NSLBP: Effect of Segmental Control Program on Hamstring Peak Torque in Patients With Non-specific Low Back Pain

Sponsor

Cairo University (Other)

Overall Status

Not yet recruiting

CT.gov ID

NCT05288946

Collaborator

(none)

Enrollment

Arms

1.6

Anticipated Duration (Months)

Study Details

Study Description

Brief Summary

The purpose of this study is to investigate the effect of segmental control exercises program on hamstring peak torque, pain, function, and ROM in patients with non-specific low back pain.

Condition or Disease	Intervention/Treatment	Phase
Chronic Low-back Pain	Other: local segmental control and closed kinetic chain Other: local segmental control and open kinetic chain Other: traditional therapy	N/A

Detailed Description

Low back pain (LBP) is a significant health problem internationally characterized by various biophysical, psychological, and social dimensions affecting functioning, societal participation, and personal financial prosperity.The reported prevalence of LBP was high, especially for chronic non-specific low back pain, approximately 15.4%. of which chronic low back pain was about 2.5 times more prevalent in the working population compared to the non-working group. Recently, there has been a focus on lumbar stabilization exercises that prove to be effective and may be superior to general exercises for LBP management. The approach is aimed at improving the neuromuscular control, strength, and endurance of the active subsystem stabilizing the spine. Several groups of muscles are particularly targeted namely, the transverses abdominis and the multifidus muscles that are central to maintain spinal and trunk stability. But also other core muscles are involved. so this study will be conducted to investigate the effect of segmental stabilization exercise on low back pain. forty-five patients will be allocated to three groups. first experimental will receive segmental stabilization phase 1 and phase 2, second experimental will receive segmental stabilization phase 1 and 3, the third one is the control group and receives traditional treatment

Study Design

Study Type:

Interventional

Anticipated Enrollment :

45 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Intervention Model Description:

segmental stabilization exercisessegmental stabilization exercises

Masking:

Double (Investigator, Outcomes Assessor)

Masking Description:

random generator

Primary Purpose:

Treatment

Official Title:

Effect of Segmental Control Program on Hamstring Peak Torque,Pain,Function and Range of Motion in Patients With Non-specific Low Back Pain

Anticipated Study Start Date :

Mar 28, 2022

Anticipated Primary Completion Date :

May 15, 2022

Anticipated Study Completion Date :

May 15, 2022

Arms and Interventions

Arm	Intervention/Treatment
Experimental: local segmental control and closed kinetic chain the patients will receive local segmental control and closed kinetic chain three times a week for four weeks	Other: local segmental control and closed kinetic chain the patients will receive Lumbar multifidus activation and Transversus abdominis activation then closed kinetic chain exercise in the form of Stand-up position on unstable surface, Closed chain lunge exercises, with the addition of hand weights, Bridge in prone position, Bridge in supine position, Lateral Bridge Other: traditional therapy the patients will receive exercise in the form of Sitting knee raise on gym ball to maintain stability in the presence of hip movement on a reduced base of support, abdominal slide to control action of the rectus abdominis while moving, Lying trunk curl with leg lift to strengthen upper and lower abdominals (figure 1-6), Basic superman to strengthen the spinal and hip extensors
Experimental: local segmental control and open kinetic chain the patients will receive local segmental control and open kinetic chain three times a week for four weeks	Other: local segmental control and open kinetic chain the patients will receive Lumbar multifidus activation and Transversus abdominis activation then open kinetic chain in the form of Lower limb abduction, Knee extension in a supine position on a roller, Open chain exercise of the upper limb after co-contraction of transversus abdominis and multifidus. Other: traditional therapy the patients will receive exercise in the form of Sitting knee raise on gym ball to maintain stability in the presence of hip movement on a reduced base of support, abdominal slide to control action of the rectus abdominis while moving, Lying trunk curl with leg lift to strengthen upper and lower abdominals (figure 1-6), Basic superman to strengthen the spinal and hip extensors
Active Comparator: traditional therapy the patients will receive traditional therapy three times a week for four week	Other: traditional therapy the patients will receive exercise in the form of Sitting knee raise on gym ball to maintain stability in the presence of hip movement on a reduced base of support, abdominal slide to control action of the rectus abdominis while moving, Lying trunk curl with leg lift to strengthen upper and lower abdominals (figure 1-6), Basic superman to strengthen the spinal and hip extensors

