Comparison of Static & Dynamic Back Extensor Endurance Exercises in LBP

Back Pain Clinical Trial

Official title:

Comparison of Static & Dynamic Back Extensor Endurance Exercises For Chronic Low Back Pain

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04559477
• Other study ID #: REC/00236 Ayesha Jamal
• Status: Completed
• Phase: N/A
• Start date: February 1, 2020
• Est. completion date: August 30, 2020

Study information

• Verified date: September 2020
• Source: Riphah International University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study will help to find the effects of static and dynamic back extensors exercises for chronic low back pain.

Description:

Low back pain (LBP) is a very common health problem worldwide and a major cause of disability which affecting performance at work and general well-being. Determine the effects of static and dynamic back extensors exercises for chronic low back pain.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 52
• Est. completion date: August 30, 2020
• Est. primary completion date: August 1, 2020
• Accepts healthy volunteers: No
• Gender: Female
• Age group: 25 Years to 55 Years

Eligibility

Inclusion Criteria:

• Females

• 25-55 years

• Low back pain > 3 month

• Postural dysfunction

Exclusion Criteria:

• Red flags indicative of serious spinal pathology with signs and symptoms of nerve root compromise (with at least two of dermatomal sensory loss, myotomal muscle weakness and reduced lower limb reflexes)

• Individuals with any obvious spinal deformity or neurological disease;

• Pregnancy

• Previous spinal surgery

• Previous experience of static and dynamic endurance exercise.

Related Conditions & MeSH terms

• Back Pain

Intervention

Other:
• Static extension endurance exercise
Static extension endurance exercise were performed, 10 repetitions with 10 sec hold of each of exercises Heating pad:15 mins TENS: 15 mins 35 min/session, 3 sessions/week for 6 weeks
• Dynamic extension endurance exercise
Dynamic extension endurance exercise with 10 repetitions of each of exercises which has been performed Heating pad:15 mins TENS: 15 mins 35 min/session, 3 sessions/week for 6 weeks

Locations

Country	Name	City	State
Pakistan	District Headquater hospital	Mirpur	Mirpur Azad Kashmir

Sponsors (1)

Lead Sponsor	Collaborator
Riphah International University

Country where clinical trial is conducted

Pakistan, 

References & Publications (10)

Alcántara-Bumbiedro S, Flórez-García MT, Echávarri-Pérez C, García-Pérez F. Oswestry low back pain disability questionnaire. REHABILITACION-MADRID-. 2006;40(3):150.

Allegri M, Montella S, Salici F, Valente A, Marchesini M, Compagnone C, Baciarello M, Manferdini ME, Fanelli G. Mechanisms of low back pain: a guide for diagnosis and therapy. Version 2. F1000Res. 2016 Jun 28 [revised 2016 Jan 1];5. pii: F1000 Faculty Rev-1530. eCollection 2016. Review. — View Citation

Doo YT, Eom WS. Effect of Short Term Static• Dynamic Lumbar Stability Exercise on the Trunk Muscles Strength and Endurance of Chronic Low Back Pain Female College Students in Their 20's. The Official Journal of the Korean Academy of Kinesiology. 2016 May 31;18(2):63-9.

Grotle M, Brox JI, Vøllestad NK. Cross-cultural adaptation of the Norwegian versions of the Roland-Morris Disability Questionnaire and the Oswestry Disability Index. J Rehabil Med. 2003 Sep;35(5):241-7. — View Citation

Mayer JM, Childs JD, Neilson BD, Chen H, Koppenhaver SL, Quillen WS. Effect of Lumbar Progressive Resistance Exercise on Lumbar Muscular Strength and Core Muscular Endurance in Soldiers. Mil Med. 2016 Nov;181(11):e1615-e1622. — View Citation

Mbada CE, Ayanniyi O, Ogunlade SO, Orimolade EA, Oladiran AB, Ogundele AO. Influence of Mckenzie protocol and two modes of endurance exercises on health-related quality of life of patients with long-term mechanical low-back pain. Pan Afr Med J. 2014 Jan 18;17 Suppl 1:5. doi: 10.11694/pamj.supp.2014.17.1.2950. eCollection 2014. — View Citation

Mbada CE, Ayanniyi O, Ogunlade SO. Effect of static and dynamic back extensor muscles endurance exercise on pain intensity, activity limitation and participation restriction in patients with long-term mechanical low-back pain. Med Rehabil. 2011;15(3):11-20.

McCaffery M, Beebe A. The numeric pain rating scale instructions. InPain: Clinic Manual for Nursing Practice 1989. Mosby, St. Louis.

Tanvi A, Shalini G, Parul R, Gaurav S. Effect of proprioceptive neuromuscular facilitation program on muscle endurance, strength, pain, and functional performance in women with post-partum lumbo-pelvic pain. IOSR J Dent Med Sci. 2013;7:60-7.

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Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Roland-Morris Disability Questionnaire	The Roland-Morris Questionnaire (RMQ) is a self-administered disability measure in which greater levels of disability are reflected by higher numbers on a 24-point scale.; The RMQ is a 24-item patient-reported outcome measure that inquires about pain-related disability resulting from LBP. Items are scored 0 if left blank or 1 if endorsed, for a total RMQ score ranging from 0 to 24; higher scores represent higher levels of pain-related disability	6th week
Primary	Modified Biering-Sorensen test of Static Muscular Endurance (BSME)	The BSME is used to assess the static back endurance. During the test the participant lay down on the plinth in the prone position with the upper edge of the iliac crests aligned with the edge of the plinth with their hands held by their sides. The lower body is fixed to the plinth by two non elastic straps located around the pelvis and ankles. Horizontality in the test position is ensured by asking the participant to maintain contact between his/her back and a hanging weighted ball. Once a loss of contact for more than 10 seconds is noticed, the participant is encouraged once to immediately maintain contact again. Once the participant could not immediately correct or hold the position or claimed to be fatigued the test is terminated.; This test is time based, as long as the patient hold the position	6th week
Primary	Repetitive Arch-Up Test (RAUT)	Repetitive Arch-Up Test (RAUT) is used to assess the static back endurance. During the test, the participant lay in a prone position on the plinth with the arms positioned along the sides. The iliac crest is positioned at the edge of the plinth. The lower body is fixed to the plinth by two nonelastic straps located around the pelvis and ankles. With the arms held along the sides touching the body, the subject was asked to flex the upper trunk downward to 45° as indicated by a board. The participant then raised the upper trunk upwards to the horizontal position followed by returning back downward to 45 degrees to complete a cycle. The repetition rate is one repetition per two to three seconds. Once the movement becomes jerky or nonsynchronous, or do not reach the horizontal level, the subject is encouraged once to immediately correct the motion again. The test is terminated once the participant could not go on with the tempo of the motion or reported fatigue or exhaustion.	6th week
Primary	Numeric Pain Rating Scale (NPRS)	The NPRS is a segmented numeric version of the visual analog scale (VAS) in which a respondent selects a whole number (0-10 integers) that best reflects the intensity of pain. '0' usually represents 'no pain at all' whereas the upper limit represents 'the worst pain ever possible	6th week
Primary	Oswestry Disability Index (ODI),	Oswestry Disability Index is used to assess pain-related disability in persons with low back pain (LBP). The (ODI) is calculated based on each score of the ODQ, which consists of ten items. Each of the ten items is scored from 0 to 5, and the total is added and multiplied by 2. Therefore, the ODI ranges from 0 to 100. A higher score on the ODI indicates a more severe disability caused by LBP	6th week

External Links

•   BASIC EXERCISES FOR THE LOW BACK