Evidence map›Paper›PMID 41873799›Full record

Trial reportPain research & management2026

Positional Release Technique Versus Muscle Energy Technique for Patients With Nonspecific Low Back Pain With Facet Joint Restriction: A Pilot Randomized Comparative Study.

Azzam Alarab, Rinad Daoud, Mohammed Moustafa Hegazy

2 registry-linked trialsAbstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in Pain research & management, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07165249 nacompletednot on this map

Positional Release Technique Versus Muscle Energy Technique For Patients With Non-Specific Low Back Pain With Facet Joint Restriction

TypeinterventionalSponsorPalestine Ahliya UniversityRan2023 to 2024Enrolled36ConditionsNon Specific Low Back Pain, Muscle Energy TechniqueArmsPositional release technique (PRT), Muscle energy technique
NCT07756021 nacompletednot on this map

Comparative Effects of Active Release and Positional Release Technique on Pain and Flexibility in Patients With Chronic Nonspecific Low Back Pain.

TypeinterventionalSponsorRashid Latif Medical CollegeRan2025 to 2026Enrolled30ConditionsChronic Nonspecific Low Back PainArmsPositional Release Therapy, Active Release Therapy, Baseline Treatment
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Azzam AlarabDepartment of Physiotherapy, Faculty of Post-Graduate Studies and Research, Palestine Ahliya University, Bethlehem, State of Palestine.ORCID https://orcid.org/0000-0003-1243-5151
Rinad DaoudDepartment of Physiotherapy, Faculty of Post-Graduate Studies and Research, Palestine Ahliya University, Bethlehem, State of Palestine.
Mohammed Moustafa HegazyDepartment of Physical Therapy, College of Applied Medical Sciences, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia, psau.edu.sa.ORCID https://orcid.org/0000-0002-5725-3135

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study, being a pilot research, explored the comparative short-term results, as well as the feasibility, of using positional release technique (PRT) and muscle energy technique (MET) in nonspecific low back pain sufferers who also exhibited a presumption of a restriction in the facet joint. MATERIALS AND

methodsFor the purposes of the present pilot randomized comparative study, 36 patients between the ages of 25 and 50 years, all presented by an orthopedic surgeon with the diagnosis of NSLBP, were selected. These patients were randomly assigned equally to two groups using a computer-generated randomization list. Group A patients were subjected to PRT, while Group B patients were subjected to MET. Before commencing each treatment, a 15-min hot pack was administered universally. Pain intensity was also measured using the visual analogue scale (VAS), while functional measures were determined using the Roland-Morris Disability Questionnaire. Three treatments per week over four weeks were administered.

resultsBoth interventions were found to be significant in reducing experimental pain from the beginning to the end of the study. After the PRT intervention, the VAS scores showed an average decrease of 1.5 points from 8.6 to 7.1. In the same manner, the VAS scores showed an average decrease of 5.66 points from 9.0 to 3.3 after the MET intervention was conducted. Concerning the RMQ scores in the same manner as the VAS of both PRT and MET intervention variables in the study, the PRT group experienced an average decrease of 1.05 in the RMQ scores from 9.3 to 8.2. After the MET intervention in the study was conducted in the same manner as the PRT intervention, the RMQ scores showed an average decrease of 9.05 points from 11 to 2.5.

conclusionBased on this pilot RCT, the results indicate that the short-term outcomes of patients with NSLBP who also have facet joint restrictions were more significantly improved through the use of the MET technique in comparison with PRT. Further research is necessary to confirm the potential of the MET technique to reduce pain associated with patients with NSLBP who have facet joint restrictions.

trial registrationClinicalTrails.gov.identifier: NCT07165249.

Indexed as

Low Back PainZygapophyseal JointAdultFemaleHumansMaleMiddle AgedPain MeasurementPilot ProjectsTreatment Outcome

Identifiers

PMID41873799
PMCPMC13140232

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.