The Effect of Core Stability Training on Deep Stabilizing Muscles.

Low Back Pain Clinical Trial

Official title:

The Effect of Core Stability Training on the Transverse Abdomen and Multifidus Muscles Morphology in Young Non-specific Low Back Pain Individuals.

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04554563
• Other study ID #: USG TrA MF
• Status: Completed
• Phase: N/A
• Start date: September 12, 2020
• Est. completion date: January 8, 2021

Study information

• Verified date: January 2021
• Source: University School of Physical Education in Wroclaw
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Non-specific low back pain is the most cause of adult disability throughout life. Its prevalence widens in young adults. Background of this pathology can be multifactorial. One of the most common is poor core stability and overloading of the local tissues as a result.

Among treatment methods stabilizing training is commonly used with good effects. This form of therapy affects the transverse abdomen and multifidus muscles. To assess these structures several methods can be applied, e.g. sonofeedback.

Our hypothesis claims that the core muscles morphology will change over the training process duration, in result, the analgesic effect will be achieved.

Description:

Non-specific low back pain is the most cause of adult disability throughout life. Its prevalence widens in young adults. Background of this pathology can be multifactorial. One of the most common is poor core stability and overloading of the local tissues as a result.

Among treatment methods stabilizing training is commonly used with good effects. This form of therapy affects the transverse abdomen (TrA) and multifidus (MF) muscles. To assess these structures several methods can be applied, e.g. sonofeedback.

All participants will be randomly divided into two groups:

1. Training group (TG)

2. Control group (CG)

Outcome measure:

Pre- and post-therapy outcome measure will be done. It will include:

• ultrasound (sonofeedback) of the TrA and MF

• Oswestry Disability Index questionnaire (ODI)

• subjective pain scale - Numeric Rating Scale (NRS)

Intervention:

Core stability training including 4 exercise positions, each of 15 repetitions, 4 sets. Once a day, 5 times a week, 20 sessions in total (4 weeks).

Our hypothesis claims that the core muscles morphology will change over the training process duration, in result, the analgesic effect will be achieved.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 20
• Est. completion date: January 8, 2021
• Est. primary completion date: December 20, 2020
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 30 Years

Eligibility

Inclusion Criteria:

• low back pain

• age from 18 to 30 years old

• written consent of the participants

Exclusion Criteria:

• injuries of the spine

• fractures of the spine

• surgery interventions in the spine region prior to the study

• psychiatric disorders

• neurologic disorders

Related Conditions & MeSH terms

• Back Pain
• Low Back Pain
• Low Back Pain, Mechanical
• Low Back Pain, Postural

Intervention

Other:
• Core stability training
20 sessions of specific core stability exercise with no external loading.

Locations

Country	Name	City	State
Poland	Klinika Fizjoterapii	Wroclaw	Dolnoslaskie

Sponsors (1)

Lead Sponsor	Collaborator
University School of Physical Education in Wroclaw

Country where clinical trial is conducted

Poland, 

References & Publications (3)

Finta R, Nagy E, Bender T. The effect of diaphragm training on lumbar stabilizer muscles: a new concept for improving segmental stability in the case of low back pain. J Pain Res. 2018 Nov 28;11:3031-3045. doi: 10.2147/JPR.S181610. eCollection 2018. — View Citation

Hides JA, Walsh JC, Smith MMF, Mendis MD. Self-Managed Exercises, Fitness and Strength Training, and Multifidus Muscle Size in Elite Footballers. J Athl Train. 2017 Jul;52(7):649-655. doi: 10.4085/1062-6050-52.3.13. Epub 2017 May 1. — View Citation

Massé-Alarie H, Beaulieu LD, Preuss R, Schneider C. Repetitive peripheral magnetic neurostimulation of multifidus muscles combined with motor training influences spine motor control and chronic low back pain. Clin Neurophysiol. 2017 Mar;128(3):442-453. doi: 10.1016/j.clinph.2016.12.020. Epub 2016 Dec 28. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Ultrasound	Non-invasive measure of the TrA and MF muscles	5 minutes
Primary	Pain level	Numeric Rating Scale. Picking the number on a scale from 0 to 10.	1 minute
Primary	Questionnaire	Oswestry Disability Index questionnaire - subjective disability measure throughout daily living activities.	5 minutes