Comparison of Egoscue Versus Pilates Exercises in Patient With Mechanical Low Back Pain

NCT ID: NCT06461494

Last Updated: 2024-10-15

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 34 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-06-30
• Study Completion Date: 2024-10-10

Brief Summary

Mechanical low back pain arises intrinsically from the spine, intervertebral disc,or surrounding soft tissues.It is causes by muscular spasm, and other soft tissue injuries. The aim of the study will be to compare the effect of Egoscue versus Pilates exercises on pain, range of motion and muscle endurance in patient with mechanical low back pain.

Detailed Description

A Randomized Clinical Trial will be conducted at Riphah Clinic Lahore through consecutive sampling technique on 30 patients which will be allocated using simple random sampling through sealed opaque enveloped into Group A and Group B. Group A will be treated with Pilates exercises at frequency 2 sets 5 repetitions 5 days a week and Group B will be treated with Egoscue exercises at the frequency of 2 sets with 5 repetitions 5 days a week. Outcome measures will be conducted through pain, disability,lumber range of motion, Muscle flexibility, Extensor muscle endurance, Lateral muscle endurance, Flexors muscle endurance questionnaires after 4 weeks. Data will be analyzed during SPSS software version 21. After assessing normality of data by ANOVA test, it will be decided either parametric or non-parametric test will be used within a group or between two groups.

Conditions

Low Back Pain

Study Design

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

Study Groups

Group A: Pilates exercise

Group A received the pilates exercise. It doesn't require any special equipment and can be done in any training center.

Week 1: Leg slides, hip release, knee to chest, spinal rotation, single knee extension, cat stretch, neutral to imprint Week 2: Imprint table top position, ab prep, Imprint table top toe touching floor, imprint table top knee extensions, spine twist, Ab prep in table top position, bridging Week 3: Half roll back, pull up; pull up with leg extension, swimming exercise, single leg extension, leg circles, and single leg stretch Week 4: Bridging on the ball, spine stretch forward, single leg lift, double knee lifts, upward dog, and shell stretch Each exercise was performed for 5 times

Group Type: ACTIVE_COMPARATOR

baseline treatment

Intervention Type: OTHER

hot pack will be applied for 10 minutes

Group B: Egoscue exercise

Static back and static back with breathing, abdominal contraction while in the static back position, abductor press, overhead extension, elbow curls on wall, static wall, upper spinal twist, pelvic tilts, supine groin progressive, and air bench Week 1: 3 times with 30 s hold time Week 2: 5 times with 30 s hold time Week 3: 15 times with 30 s hold time Week 4: 20 times with 30 s hold time

Group Type: EXPERIMENTAL

baseline treatment

Intervention Type: OTHER

hot pack will be applied for 10 minutes

Interventions

baseline treatment

hot pack will be applied for 10 minutes

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Age 18 to 40 years
• Both gender
• Patient with non-radiating pain
• Pain NPRS <7
• Positive McGill Extensor Endurance Test ( <101 seconds)
• Positive McGill lateral flexor endurance test (<54 sec Right side, <55sec left side)
• Positive McGill flexor endurance test < 120 seconds
• Positive Finger to Floor Test : > 48cm in males, >50cm for females
• Patient with Oswestry disability index (ODI) < 40 ODI score
• Decrease lumbar ROM; Lateral flexion, Extension, Flexion

Exclusion Criteria

• Sacroiliac Joint Dysfunction (SIJD)
• Coccydynia
• Lumber disc pathology
• Malignancy
• Recent fractures

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 40 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Ghazala Arshad, MSPT*

Role: PRINCIPAL_INVESTIGATOR

Riphah International University,Lahore

Locations

Med care hospital

Lahore, Punjab Province, Pakistan

Countries

Pakistan

References

Kudchadkar GS, Gurudut P, Welling AJIJoPT, Research. Comparative effect of mat pilates and egoscue exercises in asymptomatic individuals with lumbar hyperlordosis: A randomized controlled trial. 2019;1(2):79-88.

Reference Type: BACKGROUND

Baillie L, Bacon CJ, Hewitt CM, Moran RW. Predictors of functional improvement in people with chronic low back pain following a graded Pilates-based exercise programme. J Bodyw Mov Ther. 2019 Jan;23(1):211-218. doi: 10.1016/j.jbmt.2018.06.007. Epub 2018 Jun 30.

Reference Type: BACKGROUND

PMID: 30691755 (View on PubMed)

Altinbilek T, Murat S. A comparison of application frequency of physical therapy modalities in patients with chronic mechanical low back pain. Turk J Phys Med Rehabil. 2020 May 18;66(2):201-209. doi: 10.5606/tftrd.2020.4192. eCollection 2020 Jun.

Reference Type: BACKGROUND

PMID: 32760898 (View on PubMed)

Jerome EJIJoP. Effects of core stabilization program and conventional exercises in the management of patients with chronic mechanical low back pain. 2015:441-7.

Reference Type: BACKGROUND

Caglayan M, Tacar O, Demirant A, Oktayoglu P, Karakoc M, Cetin A, et al. Effects of lumbosacral angles on development of low back pain. 2014;22(3):251-5.

Reference Type: BACKGROUND

Kumar SP. Efficacy of segmental stabilization exercise for lumbar segmental instability in patients with mechanical low back pain: A randomized placebo controlled crossover study. N Am J Med Sci. 2011 Oct;3(10):456-61. doi: 10.4297/najms.2011.3456.

Reference Type: BACKGROUND

PMID: 22363083 (View on PubMed)

Russo M, Deckers K, Eldabe S, Kiesel K, Gilligan C, Vieceli J, Crosby P. Muscle Control and Non-specific Chronic Low Back Pain. Neuromodulation. 2018 Jan;21(1):1-9. doi: 10.1111/ner.12738. Epub 2017 Dec 12.

Reference Type: BACKGROUND

PMID: 29230905 (View on PubMed)

Vining R, Potocki E, Seidman M, Morgenthal AP. An evidence-based diagnostic classification system for low back pain. J Can Chiropr Assoc. 2013 Sep;57(3):189-204.

Reference Type: BACKGROUND

PMID: 23997245 (View on PubMed)

Other Identifiers

REC/RCR & AHS/23/ 0195 Ghazala

Identifier Type: -

Identifier Source: org_study_id