The Relationship Between Transversus Abdominis Muscle Architecture and Upper Extremity Function in Patients With 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
- This is an observational study: the protocol does not assign a study treatment.
- Who it may be relevant to
- Registry conditions: Low Back Pain, Functional Reach, Scapular Dyskinesis, Core Muscles. Basic parameters: 18 years — 45 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
- Turkey (Türkiye)
- 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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Official title
The Relationship Between Transversus Abdominis Muscle Architecture and Upper Extremity Function in Patients With Chronic Low Back Pain: A Comparative Ultrasonographic Study
Overview
Core stability is the ability to control the position and movement of the trunk for optimal production, transfer, and control of forces in the upper and lower extremities during functional activities. Studies have shown that TrA activation is delayed in individuals with low back pain. The relationship between core stability and the lower extremity has been frequently studied in the literature, and according to Kibler's 'Kinetic Chain' theory, loss of proximal stability is known to lead to dysfunction in distal segments; however, the relationship between the upper extremity and core stability is still unclear. The aim of our study is to investigate the upper extremity reach capacity and scapular stability of individuals with low back pain in relation to TrA involvement and to compare them with healthy individuals without low back pain.
Detailed description
Core stability is the ability to control the position and movement of the trunk for optimal production, transfer, and control of forces in the upper and lower extremities during functional activities. The most important components of core stability are muscle capacity and neuromuscular control. A stable core region is effective in facilitating extremity function.
Studies have shown that TrA activation is delayed in individuals with low back pain. The relationship between core stability and the lower extremity has been frequently studied in the literature, and according to Kibler's 'Kinetic Chain' theory, loss of proximal stability is known to lead to dysfunction in distal segments; however, the relationship between the upper extremity and core stability is still unclear. In light of all this data, the aim of our study is to investigate the upper extremity reach capacity and scapular stability of individuals with low back pain in relation to TrA involvement and to compare them with healthy individuals without low back pain.
Primary outcome measures
- Severity of back pain [Time frame: It will only be evaluated once.]
- Ultrasound [Time frame: It will only be evaluated once.]
- Funcitonal Reach Test [Time frame: It will only be evaluated once.]
- Kibler's Lateral Scapular Slide Test [Time frame: It will only be evaluated once.]
Eligibility criteria
Inclusion criteria
- Being between 18-45 years of age.
- Having a normal Body Mass Index (BMI) (18.5 - 29.9 kg/m²).
- For the painful group, having pain for a minimum of 3 months and a minimum of 3/10 pain at rest or during activity. • Not having received medical treatment for back or shoulder pain in the last 12 months for healthy control examinations.
Exclusion criteria
- Having neurological diseases.
- Having a diagnosed pathology and/or severe pain in the upper extremity.
- Being a professional athlete.
- Being pregnant.
- Having advanced structural spinal deformities (scoliosis, kyphosis, etc.).
- Having undergone abdominal surgery (Cesarean section is not included).
- Having undergone spinal and/or lumbar surgery.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Observational model
- Case-control
Study locations
Turkey (Türkiye) · 1 center
- GYM Center — Ankara
Publications
- Cacolice PA, Carcia CR, Scibek JS. Shoulder Flexion Torque Is Augmented by a Volitional Abdominal Isometric Contraction. J Strength Cond Res. 2021 Apr 1;35(4):920-923. doi: 10.1519/JSC.0000000000003277. PMID 31490428
- Roche SJ, Funk L, Sciascia A, Kibler WB. Scapular dyskinesis: the surgeon's perspective. Shoulder Elbow. 2015 Oct;7(4):289-97. doi: 10.1177/1758573215595949. Epub 2015 Jul 16. PMID 27582990
Identifiers
NCT: NCT07474610 · AnkaraSBU3