Effects Of Sahrmann's Versus McGill Exercise In Patients With Non-Specific Low Back Pain

Официальное название

Effects Of Sahrmann's Versus McGill Exercise On Pain, Disability, And Range Of Motion In Patients With Non-Specific Low Back Pain

Обзор

The goal of this clinical trial is to learn whether Sahrmann exercises or McGill exercises are more effective for reducing pain and improving function in adults with non-specific low back pain. It will also evaluate which exercise program is more effective in improving spinal range of motion. The main questions it aims to answer are: Do Sahrmann exercises reduce pain more effectively than McGill exercises? Do Sahrmann exercises improve disability more effectively than McGill exercises? Do Sahrmann exercises improve lumbar range of motion more effectively than McGill exercises? Researchers will compare a Sahrmann exercise program with a McGill exercise program to determine which approach produces better outcomes in patients with non-specific low back pain. Participants will: Be randomly assigned to either a Sahrmann exercise group or a McGill exercise group. Receive standard physical therapy treatment, including heat therapy and transcutaneous electrical nerve stimulation (TENS). Perform the assigned exercise program under the supervision of a physiotherapist. Attend exercise sessions 3-5 times per week during the study period. Complete assessments of pain, disability, and lumbar range of motion before and after the intervention. Have pain measured using the Numeric Pain Rating Scale (NPRS), disability measured using the Oswestry Disability Index (ODI), and lumbar range of motion measured using a Baseline Bubble Inclinometer.

Подробное описание

Non-specific low back pain (NSLBP) is one of the most prevalent musculoskeletal disorders and a major cause of disability worldwide. It is characterized by pain localized between the lower rib margins and the gluteal folds without a specific identifiable pathology. Individuals with NSLBP often experience pain, reduced spinal mobility, impaired motor control, and functional limitations that negatively affect daily activities and quality of life.

Exercise-based rehabilitation is widely recommended as a first-line treatment for NSLBP. Core stabilization exercises have gained considerable attention because deficits in trunk muscle function and lumbopelvic stability are believed to contribute to the persistence and recurrence of low back pain. Among the commonly used approaches, Sahrmann exercises and McGill exercises are designed to improve spinal stability through different mechanisms.

The Sahrmann approach emphasizes motor control training and the correction of movement impairments through progressive lumbopelvic stabilization exercises. The McGill approach focuses on enhancing spinal stability and muscular endurance while minimizing spinal loading through a series of stabilization exercises commonly referred to as the McGill Big Three. Although both approaches are frequently used in rehabilitation practice, evidence directly comparing their effectiveness in individuals with NSLBP remains limited.

This randomized controlled trial aims to compare the effects of Sahrmann exercises and McGill exercises on clinical outcomes in adults with non-specific low back pain. Participants will be randomly allocated to one of two treatment groups and will receive a supervised exercise program in addition to standard physical therapy care. Clinical assessments will be conducted before and after the intervention period to evaluate changes in pain, functional disability, and lumbar mobility.

The findings of this study may help identify the more effective exercise-based rehabilitation approach for individuals with non-specific low back pain and provide evidence to support clinical decision-making in physical therapy practice.

Вмешательства

• Другое Sahrmann's Exercises
  Group A will receive sahrmann's exercises after the baseline treatment. It will be including 5 levels: Level 1 The participant slowly raised one leg to a position of approximately 90° hip flexion with 90° knee flexion. Level 2 From the final position of the previous level, the participant slowly lowered one leg such that the heel contacted the ground/plinth. Level 3 From the end position of level 1, the participant slowly lowered one leg such that the heel reached approximate 12cm above the g
• Другое McGill Exercises
  Patients will receive three exercises for rehabilitating lower back pain, termed the McGill Big Three (MGB3). Mcgill begins with motion exercise (cat-camel motion exercise. It consists of six to eight cycle of spinal flexion and extension in quadruped position. 1. Curl-up In which patient flexes one knee while keeping the other straight to minimize loss neutral posture. Then, the patient gently raises just the head and shoulders a short distance off the floor. 2. Side plank The patient lying o

