Effects of Back Muscles Endurance Training in Patients With Chronic Mechanical Low Back Pain

NCT ID: NCT05052840

Last Updated: 2022-04-06

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 28 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2021-09-13
• Study Completion Date: 2022-02-25

Brief Summary

Low back pain is one the leading cause of disability and affecting many individuals. Chronic low back pain is associated with restriction in daily physical activities that ultimately leads to disuse atrophy of muscles. The objective of the study is to find out the effects of Back Muscles Endurance Training on pain, disability, endurance and Lumbar flexibility in patients with chronic mechanical low back pain.

Detailed Description

Low back pain is the leading worldwide cause of years lost to disability and its burden is growing alongside the increasing and ageing population. Mechanical low back pain refers to back pain that arises intrinsically from the spine, intervertebral disks, or surrounding soft tissues. Repetitive trauma and overuse are common causes of chronic mechanical low back pain, which is often secondary to workplace injury. Most patients who experience activity-limiting low back pain go on to have recurrent episodes. Low back pain is a common condition affecting many individuals at some point in their lives. Chronic low back pain prevalence increases linearly from the third decade of life on, until the 60 years of age, being more prevalent in women.

Conditions

Mechanical Low Back Pain; Paraspinal Muscles; Muscle Stretching Exercises

Study Design

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

Study Groups

Muscle endurance training (MET)

Group Type: EXPERIMENTAL

Muscle endurance training (MET)

Intervention Type: OTHER

Experimental group will be given MET Program, stretching \& strengthening exercises and Hot packs (for 15 minutes). MET program will include warm up, endurance and cool down exercises. The warm up and cool down period will be consisted of 5-minute walking, and 10 repetitions of stretching exercises. Endurance exercises will consist of 4 levels.

Conventional Treatment

Intervention Type: OTHER

Conventional treatment group will be given hot packs (for 15 minutes) and Strengthening & stretching exercise program including:

STRETCHING EXERCISES (lumbar extensor muscles, iliopsoas muscles, hamstring muscles, gastrocnemius muscles and pectoral muscles).

STRENGTHENING EXERCISES (rectus abdominus crunch, oblique crunch, pelvic elevation, single leg pelvic elevation, lumbal spine extension, on hands and knees position with the raise of one leg, on hands and knees position with the raise of opposite arm and leg). Each exercise will be repeated 10 times.

Conventional Treatment

Group Type: ACTIVE_COMPARATOR

Conventional Treatment

Intervention Type: OTHER

Conventional treatment group will be given hot packs (for 15 minutes) and Strengthening & stretching exercise program including:

STRETCHING EXERCISES (lumbar extensor muscles, iliopsoas muscles, hamstring muscles, gastrocnemius muscles and pectoral muscles).

STRENGTHENING EXERCISES (rectus abdominus crunch, oblique crunch, pelvic elevation, single leg pelvic elevation, lumbal spine extension, on hands and knees position with the raise of one leg, on hands and knees position with the raise of opposite arm and leg). Each exercise will be repeated 10 times.

Interventions

Muscle endurance training (MET)

Experimental group will be given MET Program, stretching \& strengthening exercises and Hot packs (for 15 minutes). MET program will include warm up, endurance and cool down exercises. The warm up and cool down period will be consisted of 5-minute walking, and 10 repetitions of stretching exercises. Endurance exercises will consist of 4 levels.

Intervention Type: OTHER

Conventional Treatment

Conventional treatment group will be given hot packs (for 15 minutes) and Strengthening & stretching exercise program including:

STRETCHING EXERCISES (lumbar extensor muscles, iliopsoas muscles, hamstring muscles, gastrocnemius muscles and pectoral muscles).

STRENGTHENING EXERCISES (rectus abdominus crunch, oblique crunch, pelvic elevation, single leg pelvic elevation, lumbal spine extension, on hands and knees position with the raise of one leg, on hands and knees position with the raise of opposite arm and leg). Each exercise will be repeated 10 times.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• The ages between 20-45 years
• Both Males and Females
• The presence of low back pain as a primary complaint
• The onset of pain at least three months back

Exclusion Criteria

• Tumors, infection or inflammatory diseases affecting the spine
• Spinal or lower limb surgery
• Spinal fractures or structural deformities such as spinal stenosis, spondylolisthesis and spondylolysis
• Signs of nerve root compression
• Any contraindications for exercise therapy
• Patient with any spinal surgery, have respiratory or systemic diseases.
• Pregnant women.
• Sacroiliac joint dysfunction (determined by any three positives among distraction test, Gaenslen's test, Thigh thrust test, Sacral thrust test, and compression test)

• Minimum Eligible Age: 20 Years
• Maximum Eligible Age: 45 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Saima Zahid, PhD*

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

Zohra Shafi Free Hospital

Lahore, Punjab Province, Pakistan

Countries

Pakistan

References

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PMID: 29573871 (View on PubMed)

Will JS, Bury DC, Miller JA. Mechanical Low Back Pain. Am Fam Physician. 2018 Oct 1;98(7):421-428.

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Reference Type: BACKGROUND

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Other Identifiers

REC/Lhr/0125 Faraz

Identifier Type: -

Identifier Source: org_study_id