Core Muscle Activation Exercise Training Program Effects in Patients With Chronic Low Back Pain

NCT ID: NCT05905562

Last Updated: 2024-03-05

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 34 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-04-15
• Study Completion Date: 2023-09-15

Brief Summary

The study will be a Randomized clinical trial to check the effects of a core muscle activation exercise training program on pain, range of motion, and function in patients with chronic low back pain so that we can devise a treatment protocol for patients with chronic low back pain. The study duration was 10 months, convenient sampling technique was used subject following eligibility criteria from the Orthopaedic medical center, Lahore. were randomly allocated in two groups via lottery method, a baseline assessment was done, and Group A received Mobilization and Electrotherapy Modalities including Ultrasound, TENS, and Core muscles activation exercises. Group B received Mobilization and Electrotherapy Modalities including Ultrasound and TENS for a total training program duration of 12 weeks with 3 sessions per week. Outcome measures were NPRS for assessment of pain, Modified Oswestry Disability index for functional disability, PBU for assessment and training of core stability, and baseline bubble inclinometer and were assessed and documented at 0 week, 4 weeks, 8 weeks, and 12 weeks of the treatment session

Detailed Description

Low back pain is one of the most common musculoskeletal disorders in both males and females, with a prevalence rate of 80% of the world population. However, in some cases, acute low back pain persists for more than 3 months and becomes chronic low back pain. During low back pain, significant complaints of patients other than pain are decreased mobility and functional limitations in their workplace and at home In recent years, multiple studies have explored the evidence for treating chronic low back pain; options include soft tissue mobilization, spinal manipulation therapy, spinal joint mobilization therapy, behavioral therapy, exercise therapy, transcutaneous electrical nerve stimulation, interferential currents, low-level laser therapy, and yoga. Other treatments include massage, acupuncture, and superficial heat therapy thermal heat wraps, hot water bottles, heated packs filled with grain, hot towels, and electric heating pads). Manual modalities such as physiotherapy, massage, chiropractic, occupational, and osteopathic therapies, including spinal manipulation and mobilization, are often used together and alone to treat chronic non-specific low back pain Exercises are a way to induce strength, endurance, functional mobility, and neuromuscular control in back muscles. A variety of Exercises like Motor control stabilization exercises, back stabilization exercises, core muscle activation exercises, and endurance exercises are used to reduce the effect of low back pain. These particular exercises are for lumber and core Stabilization and strengthening but there is very limited research on the superiority of each exercise over the other.

Earlier work suggested that there is little or no evidence that spinal manipulative therapy was superior to other standard treatments for chronic low back pain. however, recent systematic reviews suggest that spinal manipulation and mobilization are "viable" options for pain treatment

Conditions

Low Back Pain

Study Design

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

Study Groups

Spinal mobilization and core stabilization exercises group:

will have core muscle activation exercises along with lumber spine joint mobilization along with TENS and Ultrasound for 12 weeks and 3 sessions per week

Group Type: EXPERIMENTAL

core stabilization exercises

Intervention Type: OTHER

Core muscles activation exercises will be performed on patients to target the abdominals.

Spinal mobilization techniques

Intervention Type: OTHER

lumbar spine joint mobilization techniques will be performed to patient in prone lying.

Spinal mobilization techniques group

will have lumber spine joint mobilization along with TENS and Ultrasound duration of 12 weeks with 3 sessions per week.

Group Type: ACTIVE_COMPARATOR

Spinal mobilization techniques

Intervention Type: OTHER

lumbar spine joint mobilization techniques will be performed to patient in prone lying.

Interventions

core stabilization exercises

Core muscles activation exercises will be performed on patients to target the abdominals.

Intervention Type: OTHER

Spinal mobilization techniques

lumbar spine joint mobilization techniques will be performed to patient in prone lying.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• • Both Gender

• Age range from 20-50 years.
• Chronicity of low back pain for at least 3 months.

Exclusion Criteria

• Patients with any signs of spinal cord involvement
• Pregnant female patients
• History of spinal trauma or spinal or abdominal surgery
• History of systemic disease (e.g., systemic scleroderma or muscular dystrophy), spinal deformity (e.g., scoliosis and kyphosis), or abdominal wall hernia
• History of participation in core stability exercise or any physical therapy treatment in the past 6 months
• Any bony or soft tissue systemic disease

• Minimum Eligible Age: 20 Years
• Maximum Eligible Age: 50 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Sana Gohar, MS*

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

Orthopedics Medical Complex Hospital

Lahore, Punjab Province, Pakistan

Countries

Pakistan

References

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Reference Type: BACKGROUND

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Reference Type: BACKGROUND

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Reference Type: BACKGROUND

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Other Identifiers

REC/RCR & AHS/23/0114

Identifier Type: -

Identifier Source: org_study_id