Effect of Posterior Pelvic Tilt on Balance and Sensory Integration in Patients With Non-specific Low Back Pain

NCT ID: NCT04820816

Last Updated: 2021-03-29

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

UNKNOWN

Total Enrollment

50 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-09-01

Study Completion Date

2021-04-15

Brief Summary

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There is a debate in the literature about the effect of NSLBP on pelvic tilt and its effect on balance, sensory integration and functional disability so we need this study to fill the aforementioned gap in literature in this field. So the purpose of the study is to evaluate posterior pelvic tilt effect on overall dynamic balance, sensory integration and functional disability in patients with non-specific low back pain.

Detailed Description

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The LBP became one of the biggest problems for public health systems in the world during the second half of the 20th century. The lifetime prevalence of LBP is reported to be as high as 84%, and the prevalence of chronic LBP is about 23%, with 11-12% of the population being disabled by LBP. Prevalence of LBP was 53.2%. It was more among female patients (62.8%) than among male patients (38.3%) among attendants to a Family Health Center in Egypt.

Additionally, studies have observed relationships between chronic non-specific LBP and a posteriorly shifted center of gravity, impaired proprioception, and decreased muscular strength, activation and endurance of the trunk and hips. Balance is impaired in individuals with chronic low back pain when compared to healthy individuals.

Most of these studies supposed that postural mal-alignment involves deviations in only one direction which is toward lordosis and anterior pelvic tilt. However, clinical experience suggests that some patients with back pain have the opposite problem which is a much reduced lordotic curve and a posterior pelvic tilt. If the true relationship between posture and low back pain disability is curvilinear instead, this could explain why the studies so far have shown weak or no relationships.

Conditions

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Biochemical Lesions Lumbar Region Orthopedic Disorder of Spine Back Disorder

Study Design

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Observational Model Type

CASE_CROSSOVER

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Posterior pelvic tilt group

1. patients with chronic low back pain or repeated non-specific back pain for more than three months.
2. Both sex with posterior pelvic tilt (-0.7 ± 6.5°) and decreased lumbar lordosis
3. Their ages were ranged from 20-35 years
4. Body Mass Index from 18-25 Kg/m²

pelvic tilt effect on balance, sensory integration and risk of fall

Intervention Type OTHER

BIODEX balance system, Limits of stability test, Risk of Fall test, m-CTSIB test

Normal anterior pelvic tilt group

1. patients with chronic low back pain or repeated non-specific back pain for more than three months.
2. Both sex with anterior pelvic tilt (5° and 13°) and normal lumbar lordosis
3. Their ages were ranged from 20-35 years
4. Body Mass Index from 18-25 Kg/m²

pelvic tilt effect on balance, sensory integration and risk of fall

Intervention Type OTHER

BIODEX balance system, Limits of stability test, Risk of Fall test, m-CTSIB test

Interventions

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pelvic tilt effect on balance, sensory integration and risk of fall

BIODEX balance system, Limits of stability test, Risk of Fall test, m-CTSIB test

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. Fifty patients with chronic low back pain or repeated non-specific back pain for more than three months.
2. Both sex with posterior pelvic tilt (-0.7 ± 6.5°)and decreased lumbar lordosis, for (Group A) and normal anterior pelvic tilt angle between 5° and 13° for (Group B)
3. Their ages were ranged from 20-35 years.
4. Body Mass Index from 18-25 Kg/m² .

Exclusion Criteria

1. Previous back surgery.
2. Signs and symptoms of gross spinal instability.
3. Radiological diagnosis of spondylolysis or spondylolisthesis.
4. Acute low back pain.
5. Disc prolapse or herniation.
6. Any neurological, orthopedic, and vestibular disorders affecting the balance system.
7. Flexion and extension restriction of the lumbar region.
8. Other conditions that affected the normal functioning of the central and peripheral nervous system such as alcohol abuse, addiction, dementia, and cognitive disorders.
Minimum Eligible Age

20 Years

Maximum Eligible Age

35 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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MTI University

OTHER

Sponsor Role lead

Responsible Party

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Noha Abbas Abdelaziz Ali

Principle Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Noha Abbas, MSc

Role: STUDY_CHAIR

MTI University

Locations

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Noha Abbas Abdelaziz Ali

Cairo, , Egypt

Site Status RECRUITING

Countries

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Egypt

Central Contacts

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Noha Abbas, Bachelor

Role: CONTACT

00201060742720

Rania Reda, PhD

Role: CONTACT

00201273325285

Facility Contacts

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Noha Abbas

Role: primary

01060742720

Other Identifiers

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012-003133

Identifier Type: -

Identifier Source: org_study_id

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