Comparative Effects of Motor Control and Isolated Strengthening Lumbar Exercises on Functional Outcomes in Patients with Chronic Low Back Pain

NCT ID: NCT06778694

Last Updated: 2025-02-19

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

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

35 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-02-28

Study Completion Date

2025-08-31

Brief Summary

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Comparative effects of motor control and isolated strengthening lumbar exercises on functional outcomes in patients with chronic low back pain

Detailed Description

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As there is an increasing population of low back pain because of the stress and workload that lead to poor posture. Poor posture leads to tightening of flexor muscles and weakness of lumbar extensors that knowns as lower cross syndrome and it will become the chronic low back pain if not treated on time. Most of the therapist only work on the pain management but not focus on the functional outcome of the patient so the isolated lumbar extensor strengthening exercises and motor control exercises should be evaluated to know the effectiveness in improving the functional outcome of patients.

To compare the effects of motor control and isolated strengthening lumbar exercises on functional outcome in patients with chronic low back pain. A randomized controlled trial with a sample of 35 patients with chronic low back pain will be taken from Physiotherapy OPDs of Madinah Teaching Hospital, Allied hospital, In motion physiotherapy clinic and The Physio Rehab clinic. Participants will be randomly divided into two groups using convenient sampling technique. Both groups will be experimental groups. Patients in Group A will do Motor control exercises. Patients in Group B will do isolated strengthening lumbar exercises. Hot pack will be applied for 15 minutes and Ultrasound therapy (1MHz) for 3-5 minutes as baseline treatment in both groups. Patients will be included based on inclusion and exclusion criteria. Assessment will be done by using NPRS and Oswestry disability Index Questionnaire.

Conditions

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Chronic Low-back Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Group 1

Motor control exercises

Group Type EXPERIMENTAL

Motor control exercises

Intervention Type OTHER

Bridging Dead bug Plank Pelvic tilts Squatting and lunges

Group 2

Isolated strengthening lumbar exercises

Group Type EXPERIMENTAL

Isolated strengthening lumbar exercises

Intervention Type OTHER

Child pose Mckenzie Lat pull down Russian twist

Interventions

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Motor control exercises

Bridging Dead bug Plank Pelvic tilts Squatting and lunges

Intervention Type OTHER

Isolated strengthening lumbar exercises

Child pose Mckenzie Lat pull down Russian twist

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* LBP for more than 3 months

Both male and females.

Age between 20-50 years old.

Moderate to severe pain (VAS; 3-7)

Currently seeking care for LBP.

Exclusion Criteria

* Spinal surgery

Pregnancy

Prostatectomy

Engaged in any sports activities

Any evidence of nerve root compression
Minimum Eligible Age

20 Years

Maximum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Faisalabad

OTHER

Sponsor Role lead

Responsible Party

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Hafiza Ayesha Aslam

Hafiza Ayesha Aslam

Responsibility Role PRINCIPAL_INVESTIGATOR

Central Contacts

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Hafiza Ayesha Aslam Muhammad Aslam

Role: CONTACT

03320628461

References

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Saragiotto BT, Maher CG, Yamato TP, Costa LO, Menezes Costa LC, Ostelo RW, Macedo LG. Motor control exercise for chronic non-specific low-back pain. Cochrane Database Syst Rev. 2016 Jan 8;2016(1):CD012004. doi: 10.1002/14651858.CD012004.

Reference Type BACKGROUND
PMID: 26742533 (View on PubMed)

Fanuscu A, Oz M, Ozel Asliyuce Y, Turhan E, Ulger O. Effects of Clinic-based and Telerehabilitation-based Motor Control Exercises in Individuals with Chronic Low-back Pain: A Randomized Controlled Trial With 3-Month Follow-up. Clin J Pain. 2024 Dec 1;40(12):700-708. doi: 10.1097/AJP.0000000000001245.

Reference Type BACKGROUND
PMID: 39285790 (View on PubMed)

Steele J, Bruce-Low S, Smith D, Jessop D, Osborne N. Isolated Lumbar Extension Resistance Training Improves Strength, Pain, and Disability, but Not Spinal Height or Shrinkage ("Creep") in Participants with Chronic Low Back Pain. Cartilage. 2020 Apr;11(2):160-168. doi: 10.1177/1947603517695614. Epub 2017 Feb 1.

Reference Type BACKGROUND
PMID: 29156985 (View on PubMed)

Steele J, Fisher J, Bruce-Low S, Smith D, Osborne N, Newell D. Variability in Strength, Pain, and Disability Changes in Response to an Isolated Lumbar Extension Resistance Training Intervention in Participants with Chronic Low Back Pain. Healthcare (Basel). 2017 Oct 16;5(4):75. doi: 10.3390/healthcare5040075.

Reference Type BACKGROUND
PMID: 29035297 (View on PubMed)

Fortin M, Rye M, Roussac A, Montpetit C, Burdick J, Naghdi N, Rosenstein B, Bertrand C, Macedo LG, Elliott JM, Dover G, DeMont R, Weber MH, Pepin V. The Effects of Combined Motor Control and Isolated Extensor Strengthening versus General Exercise on Paraspinal Muscle Morphology, Composition, and Function in Patients with Chronic Low Back Pain: A Randomized Controlled Trial. J Clin Med. 2023 Sep 12;12(18):5920. doi: 10.3390/jcm12185920.

Reference Type BACKGROUND
PMID: 37762861 (View on PubMed)

Other Identifiers

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ILEX MCE

Identifier Type: -

Identifier Source: org_study_id

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