Global Postural Reeducation Versus Pilates in Patients With Non-specific 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: global postural reeducation exercise, pilates exercises, conventional therapy.
- Who it may be relevant to
- Registry conditions: Low Back Pain. Basic parameters: 18 years — 50 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 →
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Overview
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.
Interventions
- Other 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+ c - 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 - 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).
Primary outcome measures
- pain intensity [Time frame: up to six weeks]
Secondary outcome measures (4)
- disability [Time frame: up to six weeks]
- anterior pelvic tilt [Time frame: up to six weeks]
- lumbar lordosis [Time frame: up to six weeks]
- hip flexor flexibility [Time frame: up to six weeks]
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.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Treatment
Study locations
Center list to be confirmed — check the primary protocol.
Identifiers
NCT: NCT07047287 · P.T.REC/012/005702