Efficacy of Core Strengthening and Intensive Dynamic Back Exercises in Patient With Low Back Pain

NCT ID: NCT05708781

Last Updated: 2023-11-22

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

45 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-12-20

Study Completion Date

2023-09-28

Brief Summary

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The study aimed to investigate the efficacy of core strengthening and intensive dynamic back exercises on pain, muscle strength, endurance, and functional disability in patients with chronic non-specific low back pain.

Detailed Description

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The study will be based on a three-arm parallel group randomized control design. Forty-five participants with chronic non-specific low back pain will be recruited from the Physiotherapy department, at Integral University, India. Study objectives and procedure will be properly explained and written informed consent will be obtained at the beginning of the study. All the participants will be randomly divided into three groups A, B, and C. Experimental group A will be receiving the hot pack, active Stretching, isometric exercise intervention, and core strengthening exercises while group B will receive the hot pack, active Stretching, isometric exercise intervention, and intensive dynamic back exercises, control group C will receive the hot pack, active Stretching, isometric exercise intervention.

Conditions

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Low Back Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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CSE Group

in addition to Conventional treatment, core strengthening exercise were given

Group Type EXPERIMENTAL

Core strengthening exercise

Intervention Type OTHER

1. Isolated lumbar stabilization muscle training:
2. Bridge track:
3. Dead bug track:
4. Quadruped Track:
5. Supine Track:
6. Side-support Track:
7. Prone Track:
8. Standing Track:

Control group

Intervention Type OTHER

Hot Pack was given for twenty minutes, slow sustained stretching exercises ( 20 second hold, 10- second relaxation) were given, and isometric exercise of the back((10 repetitions of two sets with 10 seconds hold) alternate days for six weeks.

IDBE Group

in addition to Conventional treatment, intensive dynamic back exercise were given

Group Type EXPERIMENTAL

intensive dynamic back exercise

Intervention Type OTHER

1. Trunk lifting Prone on a couch, hips at the edge, upper part of the body free but supported by the hands against the floor. Strap fixation over the calves. With hands on the forehead, the trunk is lifted to the greatest possible extension in hips and spine. If necessary, starting with support from physical therapist. During pauses a chair in front of the couch supports the patient.
2. Leg lifting Standing by the end of the couch, leaning over to a prone position with the hips against the edge in 90 degree flexion, knees 45 degree and feet on the floor. Strap fixation over the chest. Straps around knees to keep legs together. Both legs are straightened and lifted to the greatest possible extension in hips and spine. Again support from physical therapist is necessary.
3. Pull to neck Sitting on a tool with the arms straight and abducted over the head and hands grasping a weight lever. Against sub-maximal resistance the lever is pulled behind neck and shoulders.

Control group

Intervention Type OTHER

Hot Pack was given for twenty minutes, slow sustained stretching exercises ( 20 second hold, 10- second relaxation) were given, and isometric exercise of the back((10 repetitions of two sets with 10 seconds hold) alternate days for six weeks.

Control Group

Conventional Treatment

Group Type ACTIVE_COMPARATOR

Control group

Intervention Type OTHER

Hot Pack was given for twenty minutes, slow sustained stretching exercises ( 20 second hold, 10- second relaxation) were given, and isometric exercise of the back((10 repetitions of two sets with 10 seconds hold) alternate days for six weeks.

Interventions

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Core strengthening exercise

1. Isolated lumbar stabilization muscle training:
2. Bridge track:
3. Dead bug track:
4. Quadruped Track:
5. Supine Track:
6. Side-support Track:
7. Prone Track:
8. Standing Track:

Intervention Type OTHER

intensive dynamic back exercise

1. Trunk lifting Prone on a couch, hips at the edge, upper part of the body free but supported by the hands against the floor. Strap fixation over the calves. With hands on the forehead, the trunk is lifted to the greatest possible extension in hips and spine. If necessary, starting with support from physical therapist. During pauses a chair in front of the couch supports the patient.
2. Leg lifting Standing by the end of the couch, leaning over to a prone position with the hips against the edge in 90 degree flexion, knees 45 degree and feet on the floor. Strap fixation over the chest. Straps around knees to keep legs together. Both legs are straightened and lifted to the greatest possible extension in hips and spine. Again support from physical therapist is necessary.
3. Pull to neck Sitting on a tool with the arms straight and abducted over the head and hands grasping a weight lever. Against sub-maximal resistance the lever is pulled behind neck and shoulders.

Intervention Type OTHER

Control group

Hot Pack was given for twenty minutes, slow sustained stretching exercises ( 20 second hold, 10- second relaxation) were given, and isometric exercise of the back((10 repetitions of two sets with 10 seconds hold) alternate days for six weeks.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* age 20-50 years
* chronic low back pain (\>3 months),

Exclusion Criteria

* Participants with low back pain related to cancer,
* infection,
* inflammatory arthropathy,
* high-velocity trauma,
* fracture
* low back pain associated with severe or progressive neurological deficits trauma
* pregnancy.
Minimum Eligible Age

20 Years

Maximum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Najran University

OTHER

Sponsor Role lead

Responsible Party

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Hashim Ahmed

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Hashim Ahmed, PhD

Role: PRINCIPAL_INVESTIGATOR

Najran University

Locations

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Integral University Hospital

Lucknow, Uttar Pardesh, India

Site Status

Hashim Ahmed

Najrān, Najran Region, Saudi Arabia

Site Status

Countries

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India Saudi Arabia

Other Identifiers

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IE/IIMS&R/2022/43

Identifier Type: -

Identifier Source: org_study_id