Effect of Open Chain Versus Closed Chain Segmental Control Exercises on CSA of Lumbar Multifidus Muscle in Chronic MLBP

Mechanical Low Back Pain Clinical Trial

Official title:

Effect of Open Chain Versus Closed Chain Segmental Control Exercises on Cross Sectional Area of Lumbar Multifidus Muscle in Chronic Mechanical Low Back Pain

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT06009263
• Other study ID #: REC/007/002763
• Status: Recruiting
• Phase: N/A
• Start date: September 2, 2023
• Est. completion date: March 1, 2025

Study information

• Verified date: September 2023
• Source: Cairo University
• Contact: Haytham M Elhafez, PhD
• Phone: +201001909630
• Email: elhafez[@]yahoo.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

To investigate the effect of adding open versus closed chain segmental control exercises to conventional treatment program on pain intensity, lumbar ROM, and CSA of multifidus muscle.

Description:

- To investigate the effect of adding open versus closed chain segmental control exercises to conventional treatment program on pain intensity. - To investigate the effect of adding open versus closed chain segmental control exercises to conventional treatment program on lumber ROM. - To investigate the effect of adding open versus closed chain segmental control exercises to conventional treatment program on CSA of multifidus muscle. - To investigate the effect of adding open versus closed chain segmental control exercises to conventional treatment program on lumber function.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 60
• Est. completion date: March 1, 2025
• Est. primary completion date: August 13, 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 25 Years to 55 Years

Eligibility

Inclusion Criteria:

1. Patients with chronic low back pain from both genders their age will be ranged and divided into three groups from 25-55 years.

2. Participants with chronic low back pain lasting for more than 6 Months.

3. A patient who can follow the command.

4. A patient who can do exercise.

Exclusion Criteria:

1. Low back pain patients with a history of severe neurological disease or orthopedic disease.

2. History of Psychological Disorder.

3. Unhealthy Patient.

4. Pregnant women.

5. Patient with a spinal tumor.

6. History of any operation related to spine. Ex. Vertebral fracture or dislocation.

Related Conditions & MeSH terms

• Back Pain
• Low Back Pain
• Mechanical Low Back Pain

Intervention

Other:
• Conventional treatment
Application of ultrasound and transcutaneous electrical nerve stimulation "TENS" for mechanical low back pain.
• Open chain segmental control
Application of "open chain segmental control exercises" As well as, application of ultrasound and transcutaneous electrical nerve stimulation "TENS" for mechanical low back pain.
• Closed chain segmental control
Application of "closed chain segmental control exercises" As well as, application of ultrasound and transcutaneous electrical nerve stimulation "TENS" for mechanical low back pain.

Locations

Country	Name	City	State
Egypt	Faculty of Physical Therapy	Giza	Dokki

Sponsors (1)

Lead Sponsor	Collaborator
Cairo University

Country where clinical trial is conducted

Egypt, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Cross sectional area of multifidus muscle	Cross sectional area of multifidus muscle	Pre and Post measurement (12 weeks)
Primary	Pain intensity	Measured by VAS (from 0 to 10; 0 means no pain and 10 means worst pain)	Pre and Post measurement (12 weeks)
Secondary	ROM of lumbar spine	Measuring ROM of lumbar spine	Pre and Post measurement (12 weeks)
Secondary	Functional ability of lumbar spine	Questionnaire for measuring lumbar activities (lower score means better and higher score means worse)	Pre and Post measurement (12 weeks)