The Effect of Core Stability Training on Deep Stabilizing Muscles.

NCT ID: NCT04554563

Last Updated: 2021-01-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-09-12

Study Completion Date

2021-01-08

Brief Summary

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Non-specific low back pain is the most cause of adult disability throughout life. Its prevalence widens in young adults. Background of this pathology can be multifactorial. One of the most common is poor core stability and overloading of the local tissues as a result.

Among treatment methods stabilizing training is commonly used with good effects. This form of therapy affects the transverse abdomen and multifidus muscles. To assess these structures several methods can be applied, e.g. sonofeedback.

Our hypothesis claims that the core muscles morphology will change over the training process duration, in result, the analgesic effect will be achieved.

Detailed Description

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Non-specific low back pain is the most cause of adult disability throughout life. Its prevalence widens in young adults. Background of this pathology can be multifactorial. One of the most common is poor core stability and overloading of the local tissues as a result.

Among treatment methods stabilizing training is commonly used with good effects. This form of therapy affects the transverse abdomen (TrA) and multifidus (MF) muscles. To assess these structures several methods can be applied, e.g. sonofeedback.

All participants will be randomly divided into two groups:

1. Training group (TG)
2. Control group (CG)

Outcome measure:

Pre- and post-therapy outcome measure will be done. It will include:

* ultrasound (sonofeedback) of the TrA and MF
* Oswestry Disability Index questionnaire (ODI)
* subjective pain scale - Numeric Rating Scale (NRS)

Intervention:

Core stability training including 4 exercise positions, each of 15 repetitions, 4 sets. Once a day, 5 times a week, 20 sessions in total (4 weeks).

Our hypothesis claims that the core muscles morphology will change over the training process duration, in result, the analgesic effect will be achieved.

Conditions

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Low Back Pain, Mechanical Low Back Pain Low Back Pain, Postural

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomized clinical trial
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Training group

4-week core stability training

Group Type EXPERIMENTAL

Core stability training

Intervention Type OTHER

20 sessions of specific core stability exercise with no external loading.

Control group

Standard physical therapy

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Core stability training

20 sessions of specific core stability exercise with no external loading.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* low back pain
* age from 18 to 30 years old
* written consent of the participants

Exclusion Criteria

* injuries of the spine
* fractures of the spine
* surgery interventions in the spine region prior to the study
* psychiatric disorders
* neurologic disorders
Minimum Eligible Age

18 Years

Maximum Eligible Age

30 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Wroclaw University of Health and Sport Sciences

OTHER

Sponsor Role lead

Responsible Party

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Tomasz Kuligowski

PHD., Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Klinika Fizjoterapii

Wroclaw, Lower Silesian Voivodeship, Poland

Site Status

Countries

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Poland

References

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Masse-Alarie H, Beaulieu LD, Preuss R, Schneider C. Repetitive peripheral magnetic neurostimulation of multifidus muscles combined with motor training influences spine motor control and chronic low back pain. Clin Neurophysiol. 2017 Mar;128(3):442-453. doi: 10.1016/j.clinph.2016.12.020. Epub 2016 Dec 28.

Reference Type BACKGROUND
PMID: 28160750 (View on PubMed)

Hides JA, Walsh JC, Smith MMF, Mendis MD. Self-Managed Exercises, Fitness and Strength Training, and Multifidus Muscle Size in Elite Footballers. J Athl Train. 2017 Jul;52(7):649-655. doi: 10.4085/1062-6050-52.3.13. Epub 2017 May 1.

Reference Type BACKGROUND
PMID: 28459281 (View on PubMed)

Finta R, Nagy E, Bender T. The effect of diaphragm training on lumbar stabilizer muscles: a new concept for improving segmental stability in the case of low back pain. J Pain Res. 2018 Nov 28;11:3031-3045. doi: 10.2147/JPR.S181610. eCollection 2018.

Reference Type BACKGROUND
PMID: 30568484 (View on PubMed)

Other Identifiers

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USG TrA MF

Identifier Type: -

Identifier Source: org_study_id

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