Effectiveness of Balance Training in Chronic Low Back Pain Patients

NCT ID: NCT02222935

Last Updated: 2014-08-22

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: EARLY_PHASE1
• Total Enrollment: 48 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2014-06-30
• Study Completion Date: 2014-12-31

Brief Summary

Balance problems are addressed in low back pain patients. Dearth of literature available to prove core strengthening or any form of back exercises improving functional outcomes or balance in chronic back pain patients. No studies focus on balance training in improving balance of low back pain patients. The authors are conducting a randomised trial comparing balance exercises and routine back exercise program in improving pain, functional outcomes and balance of the patients

Detailed Description

Background: Balance deficits are common in low back pain. Current literature fail to prove the effectiveness of routine back exercises in improving balance of back pain patients. No study has concentrated on balance training in back pain patients.

Objective: Compare balance exercises and routine back exercises in improving balance and other functional outcomes.

Procedure: Back pain patients attending physiotherapy department of tertiary care teaching hospitals will be recruited voluntarily. Randomised to either balance and routine program based on simple lottery method. Balance training comprises of 5 exercises - single leg squats, dead lift, single leg raises, lateral step-ups and forward reach outs. Routine back exercises includes 5 sets - pelvic bridges, dynamic dead bug, prone planks, situps, lateral planks. 10Repetition Maximum, 2 Sets/ day, five days a week, 2 weeks. Baseline balance (star Edward, berg balance) and functional test (sit to stand) and pain (Visual analogue score) and post 2 weeks outcome scores will be analysed through paired and unpaired for between and within groups.

Conditions

Chronic Low Back Pain

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Balance exercise training

Balance exercise training - thrice week, 2 weeks, 10 repetition Maximum/ set, 2 sets

Group Type: EXPERIMENTAL

Balance Exercise Training

Intervention Type: BEHAVIORAL

Balance exercise - 5 type (single leg squat, dead lift, step ups, forward reaches), 10 Repetition Maximum, 2 sets, five times a week and 2 weeks

Routine Back exercise Program

Routine Back exercise Program - 10 Repetition Maximum / set, 2 sets, three times weekly, 2 weeks

Group Type: ACTIVE_COMPARATOR

Routine Back exercise program

Intervention Type: BEHAVIORAL

Back strengthening 5 exercises - pelvic bridges, prone plank, side plank, dead bug and prone lift ups, 10 Repetition Maximum, 2 sets, five times a week, 2 weeks

Interventions

Balance Exercise Training

Balance exercise - 5 type (single leg squat, dead lift, step ups, forward reaches), 10 Repetition Maximum, 2 sets, five times a week and 2 weeks

Intervention Type: BEHAVIORAL

Routine Back exercise program

Back strengthening 5 exercises - pelvic bridges, prone plank, side plank, dead bug and prone lift ups, 10 Repetition Maximum, 2 sets, five times a week, 2 weeks

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• non specific low back pain diagnosed by orthopedical surgeon or physiatrist
• Both genders
• Age 25 - 45 years (to avoid age related balance deficit)
• Should have balance deficit percentage (> 20%) through balance assessment scale

Exclusion Criteria

• H/O Benign Paroxysmal Positional Vertigo
• Neuromuscular disorders(Stroke, Polio, Potts spine, spinal stenosis) affecting balance
• any form of ear infection
• Recent ear, nose, throat surgery
• Recent surgery in abdomen, thorax, head (< 2 years)
• Recent lower limb surgeries, injuries (< 6 months)
• Any form of walking aids (cane, walker)

• Minimum Eligible Age: 25 Years
• Maximum Eligible Age: 45 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Baskaran Chandrasekaran

OTHER

Sponsor Role: lead

Responsible Party

Baskaran Chandrasekaran

Senior Physiotherapist

Responsibility Role: SPONSOR_INVESTIGATOR

Principal Investigators

Pavita Devi, BPT

Role: PRINCIPAL_INVESTIGATOR

Senior Physiotherapist

Baskaran Chandrasekaran, MPT

Role: STUDY_CHAIR

Senior Physiotherapist

Sumathi Muraleetharan, BPT

Role: STUDY_CHAIR

Senior Physiotherpist

Ramamoorthy V Dr, MD PMR

Role: STUDY_DIRECTOR

Head of The Department, PMR

Locations

PSG Hospitals, Department of Physical Medicine Rehabilitation

Coimbatore, Tamil Nadu, India

Countries

India

Other Identifiers

PSG02

Identifier Type: -

Identifier Source: org_study_id