Correlation Between Motor Control Dysfunction and Radiographic Parameter in Non Specific Chronic Low Back Pain
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Pressure biofeedback assessment.
- Who it may be relevant to
- Registry conditions: Chronic Non Specific Low Back Pain. Basic parameters: 20 years — 40 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Center list to be confirmed — check the primary protocol.
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Overview
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.
Interventions
- Diagnostic test 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.
Primary outcome measures
- Lumbar Lordotic Angle [Time frame: At baseline (during initial assessment visit)]
- Pelvic Incidence Angle [Time frame: At baseline (during initial assessment visit)]
- Pelvic Tilt Angle [Time frame: At baseline (during initial assessment visit)]
- Sacral Slope Angle [Time frame: At baseline (during initial assessment visit)]
- Lumbar Motor Control Assessment via Pressure Biofeedback during ADIM [Time frame: At baseline (during initial assessment visit)]
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
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Observational model
- Case-only
Study locations
Center list to be confirmed — check the primary protocol.
Publications
- 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. PMID 26742533
Identifiers
NCT: NCT07013786 · CUFPT-TRIAL001