The Effect of Sensory Motor Training on Postural Stability in Post-menopausal Women With Non-specific Low Back Pain

Обзор

The study will be conducted to determine the effect of sensory-motor training on postural stability in post-menopausal women with non-specific low back pain.

Подробное описание

Low back pain (LBP) primarily affects postmenopausal women between the ages of 45-60, and it causes distress on social and economic levels Postmenopausal women with non-specific low back pain (NSLBP) and decreased function often feel anxious and sad, which affects their work, sexual and social lives Neuromuscular rehabilitation techniques addressing sensory deficiencies have emerged in recent years and have received increasing therapeutic attention. These techniques could broadly be summarized as sensorimotor training (SMT) methods aiming at increased proprioceptive input to improve motor response in dynamic environments. This might lead to improved quality of postural control, which in turn may alleviate postural specific musculoskeletal pain.

As it promotes proximal stability and distal mobility, Core muscles Stabilization Exercises (CSE) are becoming a more significant part of the treatments. The use of CSE is promoted as a general physical therapy approach for NSLBP. Overtime, CES have improved, focusing more and more on maintaining spinal stability. Theoretical ideas for the treatment of spinal ailments that aid in reducing pain and enhancing function in patients with LBP significantly support the use of CSE. CSE trains muscle activity patterns without unnecessarily overloading the tissue, enhances aerobic fitness, spinal mobility, muscle strength, motor co-ordination and can help to stabilize the spine at a quite cost affordable price and reduce low back pain.

Вмешательства

• Другое Core strengthening exercise
  The participants will perform warm-up exercises including Cat and Camel, spinal movement (spinal flexion and extension cycles), and stretching exercises for the calf, hamstrings, quadriceps and lower back for about 5 minutes. After that, the women will be asked to perform core stability exercises including abdominal hollowing, bilateral knee raise, supine extension Bridge, straight leg rise from prone and alternate arm and leg raise from quadruped. Each exercise will be repeated for 10 times wit
• Другое sensory motor training
  The participants will perform warm-up exercises including neck rotations, arm circles, ankle rotations, trunk rotations, trunk bending and extending for 5-10 mins. After warm up the women performs Bosu ball exercises including Bosu ball one Leg Bridge, Bosu Crunch, Bosu Sit ups, Bosu compressions, Bosu side crunch and Bosu bodyweight squat . Each exercise will be repeated for 6 repetitions in each set. At least 3 sets of each exercise are performed per session. Each exercise will be increased by

Первичные конечные точки

• Anterior posterior stability index (APSI) [Срок оценки: 8 weeks]
• Mediolateral stability index (MLSI) [Срок оценки: 8 weeks]
• Overall stability index (OASI) [Срок оценки: 8 weeks]
• Pain intensity level [Срок оценки: 8 weeks]
• Pain pressure threshold (PPT) [Срок оценки: 8 weeks]

Вторичные конечные точки (1)

• Assessment of function disability [Срок оценки: 8 weeks]

Критерии участия

Критерии включения

• All women suffering from non-specific low back pain for at least 3 months.
• Their ages will be ranged from 50-65 years.
• They will be at least 3 years post menopause.
• Their body mass index (BMI) will be less than 30 kg/m2.

Критерии исключения

• Musculoskeletal injuries.
• Cardiovascular, respiratory or neurological disorders or psychiatric problem.
• Spinal deformity, bone fracture.
• Back surgery experience.
• Hormone replacement therapy and females with cancer.
• Sensory neuropathy and nervous system problems.
• Middle ear or vestibular problems.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Лечение

Центры проведения

Египет · 1 центр

• Mohamed Khalaf Sayed — Cairo

Идентификаторы

NCT: NCT06769230 · P.T.REC/012/005567

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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