Effects of Abdominal Muscle Activation Training, Using Pressure Biofeedback in Comparison With Surface Electromyography

NCT ID: NCT06387563

Last Updated: 2024-04-29

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

RECRUITING

Clinical Phase

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-11-06

Study Completion Date

2024-05-30

Brief Summary

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This study is a randomized control trial and the purpose of this study to determine the effects of abdominal muscle activation training on non-specific low back pain; using pressure biofeedback in comparison with surface electromyography biofeedback: a randomized control trial.

Detailed Description

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The purpose of this study is to determine the effects of abdominal muscle activation training, using pressure biofeedback in comparison with surface electromyography biofeedback, in management of non-specific low back pain: a randomized control trial.

Pain and disability are the primary outcomes which will be determined using:

1. Numeric pain rating scale (NPRS)
2. Oswestry disability index (ODI) Data will be taken before and after the intervention protocol for each participant.

Data collection procedure: Participants of interest would be approached and explained about the research. Informed written consent will be taken. Pre and post intervention scores will be recorded.

Conditions

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Low Back Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomized control trial
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Group A: Abdominal activation using pressure biofeedback

Group A PBF assisted abdominal muscle activation training (30 min, 3x /week /4 weeks) Progressive Muscle Relaxation for 5 min Pressure biofeedback assisted abdominal muscle activation training. Frequency: 25 min; 10 sec hold, 15 sec relax, 10 reps Progression criteria in training: Maintaining 3 - 5 mmHg pressure on PBF dial while performing abdominal muscle activation.

Exercises for Group For biofeedback assisted abdominal muscle activation training these exercises will be performed:

1. Supine abdominal muscle activation (45° Hip knee flexion)
2. Both hip and knee 90° flexion
3. One side hip and knee 90° flexion with other fully extended
4. One side hip and knee 90° flexion with other fully extended + heel 12 cm raised
5. Both legs fully extended with heel 12 cm raised
6. Partial curl ups
7. Prone lying abdominal muscle activation
8. Prone leg raises
9. Prone upper back extension simple
10. Prone reciprocal UE/LE exercises

Group Type EXPERIMENTAL

Abdominal activation using pressure biofeedback

Intervention Type PROCEDURE

PBF assisted abdominal muscle activation training (30 min, 3x /week /4 weeks) Progressive Muscle Relaxation for 5 min Pressure biofeedback assisted abdominal muscle activation training. Frequency: 25 min; 10 sec hold, 15 sec relax, 10 reps Progression criteria in training: Maintaining 3 - 5 mmHg pressure on PBF dial while performing abdominal muscle activation.

Exercises for Group For biofeedback assisted abdominal muscle activation training these exercises will be performed:

1. Supine abdominal muscle activation (45° Hip knee flexion)
2. Both hip and knee 90° flexion
3. One side hip and knee 90° flexion with other fully extended
4. One side hip and knee 90° flexion with other fully extended + heel 12 cm raised
5. Both legs fully extended with heel 12 cm raised
6. Partial curl ups
7. Prone lying abdominal muscle activation
8. Prone leg raises
9. Prone upper back extension simple
10. Prone reciprocal UE/LE exercises

Group B: Abdominal activation using SEMG biofeedback

GROUP B:

SEMG-BF assisted abdominal muscle activation training (30 min, 3x/ week/ 4 weeks) Progressive Muscle Relaxation for 5 min Surface EMG-BF assisted abdominal muscle activation training. Frequency: 25 min; 10 sec hold, 15 sec relax, 10 reps Maintaining minimal volumetric contraction of abdominal muscle activation (as per person) on SEMG device with abdominal muscle activation for set frequency

Exercises for Group B For biofeedback assisted abdominal muscle activation training these exercises will be performed:

1. Supine abdominal muscle activation (45° Hip knee flexion)
2. Both hip and knee 90° flexion
3. One side hip and knee 90° flexion with other fully extended
4. One side hip and knee 90° flexion with other fully extended + heel 12 cm raised
5. Both legs fully extended with heel 12 cm raised
6. Partial curl ups
7. Prone lying abdominal muscle activation
8. Prone leg raises
9. Prone upper back extension simple
10. Prone reciprocal UE/LE exercises

