009): 1275-1286.
  6. Bronfort Gert., et al. “Supervised Exercise, Spinal Manipulation, and Home Exercise for Chronic Low Back Pain: A Randomized Clinical Trial”. Spine Journal7 (2011): 585-598.
  7. Maitland Geoffrey D and Geoffrey Maitland. “The Slump Test : Examination and Treatment”. Australian Journal of Physiotherapy6 (1985): 215-219.
  8. , et al. “The reliability of faber test hip range of motion measurements”. International Journal of Sports Physical Therapy 11.7 (2016): 1101-1105.
  9. Haefeli M and Elfering A. “Pain assessment”. European Spine Journal 1 (2006): S17‐S24.
  10. Stratford Paul W and Daniel L Riddle. “A Roland Morris Disability Questionnaire Target Value to Distinguish between Functional and Dysfunctional States in People with Low Back Pain”. Physiotherapy Canada1 (2016): 29-35.
  11. Jared W and Moh H Malek. “NSCA’s Essentials of Personal Training”. Human Kinetics (Advantage) (Consignment); 2nd edition (2011).
  12. Leon Chaitow. “Positional Release Techniques (Advanced Soft Tissue Techniques)”. Elsevier; 4th edition (2015).
  13. Casazza Brian A. “Diagnosis and Treatment of Acute Low Back Pain”. American Family Physician4 (2012): 343-350.
  14. Maher Chris., et al. “Non-Specific Low Back Pain”. The Lancet 10070 (2017): 736-747.
  15. Speicher Tim and David Draper. “Top 10 Positional-Release Therapy Techniques to Break the Chain of Pain, Part 1”. Athletic Therapy Today5 (2006): 60-62.
  16. Al-Shawabka., et al. “Positional Release Technique Versus Manual Pressure Release on the Upper Trapezius Muscle in Patients with Myofascial Pain Dysfunction Syndrome”. Bulletin of Faculty of Pharmacy, Cairo University 1 (2013): 55-63.
  17. Reema Joshi., et al. “Effect of Muscle Energy Technique on Pain and Function in Patients with Sacroiliac Dysfunction-Experimental Study”. International Journal of Scientific Research and Education06 (2017): 2113-2115.
  18. Nakamura Kouichi., et al. “Effects of Active Individual Muscle Stretching on Muscle Function”. Rigakuryoho Kagaku6 (2012): 687-691.
  19. Ozsoy Gulsah., et al. “Response to: Non-Specific Low Back Pain in Elderly and the Effects of Myofascial Release Technique Combined with Core Stabilization Exercise”. Clinical Interventions in Aging 14 (2019): 1947-1949.
  20. Manikandan A., et al. “Comparative Study on Levels of Troponin (CTn), Creatine Kinase-Muscle/Brain (CK-Mb), and b-Type Natriuretic Peptide (BnP) in Patients with Acute Myocardial Infraction and Congestive Cardiac Failure”. Indian Journal of Public Health Research and Development5 (2019): 183.


Citation: Azzam Alarab., et al. “Effect of Positional Release Technique with/Out Exercise in Treatment of Chronic Low Back Pain Patients". Acta Scientific Orthopaedics 3.6 (2020): 18-27.


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