Correlation Between Motor Control Dysfunction and Radiographic Parameter in Non Specific Chronic Low Back Pain

NCT ID: NCT07013786

Last Updated: 2025-06-10

Basic Information

• Recruitment Status: NOT_YET_RECRUITING
• Total Enrollment: 64 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2025-06-01
• Study Completion Date: 2025-07-30

Brief Summary

This study aims to investigate the relationship between motor control dysfunction (MCD) and radiographic parameters in non-specific chronic low back pain (NSCLBP). Participants will undergo specific clinical motor control tests and lumbar spine X-rays to evaluate the alignment and coordination of spinal and pelvic structures. Understanding this relationship may help improve rehabilitation strategies and reduce pain in affected individuals.

Detailed Description

Non-specific chronic low back pain (NSCLBP) is a common musculoskeletal condition associated with impaired neuromuscular coordination and motor control dysfunction (MCD). This study seeks to determine the correlation between MCD and radiographic parameters including pelvic incidence (PI), pelvic tilt (PT), sacral slope (SS), and lumbar lordotic angle (LLA).

A total of 64 participants aged 20-40 with NSCLBP will be evaluated at the Faculty of Physical Therapy, Cairo University. Motor control will be assessed using a pressure biofeedback unit in two positions (crock lying and prone) via the Abdominal Draw-in Maneuver (ADIM). Radiographic measurements will be taken using lateral lumbar spine X-rays in standing posture.

The aim is to identify whether poor activation of deep stabilizing muscles (Transverse Abdominus and Multifidus) correlates with abnormal pelvic alignment and altered spinal curvature. Outcomes may support more effective personalized rehabilitation protocols targeting neuromuscular control to improve spine-pelvis function in NSCLBP patients.

Statistical analysis will include Pearson correlation to test for associations between motor control test performance and radiographic angle values.

Conditions

Chronic Non Specific Low Back Pain

Study Design

• Observational Model Type: CASE_ONLY
• Study Time Perspective: CROSS_SECTIONAL

Study Groups

NSCLBP Patients

Patients aged 20-40 years diagnosed with non-specific chronic low back pain (NSCLBP). Participants will undergo assessment of lumbar motor control using a pressure biofeedback unit in two positions (crock lying and prone). Additionally, radiographic imaging will be performed to measure lumbopelvic parameters, including pelvic incidence (PI), pelvic tilt (PT), sacral slope (SS), and lumbar lordotic angle (LLA), to analyze their correlation with motor control dysfunction.

Pressure biofeedback assessment

Intervention Type: DIAGNOSTIC_TEST

Participants will be assessed for lumbar motor control using a pressure biofeedback unit (PBU) during the Abdominal Draw-In Maneuver (ADIM) in both crock lying and prone positions. This is a non-invasive test to evaluate deep core muscle function (TrA and MF) in patients with NSCLBP. No therapeutic intervention will be administered.

Interventions

Pressure biofeedback assessment

Participants will be assessed for lumbar motor control using a pressure biofeedback unit (PBU) during the Abdominal Draw-In Maneuver (ADIM) in both crock lying and prone positions. This is a non-invasive test to evaluate deep core muscle function (TrA and MF) in patients with NSCLBP. No therapeutic intervention will be administered.

Intervention Type: DIAGNOSTIC_TEST

Eligibility Criteria

Inclusion Criteria

• . Patients diagnosed with non-specific chronic low back pain (NSCLBP) for more than 3 months

• Age between 20 and 40 years
• Both males and females
• Body mass index (BMI) between 18.5 and 29.9
• No physical therapy or medical treatment during the last 3 months
• Able and willing to provide informed consent

Exclusion Criteria

• • Patients with specific causes of low back pain (e.g., disc herniation, fractures, tumors, infections)

• History of spinal or lower limb surgery or injury
• Radiculopathy or neurological disorders affecting motor control
• Diagnosed spinal deformities (e.g., scoliosis, spondyloarthropathy, ankylosing spondylitis)
• Contraindications to X-ray (e.g., pregnancy)
• Patients currently undergoing physical therapy or medical intervention

• Minimum Eligible Age: 20 Years
• Maximum Eligible Age: 40 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Mohammad Abdelazeem Darwish Saad

OTHER

Sponsor Role: lead

Responsible Party

Mohammad Abdelazeem Darwish Saad

Correlation between motor control dysfunction and radiographic parameter in non specific chronic low back pain

Responsibility Role: SPONSOR_INVESTIGATOR

Principal Investigators

Enas Fawzy Youssef, Phd,MSc,PSc

Role: PRINCIPAL_INVESTIGATOR

Cairo university- Faculty of physical therapy

Nevien Ezzat Elliethy, Phd,MSc,PSc

Role: PRINCIPAL_INVESTIGATOR

Cairo university- faculty of medicine,department of radiology

Tasneem Ehab Mohammad, Phd,MSc,PSc

Role: PRINCIPAL_INVESTIGATOR

Cairo university- Faculty of physical therapy

Central Contacts

Mohammad Abdelazeem Saad, MSc, BSc

Role: CONTACT

Saad.mohabd@gmail.com

01008926933

Mahmoud Mohammad Ali, Phd,MSc,PSc

Role: CONTACT

01097246005

References

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)

Other Identifiers

CUFPT-TRIAL001

Identifier Type: -

Identifier Source: org_study_id