Effect of Global Postural Reeducation (GPR) Program With Hamstring Stretch for Patients With Low Back Pain

NCT ID: NCT04555668

Last Updated: 2020-09-21

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

78 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-01-15

Study Completion Date

2020-09-01

Brief Summary

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The purpose of this study is to find out the additional effect of global re-education program with hamstring stretching in patients with low back pain.

Detailed Description

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Low back pain (LBP) is a very common health problem worldwide and a major cause of disability which affecting performance at work and general well-being. LBP is a complicated condition which affects the physiological and psychosocial aspects of the patient. The muscles of the low back provide the strength and mobility for all activities of daily living. The purpose of this study is to find out the additional effect of global re-education program with hamstring stretching in patients with low back pain.

Conditions

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Back Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Global Postural Reeducation Program

Global Postural Reeducation Program with hamstring stretch

Group Type EXPERIMENTAL

Global Postural Reeducation Program

Intervention Type OTHER

Global Postural Reeducation Program with hamstring stretch The lying posture with flexion of the legs aimed to stretch the posterior chain (upper trapezius, levator scapulae, sub occipital, erector spinae, gluteus maximus, ischio-tibial, triceps surae, and foot intrinsic muscles). The initial position will lying with the hip flexed and progression consisted of increasing hip flexion, knee extension, and dorsiflexion of the ankle All above exercises will be given and to be held for 15 minutes each. 40 min/session, 3 times/week for 6 weeks

Hamstring Stretch Program

Hamstring Stretch Program and Knee -flexor eccentric training

Group Type ACTIVE_COMPARATOR

Hamstring Stretch Program

Intervention Type OTHER

Hamstring Stretch Program 3 times for 30 seconds hold, subjects rested for 15 seconds between stretches. Knee -flexor eccentric training to prevent hamstring muscle strain 10-15 rep 40 min/session, 3 times/week for 6 weeks

Interventions

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Global Postural Reeducation Program

Global Postural Reeducation Program with hamstring stretch The lying posture with flexion of the legs aimed to stretch the posterior chain (upper trapezius, levator scapulae, sub occipital, erector spinae, gluteus maximus, ischio-tibial, triceps surae, and foot intrinsic muscles). The initial position will lying with the hip flexed and progression consisted of increasing hip flexion, knee extension, and dorsiflexion of the ankle All above exercises will be given and to be held for 15 minutes each. 40 min/session, 3 times/week for 6 weeks

Intervention Type OTHER

Hamstring Stretch Program

Hamstring Stretch Program 3 times for 30 seconds hold, subjects rested for 15 seconds between stretches. Knee -flexor eccentric training to prevent hamstring muscle strain 10-15 rep 40 min/session, 3 times/week for 6 weeks

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Females
* 18-35 years
* Low back pain \> 3 month
* no exercise for last 6 months

Exclusion Criteria

* Any diagnosed pathology (disc herniation, lumbar stenosis, spinal deformity, fracture, spondylolisthesis)
* Any lower limb abnormality
* Congenital deformities
* Central or peripheral neurologic signs
* Systemic illness (tumor and rheumatologic diseases),
* Psychiatric and mental deficits
* Diabetic neuropathy
Minimum Eligible Age

18 Years

Maximum Eligible Age

35 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Riphah International University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Nazish Rafique, MSPT

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

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Helping hand institute of rehabilitation sciences

Mānsehra, Khyber Pakhtunkhwa, Pakistan

Site Status

Countries

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Pakistan

References

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Cuenca-Martinez F, Cortes-Amador S, Espi-Lopez GV. Effectiveness of classic physical therapy proposals for chronic non-specific low back pain: a literature review. Phys Ther Res. 2018 Mar 20;21(1):16-22. doi: 10.1298/ptr.E9937. eCollection 2018.

Reference Type BACKGROUND
PMID: 30050749 (View on PubMed)

da Silva DA, de Carvalho MEIM, de Andrade Mesquita LS. Effects of a protocol with manual therapy and postural techniques for non-specific low back pain. Manual Therapy, Posturology & Rehabilitation Journal. 2019;17:0-.

