Additional Gluteal Control Training for Low Back Pain With Functional Leg Length Inequality

Low Back Pain, Recurrent Clinical Trial

Official title:

Additional Gluteal Control Training for Low Back Pain With Functional Leg Length Inequality: A Ramdomized Controlled Trail

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03554746
• Other study ID #: YM106055F
• Status: Completed
• Phase: N/A
• Start date: December 11, 2017
• Est. completion date: September 10, 2018

Study information

• Verified date: August 2019
• Source: National Yang Ming University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Low back pain (LBP) is a prevalent musculoskeletal disorder. A variety of exercise interventions which were designed as randomized control trails (RCTs) have been studied and shown effectiveness in improving pain and disability. These exercises typically focus on the abdominal and back musculature strength. However, many LBP patients did not show any improvement in their symptom after they carry out those exercise programs.

Description:

Low back pain (LBP) is a prevalent musculoskeletal disorder. A variety of exercise interventions which were designed as randomized control trails (RCTs) have been studied and shown effectiveness in improving pain and disability. These exercises typically focus on the abdominal and back musculature strength. However, many LBP patients did not show any improvement in their symptom after they carry out those exercise programs. Some authors consider that this type of low back pain may be caused by leg length inequality (LLI) in these patients, which resulted from poor gluteal neuromuscular control or muscles' imbalance.

In consideration of few studies have been done for investigating the effects of gluteal muscles control training in LBP. Thus, the purpose of this study is to investigate the effect of additional gluteal muscles control training on improving functional LLI in patients with LBP. We hypothesized that gluteal muscle control training would be more effective in self-reported pain, and their functional disability would be improve after 6-week training program than control training group.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 48
• Est. completion date: September 10, 2018
• Est. primary completion date: July 23, 2018
• Accepts healthy volunteers: No
• Gender: All
• Age group: 20 Years and older

Eligibility

Inclusion Criteria:

• non-specific LBP (from inferior rib margin to the gluteal fold)

• more than 3 months

• Visual Analog Scale ?5 (in past one month)

• pelvic innominate rotation (anterior rotation in dominant side)

Exclusion Criteria:

• history of fracture or surgery

• congenital anomalies in the spine, pelvis, or lower limbs

• recent trauma, tumor, pregnancy or scoliosis

• lower extremity paresthesia, unknown weakness

• bowel and bladder dysfunction

• predominant lower extremity pain with standing

• presence of system illness, no reasoning weight loss, predominant night pain

• specific sacroiliac joint dysfunction

Related Conditions & MeSH terms

• Back Pain
• Leg Length Inequality
• Low Back Pain
• Low Back Pain, Recurrent

Intervention

Other:
• GC group
core stability training: hold 5s/rep, 20 reps/times supine, pelvic posterior tilt with TrA contraction. supine, pelvic posterior tilt and maintain bil. knee on 90 degrees. All four position with leg raise Stretching ex. : hold 15 s/reps, 5 reps/times Hamstring Quadriceps Additional gluteal muscle control training: hold 10 s/reps, 20 reps/times 1st to 2nd: clam ex. without resistance single leg bridge with maintain bil. ASIS even level 3rd to 4th: maintain 1st to 2nd ex. with resistance 5th: maintain 3rd to 4th ex. single leg standing on rock board to maintain balance 6th: maintain 5th ex. lunge ex. without hip internal rotation
• CG group
core stability training: hold 5s/rep, 20 reps/times supine, pelvic posterior tilt with TrA contraction. supine, pelvic posterior tilt and maintain bil. knee on 90 degrees. All four position with leg raise Stretching ex. : hold 15 s/reps, 5 reps/times Hamstring Quadriceps

Locations

Country	Name	City	State
Taiwan	National Yang Ming University	Taipei

Sponsors (1)

Lead Sponsor	Collaborator
National Yang Ming University

Country where clinical trial is conducted

Taiwan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Leg Length Inequality	functional leg length inequality	change from baseline at 6 weeks later
Primary	Ilium Anterior Tilt Difference	bilateral ilium anterior tilt difference	change from baseline at 6 weeks later
Primary	Pelvic Inclination	bilateral pelvic inclination	change from baseline at 6 weeks later
Secondary	Pain Intensity	Visual Analog Scale (VAS) (0-10) Maximum: 10 Minimal: 0 higher scores mean a worse outcome	change from baseline at 6 weeks later
Secondary	Functional Disability	Oswestry disability index (ODI) Maximum: 100 Minimal: 0 higher scores mean a worse outcome	change from baseline at 6 weeks later
Secondary	Functional Ability	PSFS (0-10) Maximum: 10 Minimal: 0 higher scores mean a better outcome	change from baseline at 6 weeks later