Effects of Hipopressive Exercises in Nonspecific Low Back Pain

NCT03565926 | Completed

• 1 other identifier: ID0019
• Study Type: interventional
• Target: 64
• Locations: 1 country
• Sites: 1

Brief Summary

Introduction Non-specific low back pain is very prevalent in our society. Different effective physiotherapy treatments have been performed in the reduction of pain and improvement of quality of life, however there are few studies that exist on the effectiveness of these treatments in protocol format based on manual therapy. On the other hand, there are no studies that implement a protocol of therapeutic exercises called abdominal hypopressives. The aim of the study is to study the effect of a manual therapy protocol on non-specific low back pain and the implementation of hypopressive exercises in different areas such as disability, pain, flexibility and quality of life. Material and methods Participants The sample will consist of subjects with non-specific low back pain. Inclusion criteria

• Participants with nonspecific lumbar pain of at least 4 pain crises a month with recurrent low back pain. Exclusion criteria
• Light acute.
• Lumbalgia after trauma.
• Presenting sciatica or musculoskeletal disorders or injuries within three months prior to the study.
• Contraindication of one of the two treatments.
• Participate in this period of no functional recovery program or physiotherapy treatment. Study design A randomized clinical trial will be conducted. The sample will be divided into 2 groups: Group 1 will receive a manual therapy protocol that has previously shown its effectiveness in non-specific low back pain being 1 session a week, while group 2 will receive a protocol of hypopressive therapeutic exercises. Evaluations At the beginning of the study, a clinical interview will be carried out and, in addition, 3 evaluations will be carried out: at the beginning, at the end of the treatment and one follow-up per month. The investigators will use the following evaluation tools:
• Pain, through the Visual Analog Scale.
• Oswestry Low Back Pain Disability Scale.
• SF-36 quality of life scale.
• Visual Analog Scale.
• Algometry of spinous processes and lumbar muscles.
• Lumbar flexion with inclinometer and fingers test - floor.

Conditions

Low Back Pain

Keywords

low back pain; manual therapy; hypopressive therapeutic exercises

Outcome Measures

Primary Outcomes (1)

• Intensity of pain

  Visual Analog Scale. The participants are asked to mark the intensity of pain from 1 to 10, with 1 being almost non-existent and 10 being the worst pain imaginable.

  8 weeks

Secondary Outcomes (4)

• Low Back Pain Disability

  8 weeks

• Algometry of spinous processes and lumbar muscles.

  8 weeks

• Lumbar flexion

  8 weeks

• Health status

  8 weeks

Study Arms (2)

Manual Therapy

ACTIVE COMPARATOR

Manual Therapy Protocol 1. Articulation technique L4-S1 2. Lumbar neuromuscular technique 3. Fascial technique of crossed hands 4. Posteroanterior mobilizations of the lumbar vertebrae

Other: Manual Therapy

Hypopressive exercises

EXPERIMENTAL

Protocol of 5 Hypopressive Exercises

Other: Hypopressive exercises

Interventions

Manual Therapy OTHER

1. Articulation technique L4-S1 2. Lumbar neuromuscular technique 3. Fascial technique of crossed hands 4. Posteroanterior mobilizations of the lumbar vertebrae

Manual Therapy

Hypopressive exercises OTHER

Protocol 5 Hypopressive exercises

Hypopressive exercises

Eligibility Criteria

• Age: 18 Years - 40 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Man between 18 and 40 years old
• Recurrent episodes of low back pain at least 4 times a month
• At least 3 months of evolution
• Non-specific low back pain
• Not having undergone surgery

You may not qualify if:

• Acute low back pain
• Lumbalgia operated surgically
• Low back pain after traumatism
• Episodes of sciatica
• Contraindication to any of the treatments
• Attend, during the study period, rehabilitation programs
• Serious injuries in the 3 months prior to the study
• Root pain

Sponsors & Collaborators

• University of Valencia: lead

Study Sites (1)

Gemma v. Espí López

Valencia, 46010, Spain

Location

MeSH Terms

Conditions

Low Back Pain

Interventions

Musculoskeletal Manipulations

Condition Hierarchy (Ancestors)

Back Pain; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Complementary Therapies; Therapeutics; Physical Therapy Modalities; Rehabilitation

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: May 30, 2018
• First Posted: June 21, 2018
• Study Start: July 1, 2018
• Primary Completion: July 31, 2018
• Study Completion: September 15, 2018
• Last Updated: July 16, 2025

Record last verified: 2025-07

Locations

ES (1)