Reference Type BACKGROUND

Cohen SP, Argoff CE, Carragee EJ. Management of low back pain. BMJ. 2008 Dec 22;337:a2718. doi: 10.1136/bmj.a2718. No abstract available.

Reference Type BACKGROUND
PMID: 19103627 (View on PubMed)

Parreira P, Maher CG, Steffens D, Hancock MJ, Ferreira ML. Risk factors for low back pain and sciatica: an umbrella review. Spine J. 2018 Sep;18(9):1715-1721. doi: 10.1016/j.spinee.2018.05.018. Epub 2018 May 21.

Reference Type BACKGROUND
PMID: 29792997 (View on PubMed)

Bento TPF, Genebra CVDS, Maciel NM, Cornelio GP, Simeao SFAP, Vitta A. Low back pain and some associated factors: is there any difference between genders? Braz J Phys Ther. 2020 Jan-Feb;24(1):79-87. doi: 10.1016/j.bjpt.2019.01.012. Epub 2019 Feb 13.

Reference Type BACKGROUND
PMID: 30782429 (View on PubMed)

Abu-Naser SS, ALDAHDOOH R. Lower back pain expert system diagnosis and treatment. 2016.

Reference Type BACKGROUND

Krismer M, van Tulder M; Low Back Pain Group of the Bone and Joint Health Strategies for Europe Project. Strategies for prevention and management of musculoskeletal conditions. Low back pain (non-specific). Best Pract Res Clin Rheumatol. 2007 Feb;21(1):77-91. doi: 10.1016/j.berh.2006.08.004.

Reference Type BACKGROUND
PMID: 17350545 (View on PubMed)

Abdullah IB, Al-Mutairi MM, Alghubayan MA, Alamir AA, Bu-Jubarah AY, Almajed N, et al. Literature Review on Prevalence, Risk Factors and, Evaluation of Acute Lower Back Pain. International Journal of Pharmaceutical Research & Allied Sciences. 2020;9(1).

Reference Type BACKGROUND

Manchikanti L. Epidemiology of low back pain. Pain Physician. 2000 Apr;3(2):167-92.

Reference Type BACKGROUND
PMID: 16906196 (View on PubMed)

Brighton SW. The management of acute low back pain in adults: a guide for the primary care physician, Part II. South African Family Practice. 2013;55(1):26-32.

Reference Type BACKGROUND

Paolucci T, Attanasi C, Cecchini W, Marazzi A, Capobianco SV, Santilli V. Chronic low back pain and postural rehabilitation exercise: a literature review. J Pain Res. 2018 Dec 20;12:95-107. doi: 10.2147/JPR.S171729. eCollection 2019.

Reference Type BACKGROUND
PMID: 30588084 (View on PubMed)

van Tulder MW, Malmivaara A, Esmail R, Koes BW. Exercise therapy for low back pain. Cochrane Database Syst Rev. 2000;(2):CD000335. doi: 10.1002/14651858.CD000335.

Reference Type BACKGROUND
PMID: 10796344 (View on PubMed)

Bonetti F, Curti S, Mattioli S, Mugnai R, Vanti C, Violante FS, Pillastrini P. Effectiveness of a 'Global Postural Reeducation' program for persistent low back pain: a non-randomized controlled trial. BMC Musculoskelet Disord. 2010 Dec 16;11:285. doi: 10.1186/1471-2474-11-285.

Reference Type BACKGROUND
PMID: 21162726 (View on PubMed)

Guastala FAM, Guerini MH, Klein PF, Leite VC, Cappellazzo R, Facci LM. Effect of global postural re-education and isostretching in patients with nonspecific chronic low back pain: a randomized clinical trial. Fisioterapia em Movimento. 2016;29(3):515-25.

Reference Type BACKGROUND

Mistry GS, Vyas NJ, Sheth MS. Comparison of hamstrings flexibility in subjects with chronic low back pain versus normal individuals. J Clin Exp Res. 2014;2(1):85-8.

Reference Type BACKGROUND

Other Identifiers

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REC/00238 Maliha Iftikhar

Identifier Type: -

Identifier Source: org_study_id

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