The Effect of Core Stabilization Exercises in People With Chronic Low Back Pain

NCT ID: NCT05302349

Last Updated: 2022-03-31

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: NA
• Total Enrollment: 36 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-03-31
• Study Completion Date: 2023-03-01

Brief Summary

Low back pain is a health problem that causes clinical, social and economic losses all over the world and affects the majority of the population. More than 80% of adults in the general population experience low back pain at least once in their lifetime. Although the incidence of chronic low back pain is so high, 85% of these pains do not have a pathoanatomical cause and these pains are defined as non-specific chronic low back pain. Exercise therapy is the key to the conservative management of nonspecific chronic low back pain. Lumbar stabilization exercises based on the principle of motor control of core muscles have also become popular in rehabilitation programs for low back pain in recent years.The core region is the lumbopelvic region of the body. The aim of the stabilization exercises is to teach to use the neutral position of the lumbar region and to keep the load on the dynamic and static structures at the lowest level. Core stabilization training begins with teaching the contraction of the transversus abdominus, deep spinal and multifidus muscle.Then, these exercises are planned specifically for the person from immobile positions to movements positions, from simple movements to combined movements, from gross patterns to fine motor patterns, from symmetrical movements to asymmetric movements. These exercises can be developed specifically for the region and pathology with the functions of the muscles in the region of the pathology. The lumbar multifidus muscle is known to be an important stabilizer of the lumbar region. In addition, the cross-sectional area of the lumbar multifidus muscle has short, thick, dense muscle fibers compared to other lumbar region muscles.These dense muscle fibers are compressed in a small space and have a high mass.This morphology allows the lumbar multifidus muscle to produce great force in a small working area and makes the muscle ideal for stability. In addition, the position of the lumbar multifidus muscle between the vertebrae increases its importance for stability. The aim of this study is to determine the effects of core stabilization exercises on the cross-sectional area (CSA) and amount of adipose tissue of the lumbar multifidus muscle in adults with chronic low back pain using magnetic resonance imaging (MRI), and also to examine the effects of these exercises on pain, functionality and lumbopelvic stability.

Conditions

Non-specific Low Back Pain

Study Design

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

Study Groups

Core Exercise Group

Core Exercise Group will performe core stabilization exercises and routine physiotherapy exercises.

Group Type: EXPERIMENTAL

Core Exercise Group

Intervention Type: OTHER

Core Exercise Group Procedure:

Weeks 1-4 (Five days a week)

1. Hotpack ultrasound, conventional TENS, stretching exercises and strengthening exercises for low back pain.

2. Core stabilization exercise :

• Active pelvic floor exercise (supine position)
• Bridge exercise (supine position)
• Back Extension and Ball Back Extension exercises (prone position)
• Abdominal and Oblique Crunch exercises (supin position)
• Leg lift exercise (prone position)
• Plank and Side Plank exercise
• Superman exercise

Weeks 5-8 (Three days a week)

1. Stretching exercises and strengthening exercises for low back pain.

2. Core stabilization exercise :

• The same exercises as for Weeks 1-4 will perform.

Routine Therapy Group

Routine Therapy Group will performe routine physiotherapy exercises.

Group Type: ACTIVE_COMPARATOR

Routine Therapy Group

Intervention Type: OTHER

Routine Therapy Group Procedure:

Weeks 1-4 (Five days a week)

1. Hotpack ultrasound, conventional TENS, stretching exercises and strengthening exercises for low back pain.

Weeks 5-8 (Three days a week)

1.Stretching exercises and strengthening exercises for low back pain.

Interventions

Core Exercise Group

Core Exercise Group Procedure:

Weeks 1-4 (Five days a week)

1. Hotpack ultrasound, conventional TENS, stretching exercises and strengthening exercises for low back pain.

2. Core stabilization exercise :

• Active pelvic floor exercise (supine position)
• Bridge exercise (supine position)
• Back Extension and Ball Back Extension exercises (prone position)
• Abdominal and Oblique Crunch exercises (supin position)
• Leg lift exercise (prone position)
• Plank and Side Plank exercise
• Superman exercise

Weeks 5-8 (Three days a week)

1. Stretching exercises and strengthening exercises for low back pain.

2. Core stabilization exercise :

• The same exercises as for Weeks 1-4 will perform.

Intervention Type: OTHER

Routine Therapy Group

Routine Therapy Group Procedure:

Weeks 1-4 (Five days a week)

1. Hotpack ultrasound, conventional TENS, stretching exercises and strengthening exercises for low back pain.

Weeks 5-8 (Three days a week)

1.Stretching exercises and strengthening exercises for low back pain.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Patient with low back pain for at least 3 months or more
• Age between 18 and 65 years
• Ability to give informed consent

Exclusion Criteria

• History of previous previous spinal surgery
• Disc herniation with radiculopathy
• Pregnant or breastfeeding
• Systemic disease
• Low back pain due to specific and known causes (Spondylolisthesis, Spinal stenosis, Spondylolysis, Ankylosing spondylitis, Tumor, Structural deformity, Osteoporosis, Rheumatological disease, Infection)
• History of malignancies/cancer
• Unexplained or unintentional weight loss
• Perineal numbness, Bladder dysfunction
• Progressive weakness in lower limbs
• Fracture
• Fever
• Cauda equina syndrome

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Ankara Yildirim Beyazıt University

OTHER

Sponsor Role: collaborator

Mehmet Akif Guler

OTHER

Sponsor Role: lead

Responsible Party

Mehmet Akif Guler

Lecturer

Responsibility Role: SPONSOR_INVESTIGATOR

Principal Investigators

Mehmet Akif Güler, MSc/PT

Role: PRINCIPAL_INVESTIGATOR

Selcuk University / Faculty of Health Sciences / Department of Physiotherapy and Rehabilitation

Ertuğrul Demirdel, Asst. Prof

Role: STUDY_CHAIR

Ankara Yildirim Beyazit University / Faculty of Health Sciences / Department of Physiotherapy and Rehabilitation

Ilknur Albayrak Gezer, Assoc. Prof

Role: STUDY_DIRECTOR

Selcuk University / Faculty of Medicine / Department of Physical Therapy and Rehabilitation

Alaaddin Nayman, Assoc. Prof

Role: STUDY_DIRECTOR

Selcuk University / Faculty of Medicine / Department of Radiology

Ezgi Akyıldız Tezcan, MD

Role: STUDY_DIRECTOR

Cumra Public Hospital / Department of Physical Therapy and Rehabilitation

Locations

Selcuk University, Faculty of Medicine, Department of Physical Medicine and Rehabilitation

Konya, Selcuklu, Turkey (Türkiye)

Countries

Turkey (Türkiye)

Central Contacts

Mehmet Akif Güler

Role: CONTACT

makif.guler@selcuk.edu.tr

+90 542 464 4209

Other Identifiers

2022-695

Identifier Type: -

Identifier Source: org_study_id