Proprioceptive, Calisthenic, and Kinesthetic Exercises for Chronic Low Back Pain

NCT ID: NCT06751719

Last Updated: 2025-06-15

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 38 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-07-15
• Study Completion Date: 2025-01-30

Brief Summary

Numerous studies have emphasized the debilitating effects of chronic low back pain (CLBP), which persists for over 12 weeks and impacts approximately 20% of the global population. The etiology of CLBP encompasses various factors, such as sedentary lifestyles, diminished muscle strength, poor neuromuscular control of deep trunk muscles, and compromised proprioception, all contributing to lumbar spine strain. These factors result in limitations in essential daily activities, significantly diminishing the overall quality of life. Continued exploration in this field is essential to furthering our understanding of managing chronic low back pain. Investigating alternative treatment approaches, such as proprioceptive, calisthenic, and kinesthetic exercises, contributes to expanding the range of solutions available for addressing this issue. Embracing a diverse array of interventions not only proves beneficial but also holds promise in providing long-term advantages for enhancing patients' overall well-being. Therefore, this study aims to comprehensively investigate the combined effects of proprioceptive, kinesthetic, and calisthenic exercises, alongside core stabilization exercises, in alleviating chronic low back pain and their potential to enhance range of motion and diminish functional disability in individuals with CLBP in Lahore, Pakistan.

Conditions

Chronic Low Back Pain (CLBP)

Study Design

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

Study Groups

Group A

This control group will only participate in core stabilization exercises and heat therapy. The exercise session would be held 3 times a week.

Group Type: ACTIVE_COMPARATOR

core stabilization exercises

Intervention Type: OTHER

The core exercises would be held for 7 to 8 seconds, repeated 10 times, and rest for 3 seconds between repetitions and 1 minute rest between each exercise. These exercises will include:

1. Abdominal hollowing

2. Supine extension bridge

3. Partial Curls

heat therapy

Intervention Type: OTHER

The heat therapy would be applied to the lumbar region for 10 minutes.

Group B

This intervention group will consist of participants who will engage in proprioceptive, calisthenic, and kinesthetic exercises along with core stabilization exercises and heat therapy. The exercise session would be held 3 times a week.

Group Type: EXPERIMENTAL

core stabilization exercises

Intervention Type: OTHER

The core exercises would be held for 7 to 8 seconds, repeated 10 times, and rest for 3 seconds between repetitions and 1 minute rest between each exercise. These exercises will include:

1. Abdominal hollowing

2. Supine extension bridge

3. Partial Curls

heat therapy

Intervention Type: OTHER

The heat therapy would be applied to the lumbar region for 10 minutes.

proprioceptive exercises

Intervention Type: OTHER

The proprioceptive exercises will include rest for 3 seconds between repetitions and 1-minute rest between each exercise. These exercises will include:

1. One leg balance - 10 seconds hold time with 3 repetitions

2. Forward leg swings - 15 swings

3. Sideways leg swings - 15 swings

calisthenic exercises

Intervention Type: OTHER

The calisthenic exercises will include:

1. Abductor's leg raise for 10 repetitions

2. Prone leg extension for 10 repetitions

3. Alternate toe touch for 10 repetitions

kinesthetic exercises

Intervention Type: OTHER

The kinesthetic exercises will have 1 minute rest in between exercises. These exercises will include:

1. Toe walking for 20 meters distance

2. Heel walking for 20 meters distance

Interventions

core stabilization exercises

The core exercises would be held for 7 to 8 seconds, repeated 10 times, and rest for 3 seconds between repetitions and 1 minute rest between each exercise. These exercises will include:

1. Abdominal hollowing

2. Supine extension bridge

3. Partial Curls

Intervention Type: OTHER

heat therapy

The heat therapy would be applied to the lumbar region for 10 minutes.

Intervention Type: OTHER

proprioceptive exercises

The proprioceptive exercises will include rest for 3 seconds between repetitions and 1-minute rest between each exercise. These exercises will include:

1. One leg balance - 10 seconds hold time with 3 repetitions

2. Forward leg swings - 15 swings

3. Sideways leg swings - 15 swings

Intervention Type: OTHER

calisthenic exercises

The calisthenic exercises will include:

1. Abductor's leg raise for 10 repetitions

2. Prone leg extension for 10 repetitions

3. Alternate toe touch for 10 repetitions

Intervention Type: OTHER

kinesthetic exercises

The kinesthetic exercises will have 1 minute rest in between exercises. These exercises will include:

1. Toe walking for 20 meters distance

2. Heel walking for 20 meters distance

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Minimum 3 months or above LBP
• Moderate pain (NPRS: 3-7)
• Disability score of 19% or greater as evident from the modified Oswestry Disability Questionnaire (MODQ)

Exclusion Criteria

• History of inflammatory joint diseases e.g. rheumatoid arthritis, gouty arthritis, psoriatic arthritis, and ankylosing spondylitis
• History of neurological deficit e.g. paresthesia, sensory loss, radiculopathy, myelopathy
• History of surgery related to spine, lower extremities, metal implants on lower extremities
• History of any mental illness
• Subjects on medication e.g. antidepressants, corticosteroids, and anti-inflammatory medications
• Other conditions include peripheral vascular diseases, recent fractures including lower limb or spine, osteoporosis, spine or other joint deformities, brain injuries, neuromuscular disorders, and respiratory diseases
• Pregnancy

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

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Syed Shakil ur Rehman, PhD

Role: STUDY_DIRECTOR

Riphah International University, Lahore

Hatoma Fatima Malik, DPT

Role: PRINCIPAL_INVESTIGATOR

Riphah International University, Lahore

Locations

Riphah Rehab Training and Research Center

Lahore, Punjab Province, Pakistan

Countries

Pakistan

Other Identifiers

Hatoma Fatima Malik

Identifier Type: -

Identifier Source: org_study_id