Arm

Intervention/Treatment

Experimental: local segmental control and closed kinetic chain

the patients will receive local segmental control and closed kinetic chain three times a week for four weeks

Other: local segmental control and closed kinetic chain

the patients will receive Lumbar multifidus activation and Transversus abdominis activation then closed kinetic chain exercise in the form of Stand-up position on unstable surface, Closed chain lunge exercises, with the addition of hand weights, Bridge in prone position, Bridge in supine position, Lateral Bridge

Other: traditional therapy

the patients will receive exercise in the form of Sitting knee raise on gym ball to maintain stability in the presence of hip movement on a reduced base of support, abdominal slide to control action of the rectus abdominis while moving, Lying trunk curl with leg lift to strengthen upper and lower abdominals (figure 1-6), Basic superman to strengthen the spinal and hip extensors

Experimental: local segmental control and open kinetic chain

the patients will receive local segmental control and open kinetic chain three times a week for four weeks

Other: local segmental control and open kinetic chain

the patients will receive Lumbar multifidus activation and Transversus abdominis activation then open kinetic chain in the form of Lower limb abduction, Knee extension in a supine position on a roller, Open chain exercise of the upper limb after co-contraction of transversus abdominis and multifidus.

Other: traditional therapy

Active Comparator: traditional therapy

the patients will receive traditional therapy three times a week for four week

Other: traditional therapy

Outcome Measures

Primary Outcome Measures

peak torque [up to four weeks]
isokinetic will be used for measuring hamstring peak torque

Secondary Outcome Measures

pain intensity [up to four weeks]
visual analogue scale will be used for assessment of pain intensity
range of motion [up to four weeks]
goniometer will be used for assessment of knee range of motion
disability [up to four weeks]
oswestry disability scale will be used for assessment of disability, Each patient was asked to answer by checking one box in each section for the statement which best applies to him. Then the marks had been counted and divided by 50 or 45.score ranging from 0 (no pain or disability) to 50 (severe pain and disability) . Then was multiplied by 100 for the percentage (score/ 50) x 100=% points. A score of 0% to 20% is minimal disability, 21%-40%: moderate disability, 41%-60%: severe disability, 61%-80%: crippled and 81%-100%: complete disability.

Eligibility Criteria

Criteria

Ages Eligible for Study:

20 Years to 40 Years

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Inclusion Criteria:

The patients had NS LBP Patients with age from 20 to 40 years for both genders.
The lumbar region of back pain lasts for 4 weeks & more has not been diagnose as a specific disease or spinal abnormality.
Mild to moderate disability according to the Oswestry Disability Index (ODI) (up to 40%).
Shortening of hamstring.
The study populations must be willing to participate in the study.

Exclusion Criteria:

Neurological, systemic illness and infectious diseases such as rheumatologic diseases, tumor, cardiovascular disease.
Psychiatric/mental deficit
Patients who had a previous surgical history (within 6 months) were also excluded prior to the baseline assessment.

Contacts and Locations

Locations

No locations specified.

Sponsors and Collaborators

Cairo University

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

Responsible Party:

Al Shaymaa Shaaban Abd El Azeim, principle investigator, Cairo University

ClinicalTrials.gov Identifier:

NCT05288946

Other Study ID Numbers:

p.t.REC/012/002673

First Posted:

Mar 21, 2022

Last Update Posted:

Mar 21, 2022

Last Verified:

Mar 1, 2022

Studies a U.S. FDA-regulated Drug Product:

Studies a U.S. FDA-regulated Device Product:

Keywords provided by Al Shaymaa Shaaban Abd El Azeim, principle investigator, Cairo University

segmental stabilization exercise

low back pain

peak torque

Additional relevant MeSH terms:

Back Pain

Low Back Pain

Study Results

No Results Posted as of Mar 21, 2022