ISSN: 1734-4948
Advances in Rehabilitation
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vol. 35

Can a cervical muscle inhibition technique reduce chronic low back pain?

Shabnam Joshi
Rekha Yadav
Alka Pawalia

Department of Physiotherapy, Guru Jambheshwar University of Science & Technology, Hisar, India
Advances in Rehabilitation, 2021, 35(4), 38–46
Online publish date: 2021/11/24
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Chronic low back pain is the pain in the lumbo-sacral area with a duration of more than 3 months. Aim: To find out the efficacy of sub-occipital muscle inhibition technique along with interferential therapy and exercises on pain and other functional parameters in chronic low back pain patients.

Material and methods
45 patients with a mean age of 38.53±9.36 years who had chronić low back pain were randomly assigned to 3 groups (n =15 in each group). Group-A received sub-occipital muscle inhibition technique, interferential therapy and exercise training, Group-B received interferential therapy and exercise training and Group-C received exercise training only for 3 days/week for 4 weeks. The outcome measures used were Numerical Pain Rating Scale, Modified-Modified Schober’s Test, Oswestry Disability Index and SF-36 questionnaire. Patients were assessed at baseline, after 2 weeks and 4 weeks.

There was significant within-group-effects (p = 0.000) for NPRS, lumbar flexion, functional disability (ODI) and quality of life (SF-36) in all the three groups, but not lumbar extension. There was significant between-group-effect in lumbar flexion, lumbar extension and functional disability (p<0.05).

The sub-occipital muscle inhibition technique along with interferential therapy and spinal exercises have better clinical effects than interferential therapy and exercises alone in chronic low back pain patients.


interferential therapy, low back pain, sub-occipital muscle, muscle inhibition technique

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