Global Postural Reeducation Versus Pilates in Patients With Non-specific Low Back Pain

NCT ID: NCT07047287

Last Updated: 2025-07-02

Basic Information

• Recruitment Status: NOT_YET_RECRUITING
• Clinical Phase: NA
• Total Enrollment: 60 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-06-30
• Study Completion Date: 2025-09-30

Brief Summary

to compare between Global Postural Reeducation and Pilates mat on pelvic angles, pain intensity, hip flexibility and Functional disability in patients with chronic non-specific low back pain

Detailed Description

Chronic low back pain is a common health problem in many developed and developing countries. Individuals suffering from chronic low back pain experience major physical, social, mental, and occupational disruptions. It is not only one of the leading causes of pain but also of a costly burden on the health care budget as chronic low back pain leads to a frequent demand for medical services. The majority of patients (up to 90%) are categorized as having nonspecific low back pain.Global postural reeducation (GPR) is a conservative treatment that we can consider as a global postural exercise method, and widely used in physical therapy clinical practice in many countries. Pilates is a concept of body and mind exercise and a system of repetitive exercises including whole-body movements, breathing, centering, rhythm, and concentration. Pilates is a mindful approach exercise that promote strength, stability and is used for health enhancement and in several diseases.

Conditions

Low Back Pain

Study Design

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

Study Groups

global postural reeducation exercise

Twenty patients suffer from nonspecific low back pain and will be received Global postural reeducation exercise and conventional physiotherapy treatment two times a week for six weeks

Group Type: EXPERIMENTAL

global postural reeducation exercise

Intervention Type: OTHER

The global postural reeducation exercise involves a sequence of active, moderate postures as well as exercises that are designed to realign joints, stretch shortened muscles, in addition, strengthen the contraction of the antagonist's muscles to prevent postural asymmetry. There are eight different therapeutic postures in the GPR approach that should be held for 15 to 20 min while lying, sitting, or standing. Only two or three postures have been proposed to encourage treatment standardization+ conventional therapy

conventional therapy

Intervention Type: OTHER

the patients will receive conventional physiotherapy treatment which consists of routine physical therapy eg. (Back, hamstring, calf and hip flexors stretches, Abdominal curl up exercises etc along with ultrasound and Transcutaneous electrical nerve stimulation (TENS).

pilates exercises

Twenty patients suffer from nonspecific low back pain and will receive Pilates exercise and conventional physiotherapy treatment two times a week for six weeks

Group Type: EXPERIMENTAL

pilates exercises

Intervention Type: OTHER

the patients will receive pilates in the form of single leg stretch + Pelvic press + Swimming + Opposite arm and leg reach + Side to side), 3 sets of 10 repetitions

conventional therapy

Intervention Type: OTHER

the patients will receive conventional physiotherapy treatment which consists of routine physical therapy eg. (Back, hamstring, calf and hip flexors stretches, Abdominal curl up exercises etc along with ultrasound and Transcutaneous electrical nerve stimulation (TENS).

conventional therapy

Twenty patients suffer from nonspecific low back pain and will receive conventional physiotherapy treatment two times a week for six weeks.

Group Type: ACTIVE_COMPARATOR

conventional therapy

Intervention Type: OTHER

the patients will receive conventional physiotherapy treatment which consists of routine physical therapy eg. (Back, hamstring, calf and hip flexors stretches, Abdominal curl up exercises etc along with ultrasound and Transcutaneous electrical nerve stimulation (TENS).

Interventions

global postural reeducation exercise

The global postural reeducation exercise involves a sequence of active, moderate postures as well as exercises that are designed to realign joints, stretch shortened muscles, in addition, strengthen the contraction of the antagonist's muscles to prevent postural asymmetry. There are eight different therapeutic postures in the GPR approach that should be held for 15 to 20 min while lying, sitting, or standing. Only two or three postures have been proposed to encourage treatment standardization+ conventional therapy

Intervention Type: OTHER

pilates exercises

the patients will receive pilates in the form of single leg stretch + Pelvic press + Swimming + Opposite arm and leg reach + Side to side), 3 sets of 10 repetitions

Intervention Type: OTHER

conventional therapy

the patients will receive conventional physiotherapy treatment which consists of routine physical therapy eg. (Back, hamstring, calf and hip flexors stretches, Abdominal curl up exercises etc along with ultrasound and Transcutaneous electrical nerve stimulation (TENS).

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• 18-50 years old, Low back pain for more than 3 months (pain felt between T12 and the gluteal fold).
• Patients willing and able to participate in an exercise program safely and without cognitive impairments that would limit their participation.
• BMI index smaller than 30 kg/m2
• Both male and female gender were included in the study.
• Nonspecific, non-radicular (axial) chronic LBP diagnosis (LBP for at least three months).
• Visual Analog Scale (VAS) score of 3 or higher

Exclusion Criteria

• History of back surgery
• Rheumatologic disorders,
• Spine infections
• Spine exercise training in the 3 months before the onset of the study.
• Under psychiatric care.
• Neurological conditions that would interfere with the assessments, such as major sensory changes, and level of consciousness/ understanding
• Advanced joint disease.
• History of severe physical and nervous system diseases
• Unable to cooperate with the study protocols.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 50 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Cairo University

OTHER

Sponsor Role: lead

Responsible Party

ibrahim mostafa mohamed

principle investigator : ibrahim mostafa mohamed

Responsibility Role: PRINCIPAL_INVESTIGATOR

Central Contacts

ibrahim mostafa, master

Role: CONTACT

Ielmoniry@gmail.com

01111314524

Other Identifiers

P.T.REC/012/005702

Identifier Type: -

Identifier Source: org_study_id