Strain Counterstrain Technique and Graston Technqiue on Quadratus Lumborum Trigger Points

Poor body mechanics and posture affects body positioning and stresses quadratus lumborum muscle which ultimately leads to myofascial trigger points in muscle. This study aims to compare the effects of Strain counterstrain technique and Graston technique on trigger points of quadratus lumborum in nonspecific low back patients. This study will be a randomized controlled trial and will be conducted in Riphah Rehabilitation Clinic Lahore and SPARC Physiotherapy Clinic Lahore. Non-probability convenient sampling will be used to collect the data. Sample size of 34 subjects with age group between 20-45 years will be taken. baseline and after 4 weeks. Data analysis will be done by SPSS version 25.

Inclusion Criteria: * Participant's age range 20-45 years * Both genders. * Individuals having low back pain for atleast 12 weeks with limited segmental mobility especially after maintaining certain prolonged posture . * Individuals with localized pain and tenderness at attachments of quadratus lumborum due to the presence of trigger points (unilateral or bilateral). * positive segmental mobility assessment at the level of L4 and L5 on one side or on both sides * Patients having moderate pain on NPRS Exclusion Criteria: * Individuals with anticoagulation or bleeding disorders, acute muscle trauma, infections, lumbar disc herniation, spinal deformities, or a history of spinal surgery or anticoagulation medication * Orthopedic surgery or any other low back surgery . * Fracture of vertebrae and any lower limb injury