Effect of Lumbar Spine Correction Training on Postural Awareness and Stability in Patients With Low Back Pain

Обзор

PURPOSE: to investigate The Efficacy of lumbar spine correction training on postural awareness and stability in patients with low back pain. Patients with low back pain demonstrate impairments in function and range of motion to deficits in patient's quality of life. HYPOTHESES: It will be hypothesized that there will be no statically Effect of lumbar spine correction training on postural awareness and stability in patients with low back pain

Подробное описание

Progressive postural control exercise (PPCE) including lumbar correction training, is a novel strategy for patients with LBP. It originates from motor control exercise and resistance training with a theme of challenging postural control with phased progression, a beneficial effect for strength or resistance and coordination or stability exercise programs over other interventions be used in the treatment of LBP. Motor control exercises were also reported to produce slightly better short-term function and perceptions of an effect than general exercise in patients with chronic non-specific back pain. The progression of the training load was suggested to improve postural control in young individuals as it was better on neuromuscular plasticity than general exercise

Вмешательства

• Другое lumbar spine correction training
  The patients will be mainly trained with trunk control exercise inform of: the trunk muscle against gravity and a Swiss ball for training on an unstable surface. Also the program will include Postural correction exercise inform of: Abdominal drawing-in breathing, upper body raising, bridge exercise, quadruped and spinal extension exercises will carried out
• Другое conventional treatment
  Therapeutic Ultrasound device with patient prone lying position paravertebral in posterior aspect of back, Transcutaneous Electrical Nerve Stimulation (TENS) in the prone position, the electrodes will be positioned on the patient's pain area with a frequency of 100Hz , Heat application: in the form of (hot packs) for 15 minutes on posterior aspect of back as the patient will be in prone lying position and Core strengthening exercises

Первичные конечные точки

• postural habits and awareness scale (PHAS) [Срок оценки: four weeks]
• Oswestry Low Back Pain Disability Questionnaire [Срок оценки: four weeks]
• multidirectional reach test [Срок оценки: four weeks]

Вторичные конечные точки (1)

• visual analogue scale (VAS) [Срок оценки: four weeks]

Критерии участия

Критерии включения

• Their ages range from 25 to 45 years.
• Both sex
• Low back pain for more than 6 months.
• Normal body mass index (18.5 - 29 Kg/m2).

Критерии исключения

• Patients with any other Neurological deficits, psychiatric disease lumbar myelopathy, Cognitive problems, vertebral fractures and previous history of spine or lumbar surgery.
• Clinical instability, recent trauma
• Structural abnormalities of the spine, osteoporosis, and spasmodic torticollis.
• Inflammatory or other specific disorders of spina such as ankylosing spondylitis and rheumatoid arthritis

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

Открытое

Основная цель

Лечение

Центры проведения

Список центров уточняется — проверьте первичный протокол.

Идентификаторы

NCT: NCT07552064 · O6U.PT. REC/025/002017

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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