Lumber Stabilization Exercise Versus Back Endurance Exercise Among Female University Students

NCT ID: NCT07163117

Last Updated: 2025-09-15

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 60 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-09-09
• Study Completion Date: 2026-01-15

Brief Summary

Low Back Pain (LBP) as estimates show that up to 84% of adults will experience LBP at some point in their lifetime, ranking it as a leading cause of disability globally. If the pain lasts more than 12 weeks and remains difficult to manage effectively, it can be called Chronic low back pain (CLBP). Physical therapy interventions play an important role in the non-pharmacological management of CLBP including lumbar stabilization exercises (LSEs) and back extension/endurance exercises which are commonly prescribed modalities that may help in improving the spinal function, reducing pain and improving the quality of life in general.

Detailed Description

LSEs can be considered as an isometric contraction that might be used to strengthen the deep core muscles surrounding the lumbar spine. Studies showed that although most conventional therapies can improve lumbar stability and reduce the severity of CLBP, LSEs are the most effective technique. However, both back extension and endurance exercises can play a significant role in strengthening the superficial back muscles particularly in the lower back region via dynamic movements.

Conditions

Chronic Low Back Pain (CLBP)

Study Design

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

Study Groups

Group A (Lumbar stabilization group)

This group will receive lumbar stabilization exercises in addition to home based program two times per week for four consecutive weeks.

Group Type: EXPERIMENTAL

lumbar stabilization exercises

Intervention Type: OTHER

The participants required to be in a prone position with pillow under abdomen, first raise one leg then the other leg, raise one arm then the other arm, after that raise two legs together, then raise two arms together, raise right arm with left leg then left arm with right leg, then raise both arms and both legs together, every position hold for 20 seconds. Then they required to be in a half kneeling on standing for right leg hold for 20 second and repeat for other leg, do it again but their knees doesn't touch the ground. Finally they required to lie on their backs, and bend their knees at around a 90 degree angle. Place their hands to their sides and their feet flat on the floor at about shoulder width and asked to raise their hips off the floor, hold 20 second.

Home based program

Intervention Type: OTHER

General and similar exercises for back muscles introduced for this group. They instructed to do knee to chest stretch, lower back rotational stretch, bridge exercise. The required measure data were obtained from the selected cases in this group before and after the end of rehabilitation program.

Group B (Trunk endurance)

This group will receive trunk endurance exercises for back flexors and extensors in addition to home based program two times per week for four consecutive weeks.

Group Type: EXPERIMENTAL

endurance training

Intervention Type: OTHER

1. Back extensor endurance training exercise:

The participants lay prone over the end of a treatment table with the anterior superior iliac spine supported on the bench edge. Their ankles were fixed by the researcher. They maintained the horizontal position for as long as possible, beginning timing when the horizontal unsupported position was achieved and ending when they dropped below the horizontal plane. The duration of holding was measured in seconds.

2. Back flexor endurance training exercise:

The participants asked to sit on the table with your arms crossed against their chest and their back against the wedge. Fix them to the table with a belt across the feet. They asked to remove the wedge from their back using the timing device to record how much time is accumulated until the original position can no longer be maintained.

Home based program

Intervention Type: OTHER

General and similar exercises for back muscles introduced for this group. They instructed to do knee to chest stretch, lower back rotational stretch, bridge exercise. The required measure data were obtained from the selected cases in this group before and after the end of rehabilitation program.

Group C (control group)

This group will receive home based program two times per week for four consecutive weeks.

Group Type: ACTIVE_COMPARATOR

Home based program

Intervention Type: OTHER

General and similar exercises for back muscles introduced for this group. They instructed to do knee to chest stretch, lower back rotational stretch, bridge exercise. The required measure data were obtained from the selected cases in this group before and after the end of rehabilitation program.

Interventions

lumbar stabilization exercises

The participants required to be in a prone position with pillow under abdomen, first raise one leg then the other leg, raise one arm then the other arm, after that raise two legs together, then raise two arms together, raise right arm with left leg then left arm with right leg, then raise both arms and both legs together, every position hold for 20 seconds. Then they required to be in a half kneeling on standing for right leg hold for 20 second and repeat for other leg, do it again but their knees doesn't touch the ground. Finally they required to lie on their backs, and bend their knees at around a 90 degree angle. Place their hands to their sides and their feet flat on the floor at about shoulder width and asked to raise their hips off the floor, hold 20 second.

Intervention Type: OTHER

endurance training

1. Back extensor endurance training exercise:

The participants lay prone over the end of a treatment table with the anterior superior iliac spine supported on the bench edge. Their ankles were fixed by the researcher. They maintained the horizontal position for as long as possible, beginning timing when the horizontal unsupported position was achieved and ending when they dropped below the horizontal plane. The duration of holding was measured in seconds.

2. Back flexor endurance training exercise:

The participants asked to sit on the table with your arms crossed against their chest and their back against the wedge. Fix them to the table with a belt across the feet. They asked to remove the wedge from their back using the timing device to record how much time is accumulated until the original position can no longer be maintained.

Intervention Type: OTHER

Home based program

General and similar exercises for back muscles introduced for this group. They instructed to do knee to chest stretch, lower back rotational stretch, bridge exercise. The required measure data were obtained from the selected cases in this group before and after the end of rehabilitation program.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• BMI ranged from 28 to 29 kg/ cm2.
• clinically diagnosed by an orthopedic consultant as having a history of mechanical low back pain for at least three months.

Exclusion Criteria

• Previous trauma.
• Previous surgery.
• Any musculoskeletal disorder
• Any neurological disorder (disc prolapse, or spondylosis)

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 24 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: No

Sponsors

Cairo University

OTHER

Sponsor Role: lead

Responsible Party

Nesma Morgan Allam

Assistant Professor of physical therapy for surgery, Faculty of physical therapy

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Faculty of physical therapy, Cairo University

Cairo, , Egypt

Site Status: RECRUITING

Countries

Egypt

Central Contacts

Nesma M Allam, PhD

Role: CONTACT

dr.nesma2011@yahoo.com

01281968332

Facility Contacts

Nesma M Allam, PhD

Role: primary

dr.nesma2011@yahoo.com

01281968332

Other Identifiers

7419

Identifier Type: -

Identifier Source: org_study_id