Bronkow Program and Lumbar Stabilization Exercises in Chronic Non Specific Low Back Pain

Chronic Low-back Pain Clinical Trial

Official title:

Comparative Effects of Brunkow Program and Lumbar Stabilization Exercises on Pain, Range of Motion and Disability in Chronic Nonspecific Low Back Pain

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT06110026
• Other study ID #: REC/RCR&AHS/23/0146
• Status: Recruiting
• Phase: N/A
• Start date: May 8, 2023
• Est. completion date: January 8, 2024

Study information

• Verified date: October 2023
• Source: Riphah International University
• Contact: Imran Amjad, PHD
• Phone: 03324390125
• Email: imran.amjad[@]riphah.edu.pk
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The aim of this study is to compare the effects of brunkow exercise program and lumbar stabilization exercises on pain, range of motion and disability in patients with chronic non- specific low back pain

Description:

The majority of research studies have primarily focused on lumbar stabilization exercises used as a standard treatment with mobilization. To the best of our knowledge it has shown that lumbar stabilization exercises alone are less efficient than lumbar stabilization exercises in strengthening muscular strength and decreasing pain in female patients with persistent low back pain than lumbar stabilization exercises combined with pain neuroscience education. However, more extensive research on a range of educational and activity programs was required. Stabilization exercises with other modalities, manual techniques, mobilizations, or exercise therapy have been practiced in the treatment of chronic non specific low back pain were found effective individually, but there was a lack of comprehensive studies including randomized clinical trials directly comparing the brunkow exercises program with stabilization exercises in patients with chronic non- specific low back pain. This study investigates and adds up an effective and evolutionary treatment protocol in the world of physical therapy for the management of chronic non-specific low back pain rather than other conventional therapy providing to the patients with chronic low back pain now a days.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 36
• Est. completion date: January 8, 2024
• Est. primary completion date: December 23, 2023
• Accepts healthy volunteers: No
• Gender: All
• Age group: 20 Years to 45 Years

Eligibility

Inclusion Criteria:

• Age 20 to 45 years
• Both male and female
• Low back pain > 6 months
• NPRS>3
• The symptoms of pain are lessened or disappeared after bed rest, while pain symptoms are aggravated after bending over, sitting for a long time, or standing for a long time.

Exclusion Criteria:

• Pelvic bone fracture
• Pregnancy
• Pelvic implants
• Lumbosacral disc herniation
• Sacroiliac joint inflammation
• Lumbar spine fracture
• Inflammatory bowel disease
• Malignancy
• Ankylosing spondylitis

Related Conditions & MeSH terms

• Back Pain
• Chronic Low-back Pain
• Low Back Pain
• Non Specific Low Back Pain

Intervention

Other:
• Brunkow Exercise Program
The brunkow exercise program will be comprised of four exercise programs. Each exercise will be performed with two sets of 15 reps, 10 sec per rep 40 min per day, thrice per week for a total of four weeks.
• Lumbar Stabilization Exercises
The lumbar stabilization exercises will be comprised of four exercise programs. Each exercise will be performed with two sets of 15 reps, 10 sec per rep 40 min per day, thrice per week for a total of four weeks.

Locations

Country	Name	City	State
Pakistan	University of Lahore Teaching Hospital	Lahore	Punjab

Sponsors (1)

Lead Sponsor	Collaborator
Riphah International University

Country where clinical trial is conducted

Pakistan, 

References & Publications (30)

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* Note: There are 30 references in all — Click here to view all references

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Numeric rating scale (NRS-11)	It is is an eleven-point scale in which the end points are the extremes of no pain at all (score of 0) and the worst pain the patient has ever experienced (score of 10). NRS-11 pain severity score of "4" is frequently given special significance in this regard, suggesting it as a potential threshold value for pain severity in clinical practice. (28).; This scale has high reliability (0.95-0.96) and validity (0.86-0.96).	4 weeks
Primary	Modified oswestry disability index	The ODI is a disease-specific disability measure is used to establish a level of disability, stage a patient's acuity status and monitor change over time. The ODI is made up of 10 questions. Each question is scored from 0-5 (minimum to maximum). This tool is considered as a gold standard for back pain functional. Test-retest reliability has been shown to be high. Values range from r= 0.83 to 0.99 and vary according to the time interval between measurements. ODI = (Sum of items scored/Sum of sections answered) X 100	4 weeks
Primary	Inclinometer	Inclinometers are portable, lightweight, and inexpensive pieces of equipment that are used to measure range of motion, like goniometry.1 Inclinometers are typically found in clinics and are used as a part of a physical examination. An intraclass correlation coefficient (ICC) was found to be between 0.87- 0.95. Range of motion is the measurement of movement around a specific joint or body part.	4 weeks