A Suggested Functional Exercises Program For Patients With Chronic Mechanical Low Back Pain

NCT ID: NCT05860218

Last Updated: 2023-05-16

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: NA
• Total Enrollment: 52 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-02-01
• Study Completion Date: 2024-11-30

Brief Summary

The aim of this study will be to investigate the effect of functional exercise on pain, functional disability and core strength in patients with chronic mechanical low back pain .

Detailed Description

To our knowledge, there has been not enough studies that investigated the effect of core strengthening by functional exercise on pain, functional disability and core muscle strength in patients with chronic mechanical low back pain. Therefore, this study may open up ways to other researchers to investigate and build up on this effect if present and address such an important issue.

the finding of this proposed work may help patients with chronic mechanical low back pain by addressing their pain, functional limitation, and/or participation restrictions. Consequently, this can speed up their recovery, return to work, decrease cost of treatment, improve psychological status, decrease level of irritability, and improve overall quality of life.

Patients with chronic mechanical low back pain will be recruited after approval of ethical committee of the faculty of physical therapy, Cairo University. All participants will sign a written informed consent form.

The subjects will be randomly assigned into one of two groups:

• Group I (control) will receive advices only.
• Group II (experimental) will receive a suggested functional exercise program plus advises.

the measurments will take before and after treatment programe .

Conditions

Chronic Mechanical Low Back Pain

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

advices

• Group I (control) will receive advices only.

Group Type: OTHER

advices

Intervention Type: OTHER

The following advice will be given to the patients :

1. Walking as flexibly (normally) as possible

2. Advise when lifting ;

• avoid twisting and bending.
• for heavy objects use thighs with a vertical back.
• at other times, use the back and flex it.

3. Heat application for 20 mins twice /day .

4. Avoid sitting or standing for prolonged period and change position every 15 mins.

5. Sitting: Sit with a back support

6. Driving: Use a back support (lumbar roll) at the curve of your back.

7. Sleeping and lying down: Select a firm mattress and box spring set that does not sag. If necessary, place a board under your mattress. You can also place the mattress on the floor temporarily if necessary.

exercises plus advices

• Group II (experimental) will receive a suggested functional exercise program plus advises

Group Type: EXPERIMENTAL

advices

Intervention Type: OTHER

The following advice will be given to the patients :

1. Walking as flexibly (normally) as possible

2. Advise when lifting ;

• avoid twisting and bending.
• for heavy objects use thighs with a vertical back.
• at other times, use the back and flex it.

3. Heat application for 20 mins twice /day .

4. Avoid sitting or standing for prolonged period and change position every 15 mins.

5. Sitting: Sit with a back support

6. Driving: Use a back support (lumbar roll) at the curve of your back.

7. Sleeping and lying down: Select a firm mattress and box spring set that does not sag. If necessary, place a board under your mattress. You can also place the mattress on the floor temporarily if necessary.

exercises plus advices

Intervention Type: OTHER

In addition to the same advice of group A, a suggested functional exercise will be performed for this group.

1. Sidestepping against band resistance:

2. The quadriped opposite arm leg aganist resistance .

3. Squat row on a balance board with band resistance:

4. Front raise single leg support with band resistance:

5. The Advanced Prone Bridge:

6. Side sliding on a fitter board (lateral lunge with band):

Interventions

advices

The following advice will be given to the patients :

1. Walking as flexibly (normally) as possible

2. Advise when lifting ;

• avoid twisting and bending.
• for heavy objects use thighs with a vertical back.
• at other times, use the back and flex it.

3. Heat application for 20 mins twice /day .

4. Avoid sitting or standing for prolonged period and change position every 15 mins.

5. Sitting: Sit with a back support

6. Driving: Use a back support (lumbar roll) at the curve of your back.

7. Sleeping and lying down: Select a firm mattress and box spring set that does not sag. If necessary, place a board under your mattress. You can also place the mattress on the floor temporarily if necessary.

Intervention Type: OTHER

exercises plus advices

In addition to the same advice of group A, a suggested functional exercise will be performed for this group.

1. Sidestepping against band resistance:

2. The quadriped opposite arm leg aganist resistance .

3. Squat row on a balance board with band resistance:

4. Front raise single leg support with band resistance:

5. The Advanced Prone Bridge:

6. Side sliding on a fitter board (lateral lunge with band):

Intervention Type: OTHER

Other Intervention Names

a suggested functional exercise program plus advises.

Eligibility Criteria

Inclusion Criteria

• Chronic mechanical low back pain and their age will be ranged from 20 -45 years.
• History of chronic low back pain (≥3 months).
• Patients with Body Mass Index (BMI) between 18-28

Exclusion Criteria

• Age younger than 20 or older than 45 years of age.
• History of any surgical procedure in the back or the lower extremities
• Back pain secondary to known specific pathology (e.g. infection, tumor, osteoporosis, fracture, structural deformity, inflammatory disorder (e.g. ankylosing spondylitis) or cauda equine syndrome).
• Patient with lumbar instability including spondylolisthesis.
• Red flags (e.g. fever, unexplained weight loss, progressive weakness, radiation to lower limb, bowel and bladder dysfunction).
• Pregnancy.

• Minimum Eligible Age: 25 Years
• Maximum Eligible Age: 45 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Cairo University

OTHER

Sponsor Role: collaborator

Doha Ali Amin Ahmed

OTHER

Sponsor Role: lead

Responsible Party

Doha Ali Amin Ahmed

principal investigator

Responsibility Role: SPONSOR_INVESTIGATOR

Locations

Cairo university

Cairo, , Egypt

Site Status: RECRUITING

Countries

Egypt

Central Contacts

Doha Ali, master

Role: CONTACT

prinessoflight@gmail.com

01019734952

Mohamed Ahmed, Lecturer

Role: CONTACT

01223631604

Facility Contacts

Doha Ali, master

Role: primary

prinessoflight@gmail.com

01019734952

Mohamed Ahmed, Lecturer

Role: backup

01223631604

Other Identifiers

mechanical low back pain

Identifier Type: -

Identifier Source: org_study_id