Lumbar Spine Instability Clinical Trial
Official title:
Effects of Core Stabilization Exercise on Balance in Low Back Pain Patients With Clinical Lumbar Instability
NCT number | NCT02200913 |
Other study ID # | WYodchaisarn |
Secondary ID | |
Status | Completed |
Phase | N/A |
First received | |
Last updated | |
Start date | August 2014 |
Est. completion date | July 2019 |
Verified date | January 2020 |
Source | Khon Kaen University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Recent studies indicate that patients with chronic low back pain (LBP) present problems in
balance. Alterations in proprioception are the possible causes of alteration of postural
balance in LBP.
Previous studies reported an improvement of CSE on joint mobility, pain, functional
disability, and trunk muscle activation pattern in patients with clinical lumbar instability
(CLI); however, it was an immediate effect. However, previous studies did not report indirect
effect may occur in CLI as postural balance and other kinds of exercise as strengthening in
CLI. The general trunk strengthening exercise is common used in physical therapy clinic on
LBP, that improve pain, physical disability, and trunk muscles activity. To our knowledge,
the usefulness of CSE has not yet been investigated in CLI patients with outcome measure of
balance.
The present study will conduct to fill the gaps of previous studies which will provide
immediate-, accumulative- and detraining-effects of CSE on postural balance, pain intensity
and ratio activation of trunk muscles and included blinding process of the assessor.
Status | Completed |
Enrollment | 60 |
Est. completion date | July 2019 |
Est. primary completion date | June 2019 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 20 Years to 60 Years |
Eligibility |
Inclusion Criteria: - male or female - aged between 20-60 years - low back pain (LBP) with or without radiating leg pain for period of at least 12 weeks - answer 'yes' at least seven items of questionnaire - present positive sign of the aberrant movement sign - Present at least one positive sign from painful catch , prone instability catch test, or apprehension symptom Exclusion Criteria: - Be pregnant. - Have serious spinal pathology: spinal fracture, spinal malignancy or spinal infection - Have quada equina syndrome - Have neurological deficit (at least 2 of the following signs: weakness of lower limbs (muscle power < grade 3 using manual muscle test), reflex changes, or abnormality or loss of sensation of lower limbs associated with the spinal nerve root - Have obvious abnormal movement of the lumbar motion segment when assessed by flexion-extension radiographs: sagittal plane translation larger than 4.5mm or 15 percent of vertebral body width according to other vertebral segment, or sagittal plane rotation larger than 15 degrees at L1-L2, L2-L3 or L3-L4, 20 degrees at L4-L5 or 25 degrees at L5-S1 - Have visual disorder, vestibular disorder, neuromuscular diseases such as polyneuropathy, or diabetes neuropathy - Participate in their intervention less than 5 out of the 10 week of intervention. - Regularly treat with core stabilization exercise (CSE), or trunk strengthen exercises. |
Country | Name | City | State |
---|---|---|---|
Thailand | Research Center in Back, Neck, Other Joint Pain and Human Performance | Khon Kaen |
Lead Sponsor | Collaborator |
---|---|
Khon Kaen University |
Thailand,
Puntumetakul R, Areeudomwong P, Emasithi A, Yamauchi J. Effect of 10-week core stabilization exercise training and detraining on pain-related outcomes in patients with clinical lumbar instability. Patient Prefer Adherence. 2013 Nov 19;7:1189-99. doi: 10.2 — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | center of pressure | up to 3-months after the last intervention session |
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