{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T16:10:14Z","timestamp":1791303014185,"version":"4.1.0"},"reference-count":39,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,7,12]],"date-time":"2025-07-12T00:00:00Z","timestamp":1752278400000},"content-version":"vor","delay-in-days":192,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pain Research and Management"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    Chronic nonspecific low back pain (CNLBP) is often associated with impaired mobility, functional limitations, and psychological distress. While myofascial release (MFR) and capacitive\u2010resistive therapy (TECAR) have individually shown potential benefits, evidence regarding their combined application is limited.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Methods:<\/jats:bold>\n                    This assessor\u2010blinded, three\u2010arm randomized controlled trial included 67 patients with CNLBP. Participants were assigned to MFR alone, resistive\u2010mode TECAR (R\u2010TECAR) alone, or MFR plus R\u2010TECAR. Interventions were administered twice weekly for 4\u2009weeks, with each session lasting 20\u2009min. Primary outcomes included the Numeric Pain Rating Scale (NPRS) and the Roland\u2013Morris Disability Questionnaire (RMDQ), assessed at the baseline, 4\u2009weeks, and one\u2010and\u2010a\u2010half\u2010month follow\u2010up. Secondary outcomes encompassed thoracolumbar fascia (TLF) thickness, pressure pain threshold (PPT), trunk mobility, quality of life, anxiety, and depression. Intention\u2010to\u2010treat analyses were performed.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results:<\/jats:bold>\n                    All interventions yielded significant improvements in pain and disability over time, although the combined MFR\u2009+\u2009R\u2010TECAR therapy did not achieve statistically significant additional benefits compared with single therapies. Notably, a significant interaction effect emerged for PPT in the right quadratus lumborum muscle (\n                    <jats:italic>p<\/jats:italic>\n                    = 0.01), with the MFR\u2009+\u2009R\u2010TECAR group demonstrating greater improvement than R\u2010TECAR alone. Other secondary outcomes, including TLF thickness and psychometric measures, improved over time but showed no significant between\u2010group differences.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusions:<\/jats:bold>\n                    Combining MFR with R\u2010TECAR for CNLBP did not produce superior outcomes compared with individual treatments though certain muscle\u2010specific benefits were observed. Future research should focus on optimizing treatment parameters, extending intervention and follow\u2010up periods, and exploring individualized approaches to maximize therapeutic efficacy.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Trial Registration:<\/jats:bold>\n                    Chinese Registry of Clinical Trials: ChiCTR2400087961\n                  <\/jats:p>","DOI":"10.1155\/prm\/9309502","type":"journal-article","created":{"date-parts":[[2025,7,12]],"date-time":"2025-07-12T07:04:17Z","timestamp":1752303857000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Effectiveness of Myofascial Release Combined With Capacitive\u2010Resistive Therapy in Patients With Chronic Nonspecific Low Back Pain: A Randomized Controlled 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