Low Back Pain Clinical Trial
Recently, physical therapists have begun treating people who have mechanical low back pain,
hypothesized to be caused by segmental instability in the lumbar spine, with a very specific
exercise program consisting of trunk stabilization exercises. The theory behind the use of
trunk stabilization exercises to treat lower back pain is that active contraction of the
trunk local segmental muscles helps to control inter-segmental movement in the spine. The
initial trunk stabilization exercise that physical therapists teach patients is an abdominal
drawing in maneuver often called an abdominal hollowing exercise (AHE). A challenge for
physical therapists is to establish the most effective means of teaching people to contract
the relevant muscles needed to perform the AHE. The purpose of this study is to examine if
supplementing the typical clinical instruction for teaching the AHE with visual ultrasound
feedback to the patient is effective at reducing the length of time it takes an individual
to learn to perform an AHE.
Three groups of research volunteers will be taught how to do the AHE while receiving
different kinds of feedback about their performance in order to determine which type of
feedback is most effective in assisting people to learn the AHE. Group 1 will not receive
any feedback about performance; Group 2 will receive feedback from palpation and verbal
descriptive alone; and Group 3 will receive feedback from palpation, verbal descriptive
feedback, and real time ultrasound. For the initial test when subjects are learning the AHE,
the number of trials until the subject demonstrates his/her third correct AHE will be the
outcome variable. For the retention test, the outcome variable will be the percentage of
trials (out of ten) of correctly performed AHEs in the absence of visual, verbal or
palpation feedback.
n/a
Allocation: Randomized, Intervention Model: Parallel Assignment, Primary Purpose: Treatment
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