Первичные конечные точки

• Numerical Pain Rating Scale (NPRS) [Срок оценки: upto 6 weeks]

Вторичные конечные точки (2)

• Oswestry Disability Index (ODI) [Срок оценки: upto 6 weeks]
• Baseline Bubble Inclinometer [Срок оценки: upto 6 weeks]

Критерии участия

Критерии включения

• Diagnosed patients of non-specific low back pain Adults between 18-35 years. Both male and female included Low back pain for minimum of three months NPRS score 3-7 will be recruited in this study.

Критерии исключения

History of any trauma and spinal injury History of previous lumbar surgery History of cancer, spinal infection, rheumatologic diseases, spine fracture, red flag signs.

Congenital anomly (scoliosis, kyphosis) Systemic diseases affecting bones \& joints such as 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

Простое слепое

Основная цель

Лечение

Центры проведения

Список центров уточняется — проверьте первичный протокол.

Публикации

• Bielewicz J, Daniluk B, Kamieniak P. VAS and NRS, Same or Different? Are Visual Analog Scale Values and Numerical Rating Scale Equally Viable Tools for Assessing Patients after Microdiscectomy? Pain Res Manag. 2022 Mar 29;2022:5337483. doi: 10.1155/2022/5337483. eCollection 2022. PMID 35391853
• Hernandez-Lucas P, Leiros-Rodriguez R, Mota J, Garcia-Soidan JL. Effects of a back school-based intervention on non-specific low back pain in adults: a randomized controlled trial. BMC Complement Med Ther. 2023 Jul 10;23(1):229. doi: 10.1186/s12906-023-04061-1. PMID 37430269
• Niroomand T, Rabiei M, Mohammadi BJJoAST. Investigating the Effects Janda's and Sahrmann's Correcting Exercise Approaches on Trunk Muscles Function in Young Girls with Lower Crossed Syndrome. 2023;7(3):48-58.
• Ghorbanpour A, Azghani MR, Taghipour M, Salahzadeh Z, Ghaderi F, Oskouei AE. Effects of McGill stabilization exercises and conventional physiotherapy on pain, functional disability and active back range of motion in patients with chronic non-specific low back pain. J Phys Ther Sci. 2018 Apr;30(4):481-485. doi: 10.1589/jpts.30.481. Epub 2018 Apr 13. PMID 29706690
• Ahmad SNS, Letafatkar A, Brewer BW, Sharifnezhad A. Comparison of cognitive functional therapy and movement system impairment treatment in chronic low back pain patients: a randomized controlled trial. BMC Musculoskelet Disord. 2023 Aug 29;24(1):684. doi: 10.1186/s12891-023-06815-x. PMID 37644472
• Alkhathami K, Alshehre Y, Brizzolara K, Weber M, Wang-Price S. Effectiveness of Spinal Stabilization Exercises on Movement Performance in Adults with Chronic Low Back Pain. Int J Sports Phys Ther. 2023 Feb 1;18(1):169-172. doi: 10.26603/001c.68024. eCollection 2023. PMID 36793568
• Chan EWM, Hamid MSA, Nadzalan AM, Hafiz E. Abdominal muscle activation: An EMG study of the Sahrmann five-level core stability test. Hong Kong Physiother J. 2020 Dec;40(2):89-97. doi: 10.1142/S1013702520500080. Epub 2020 Mar 10. PMID 33005073
• Hlaing SS, Puntumetakul R, Khine EE, Boucaut R. Effects of core stabilization exercise and strengthening exercise on proprioception, balance, muscle thickness and pain related outcomes in patients with subacute nonspecific low back pain: a randomized controlled trial. BMC Musculoskelet Disord. 2021 Nov 30;22(1):998. doi: 10.1186/s12891-021-04858-6. PMID 34847915

Идентификаторы

NCT: NCT07659327 · REC/RCR & AHS/25/0137

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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