General Exercises With and Without TA Contraction in Patients With Nonspecific Acute LBP

Low Back Pain Clinical Trial

Official title:

General Exercises With and Without TA Contraction in Patients With Nonspecific Acute LBP: A Crossover Randomised Controlled Trial

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05838040
• Other study ID #: 012/004221
• Status: Recruiting
• Phase: N/A
• Start date: April 21, 2023
• Est. completion date: January 1, 2024

Study information

• Verified date: April 2023
• Source: Ahram Canadian University
• Contact: Mohamed M ElMeligie, Ph.d
• Phone: +201064442032
• Email: mohamed.elmeligie[@]acu.edu.eg
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

PURPOSE: To evaluate the effectiveness of adding transversus abdominis contraction to general exercises to treat patients with nonspecific acute low back pain.

BACKGROUND: Non-specific low back pain affects people of all ages and is a leading contributor to disease burden worldwide. Management consists of education and reassurance, analgesic medicines, non-pharmacological therapies, and timely review. The clinical course of low back pain is often favourable; thus, many patients require little if any formal medical care. Two treatment strategies are currently used, a stepped approach beginning with more simple care that is progressed if the patient does not respond, and the use of simple risk prediction methods to individualise the amount and type of care provided. Motor control exercises, which advocate the contraction of the TrA have shown some efficacy for patients with chronic low back pain. However, the validity of this strategy for patients with acute LBP is unclear.

HYPOTHESES: there will be no significant effect of adding transversus abdominis contraction to general exercise than general exercise alone in patients with non-specific acute low back pain.

RESEARCH QUESTION: Is there a statistically significant effect of adding transversus abdominis contraction to general exercise on outcomes of patients with non-specific acute low back pain?

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 60
• Est. completion date: January 1, 2024
• Est. primary completion date: November 1, 2023
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 50 Years

Eligibility

Inclusion Criteria:

1. Individuals of both sexes

2. Aged between 18 and 50 years

3. Acute nonspecific low back pain according to The most recent guidelines for the diagnosis and management of NSLBP come from the American College of Physicians and were published in 2017. According to these guidelines, the diagnosis of acute NSLBP should be made based on the following criteria:

Acute onset of low back pain, defined as pain lasting for less than 12 weeks No specific identifiable cause of the pain (e.g., infection, malignancy, fracture, inflammatory disorder) No radicular symptoms (e.g., pain radiating down the leg) No significant neurological deficits or findings on physical examination (e.g., loss of reflexes or muscle strength)

Exclusion Criteria:

1. Serious low back pathology

2. Contraindications to exercise therapy

3. Neurological signs (leg weakness)

4. Specific spinal pathology (e.g., malignancy, or inflammatory joint or bone disease)

5. Prior back surgery

Related Conditions & MeSH terms

• Low Back Pain

Intervention

Other:
• General exercises
General exercise is a structured exercise program designed to help individuals with back pain improve their fitness levels. The program comprises of a series of exercise classes that are led by a physiotherapist. The classes involve a combination of aerobic, strength, and flexibility exercises, and aim to improve overall physical fitness, reduce pain, and improve function. The program is specifically designed for individuals with back pain, and the exercises are tailored to meet the needs of each participant. The Back to Fitness Program is based on the principles of exercise prescription and is intended to be a safe and effective way to manage back pain through exercise.
• General exercises with tranversus abdmoinis contraction
General exercise is a structured exercise program designed to help individuals with back pain improve their fitness levels. The program comprises a series of exercise classes that are led by a physiotherapist. The classes involve a combination of aerobic, strength, and flexibility exercises, and aim to improve overall physical fitness, reduce pain, and improve function. The program is specifically designed for individuals with back pain, and the exercises are tailored to meet the needs of each participant. In addition to these exercises, the Back to Fitness Program includes the activation of the transverse abdominis muscle, which is an important stabilizing muscle in the core. The activation of this muscle is done through specific exercises and techniques, and is intended to improve core stability and reduce the risk of further back injuries.

Locations

Country	Name	City	State
Egypt	Outpatient clinic of faculty of physical therapy, Ahram Canadian University	Al ?ayy Ath Thamin	Giza

Sponsors (1)

Lead Sponsor	Collaborator
Ahram Canadian University

Country where clinical trial is conducted

Egypt, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Pain intensity via numeric pain rating scale	The primary outcome measure is pain intensity, which will be assessed using a numeric pain rating scale. Participants will be asked to rate their pain intensity on a scale of 0 to 10, with 0 indicating no pain and 10 indicating the worst possible pain. Pain intensity will be measured at four time points: baseline, 10 weeks after randomization, 3 months after discharge, and 6 months after discharge. The change in pain intensity from baseline to each follow-up time point will be analyzed using appropriate statistical methods. The primary objective of the study is to determine whether the Back to Fitness Program is effective in reducing pain intensity over time.	Changes in pain intensity at baseline, 10 weeks after randomization, 3 and 6 months after discharge.
Secondary	Pain Pressure Threshold	Pain pressure threshold is a measure of the minimum amount of pressure that causes pain in the affected area. It will be assessed using a pressure algometer.	Changes at Pain pressure threshold at baseline, 10 weeks after randomization, 3 and 6 months after discharge.
Secondary	Disability	Disability will be assessed using the Roland-Morris Disability Questionnaire, which is a self-reported questionnaire that assesses the impact of back pain on daily activities. The questionnaire includes 24 items that ask participants to rate their ability to perform various activities on a scale of 0 to 24. Higher scores indicate greater disability.	Changes in Disability at baseline, 10 weeks after randomization, 3 months after discharge, and 6 months after discharge.
Secondary	Global Perception Effect	Global perception effect is a measure of the participant's overall perception of the effectiveness of the general exercise in reducing pain and improving function. It will be assessed using a single-item question that asks participants to rate their perception of the program's effectiveness on a scale of 0 to 10. Higher scores indicate greater effectiveness.	changes in Global perception at baseline, 10 weeks after randomization, 3 months after discharge, and 6 months after discharge.