Efficacy of Core Strengthening and Intensive Dynamic Back Exercises in Patient With Low Back Pain

Low Back Pain Clinical Trial

Official title:

Efficacy of Core Strengthening and Intensive Dynamic Back Exercises on Pain, Muscle Strength, Endurance, and Functional Disability in Patients With Chronic Non-specific Low Back Pain. a Randomized Comparative Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05708781
• Other study ID #: IE/IIMS&R/2022/43
• Status: Completed
• Phase: N/A
• Start date: December 20, 2022
• Est. completion date: September 28, 2023

Study information

• Verified date: January 2023
• Source: Najran University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The study aimed to investigate the efficacy of core strengthening and intensive dynamic back exercises on pain, muscle strength, endurance, and functional disability in patients with chronic non-specific low back pain.

Description:

The study will be based on a three-arm parallel group randomized control design. Forty-five participants with chronic non-specific low back pain will be recruited from the Physiotherapy department, at Integral University, India. Study objectives and procedure will be properly explained and written informed consent will be obtained at the beginning of the study. All the participants will be randomly divided into three groups A, B, and C. Experimental group A will be receiving the hot pack, active Stretching, isometric exercise intervention, and core strengthening exercises while group B will receive the hot pack, active Stretching, isometric exercise intervention, and intensive dynamic back exercises, control group C will receive the hot pack, active Stretching, isometric exercise intervention.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 45
• Est. completion date: September 28, 2023
• Est. primary completion date: August 17, 2023
• Accepts healthy volunteers: No
• Gender: All
• Age group: 20 Years to 50 Years

Eligibility

Inclusion Criteria:

• age 20-50 years

• chronic low back pain (>3 months),

Exclusion Criteria:

• Participants with low back pain related to cancer,

• infection,

• inflammatory arthropathy,

• high-velocity trauma,

• fracture

• low back pain associated with severe or progressive neurological deficits trauma

• pregnancy.

Related Conditions & MeSH terms

• Back Pain
• Low Back Pain

Intervention

Other:
• Core strengthening exercise
Isolated lumbar stabilization muscle training: Bridge track: Dead bug track: Quadruped Track: Supine Track: Side-support Track: Prone Track: Standing Track:
• intensive dynamic back exercise
Trunk lifting Prone on a couch, hips at the edge, upper part of the body free but supported by the hands against the floor. Strap fixation over the calves. With hands on the forehead, the trunk is lifted to the greatest possible extension in hips and spine. If necessary, starting with support from physical therapist. During pauses a chair in front of the couch supports the patient. Leg lifting Standing by the end of the couch, leaning over to a prone position with the hips against the edge in 90 degree flexion, knees 45 degree and feet on the floor. Strap fixation over the chest. Straps around knees to keep legs together. Both legs are straightened and lifted to the greatest possible extension in hips and spine. Again support from physical therapist is necessary. Pull to neck Sitting on a tool with the arms straight and abducted over the head and hands grasping a weight lever. Against sub-maximal resistance the lever is pulled behind neck and shoulders.
• Control group
Hot Pack was given for twenty minutes, slow sustained stretching exercises ( 20 second hold, 10- second relaxation) were given, and isometric exercise of the back((10 repetitions of two sets with 10 seconds hold) alternate days for six weeks.

Locations

Country	Name	City	State
India	Integral University Hospital	Lucknow	Uttar Pardesh
Saudi Arabia	Hashim Ahmed	Najran	Najran

Sponsors (1)

Lead Sponsor	Collaborator
Najran University

Countries where clinical trial is conducted

India,  Saudi Arabia, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Pain Intensity	The pain intensity was assessed Using a numeric pain rating scale (NPRS), It's a 11 point scale, where zero indicates no pain and 10 indicates severe pain	6 Weeks
Primary	functional Limitation	Functional limitation was assessed by using Oswestry disability Index questionnaire Each section is scored on a 0-5 scale, 5 representing the greatest disability.	6 Weeks
Primary	Muscle Endurance	Muscle endurance was assessed by using timed endurance tests including the extensor endurance test, flexor endurance test and the side bridge test. The hold time was recorded in seconds once the patient was not able to maintain the respective endurance test position.	6 Weeks