Effects of Lumbar Repositioning Feedback and Transversus Abdominis Training on Lumbar Propricption in Patients With Chronic Mechanical Low Back Pain

NCT ID: NCT05047614

Last Updated: 2021-09-17

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

Clinical Phase

NA

Total Enrollment

48 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-04-19

Study Completion Date

2022-08-15

Brief Summary

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This study is conducted to answer the following question: What is the effect of lumbar repositioning feedback and transverses abdominis training on lumbar proprioception in patients with chronic mechanical low back pain?

Detailed Description

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Chronic low back pain is a chronic pain syndrome in the lower back region, lasting for at least twelve weeks. Chronic low back pain represents the leading cause of disability worldwide and is a major welfare and economic problem. Low back pain represents a major social and economic problem. The prevalence of chronic low back pain is estimated to range from fifteen to forty-five percent in French healthcare workers. Low back pain symptoms can derive from many potential anatomic sources, such as nerve roots, muscle, fascial structures, bones, joints, intervertebral discs, and organs within the abdominal cavity. Moreover, symptoms can also spawn from aberrant neurological pain processing causing neuropathic low back pain. Low back pain has been associated with motor control dysfunction. Indicators of this dysfunction include decreased contraction of the transversus abdominis and multifidus muscles, the reduced cross-sectional area of the multifidus, and fat infiltration. An association of chronic low back pain with altered muscle recruitment patterns and transversus abdominis activation delay was also found, as well as increased back muscle fatigue and altered kinematic patterns in the hips and lumbar area.

This was further supported in two recent systematic reviews that reported that proprioception deficits were found in patients with chronic low back pain compared to healthy controls

Conditions

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Orthopedic Disorder

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Study 1

Twelve patients in study group 1 receiving lumbar repositioning feedback training

Group Type EXPERIMENTAL

including sham

Intervention Type DEVICE

Repositiong feedback training and biofeedback pressure training unit

Study 2

Twelve patients in study group 2 receiving transverses abdominis training

Group Type EXPERIMENTAL

including sham

Intervention Type DEVICE

Repositiong feedback training and biofeedback pressure training unit

Study 3

Twelve patients in study group 3 receiving both lumbar repositioning feedback training and tranversus abdominis training

Group Type EXPERIMENTAL

including sham

Intervention Type DEVICE

Repositiong feedback training and biofeedback pressure training unit

Control

Twelve patients in control group receiving conventional lumbar propriception physical therapy program .

Group Type EXPERIMENTAL

including sham

Intervention Type DEVICE

Repositiong feedback training and biofeedback pressure training unit

Interventions

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including sham

Repositiong feedback training and biofeedback pressure training unit

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Patients with CMLBP referred from orthopedic surgeon with no radicular pain
* Their age is ranged between 35-55 years old (Martim etal.,2008)
* BMI 24-28 kg/m2

Exclusion Criteria

* Patients who have a history of diabetic peripheral neuropathies
* Patients who have a history of sciatica
* Spinal or lower limb deformity or any pathology within the spine.
* Patients who have neurological disorders
* Patients who have a history of previous lumbar surgery
* Patients who have visual problems
Minimum Eligible Age

35 Years

Maximum Eligible Age

45 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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October 6 University

OTHER

Sponsor Role lead

Responsible Party

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Mai Hassan Ahmed Desouki

Assistant Lecturer

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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October 6 university

Giza, , Egypt

Site Status RECRUITING

Countries

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Egypt

Central Contacts

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MAI HASSAN, Doctoral

Role: CONTACT

01019461836

Hossam Magdy, Doctoral

Role: CONTACT

01112730605

Facility Contacts

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Mai Hassan, Doctoral

Role: primary

o1019461836

Hossam Magdy, Doctoral

Role: backup

01112730605

Other Identifiers

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153145

Identifier Type: -

Identifier Source: org_study_id

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