Global Postural Reeducation Versus Pilates in Patients With Non-specific Low Back Pain

Обзор

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

Подробное описание

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.

Вмешательства

• Другое 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
• Другое 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
• Другое 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).

Первичные конечные точки

• pain intensity [Срок оценки: up to six weeks]

Вторичные конечные точки (4)

• disability [Срок оценки: up to six weeks]
• anterior pelvic tilt [Срок оценки: up to six weeks]
• lumbar lordosis [Срок оценки: up to six weeks]
• hip flexor flexibility [Срок оценки: up to six weeks]

Критерии участия

Критерии включения

• 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

Критерии исключения

• 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.

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

Список центров уточняется — проверьте первичный протокол.

Идентификаторы

NCT: NCT07047287 · P.T.REC/012/005702

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

Открыть это исследование на ClinicalTrials.gov ↗