Group Type EXPERIMENTAL

Abdominal activation using SEMG biofeedback

Intervention Type PROCEDURE

SEMG-BF assisted abdominal muscle activation training (30 min, 3x/ week/ 4 weeks) Progressive Muscle Relaxation for 5 min Surface EMG-BF assisted abdominal muscle activation training. Frequency: 25 min; 10 sec hold, 15 sec relax, 10 reps Maintaining minimal volumetric contraction of abdominal muscle activation (as per person) on SEMG device with abdominal muscle activation for set frequency

Exercises for Group B For biofeedback assisted abdominal muscle activation training these exercises will be performed:

1. Supine abdominal muscle activation (45° Hip knee flexion)
2. Both hip and knee 90° flexion
3. One side hip and knee 90° flexion with other fully extended
4. One side hip and knee 90° flexion with other fully extended + heel 12 cm raised
5. Both legs fully extended with heel 12 cm raised
6. Partial curl ups
7. Prone lying abdominal muscle activation
8. Prone leg raises
9. Prone upper back extension simple
10. Prone reciprocal UE/LE exercises

Interventions

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Abdominal activation using pressure biofeedback

PBF assisted abdominal muscle activation training (30 min, 3x /week /4 weeks) Progressive Muscle Relaxation for 5 min Pressure biofeedback assisted abdominal muscle activation training. Frequency: 25 min; 10 sec hold, 15 sec relax, 10 reps Progression criteria in training: Maintaining 3 - 5 mmHg pressure on PBF dial while performing abdominal muscle activation.

Exercises for Group For biofeedback assisted abdominal muscle activation training these exercises will be performed:

1. Supine abdominal muscle activation (45° Hip knee flexion)
2. Both hip and knee 90° flexion
3. One side hip and knee 90° flexion with other fully extended
4. One side hip and knee 90° flexion with other fully extended + heel 12 cm raised
5. Both legs fully extended with heel 12 cm raised
6. Partial curl ups
7. Prone lying abdominal muscle activation
8. Prone leg raises
9. Prone upper back extension simple
10. Prone reciprocal UE/LE exercises

Intervention Type PROCEDURE

Abdominal activation using SEMG biofeedback

SEMG-BF assisted abdominal muscle activation training (30 min, 3x/ week/ 4 weeks) Progressive Muscle Relaxation for 5 min Surface EMG-BF assisted abdominal muscle activation training. Frequency: 25 min; 10 sec hold, 15 sec relax, 10 reps Maintaining minimal volumetric contraction of abdominal muscle activation (as per person) on SEMG device with abdominal muscle activation for set frequency

Exercises for Group B For biofeedback assisted abdominal muscle activation training these exercises will be performed:

1. Supine abdominal muscle activation (45° Hip knee flexion)
2. Both hip and knee 90° flexion
3. One side hip and knee 90° flexion with other fully extended
4. One side hip and knee 90° flexion with other fully extended + heel 12 cm raised
5. Both legs fully extended with heel 12 cm raised
6. Partial curl ups
7. Prone lying abdominal muscle activation
8. Prone leg raises
9. Prone upper back extension simple
10. Prone reciprocal UE/LE exercises

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Age (adults 19 - 44 years)
* Non-specific LBP with NPRS \> 3
* Negative SLR test in prone and supine
* Painless extremity movement and activity
* Manual muscle testing of abdominal muscles between grade 2 - 4
* Sedentary individuals (no exercise plan followed in last 3 months)

Exclusion Criteria

* History of any spinal surgery
* Degenerative disc disorder, facet joint syndrome, spinal stenosis, myelopathy, lumbar syringomyelia
* Sensory disturbances due to neurological causes, lumbar radiculopathy, fibromyalgia, myofascial pain syndrome
* Sacroiliac joint dysfunction
* Pregnancy
* Medical conditions; Hypertension, Diabetes mellites
* Work disability greater than 6 months
* Not able to attend regular therapy appointments
Minimum Eligible Age

18 Years

Maximum Eligible Age

44 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Foundation University Islamabad

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Foundation University College of Physical Therapy

Rawalpindi, Punjab Province, Pakistan

Site Status RECRUITING

Countries

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Pakistan

Central Contacts

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Iqra Ali, MS-MSKPT*

Role: CONTACT

0316-5187052

Facility Contacts

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Anam Rehman, MS-OMPT

Role: primary

03355082299

Other Identifiers

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FUI/CTR/2024/4

Identifier Type: -

Identifier Source: org_study_id

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