Effect of Global Postural Reeducation (GPR) Program With Hamstring Stretch for Patients With Low Back Pain

NCT04555668 | Completed

• 1 other identifier: REC/00238 Maliha Iftikhar
• Study Type: interventional
• Target: 78
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to find out the additional effect of global re-education program with hamstring stretching in patients with low back pain.

Conditions

Back Pain

Keywords

Low Back Pain; Oswestry Disability Index; Numeric Pain Rating Scale; Stretch

Outcome Measures

Primary Outcomes (3)

• Oswestry Disability Index (ODI)

  The Oswestry Disability Index (also known as the Oswestry Low Back Pain Disability Questionnaire) is an extremely important tool that researchers and disability evaluators use to measure a patient's permanent functional disability. The test is considered the 'gold standard' of low back functional outcome tools. For each section the total possible score is 5: if the first statement is marked the section score = 0; if the last statement is marked, it = 5. 0% to 20%: minimal disability 81%-100% exaggerating symptoms.

  6th week

• Numeric Pain Rating Scale

  A numerical rating scale (NRS) requires the patient to rate their pain on a defined scale. For example, 0-10 where 0 is no pain and 10 is the worst pai

  6th week

• Goniometry

  A goniometer is an instrument which measures the available range of motion at a joint. A large Universal Goniometer having 12-inch arms and full-circle plastic body will be used for measuring Assisted Range of Motion (AROM) for hamstring length, it is a useful measurement tool that can be used to do the Active knee extension test. An active knee-extension test has been shown to be a reliable method of assessing hamstring tightness and has good intra-tester reliability \[intraclass correlation coefficient (ICC): 0.97-0.98\]

  6th week

Study Arms (2)

Global Postural Reeducation Program

EXPERIMENTAL

Global Postural Reeducation Program with hamstring stretch

Other: Global Postural Reeducation Program

Hamstring Stretch Program

ACTIVE COMPARATOR

Hamstring Stretch Program and Knee -flexor eccentric training

Other: Hamstring Stretch Program

Interventions

Global Postural Reeducation Program OTHER

Global Postural Reeducation Program with hamstring stretch The lying posture with flexion of the legs aimed to stretch the posterior chain (upper trapezius, levator scapulae, sub occipital, erector spinae, gluteus maximus, ischio-tibial, triceps surae, and foot intrinsic muscles). The initial position will lying with the hip flexed and progression consisted of increasing hip flexion, knee extension, and dorsiflexion of the ankle All above exercises will be given and to be held for 15 minutes each. 40 min/session, 3 times/week for 6 weeks

Global Postural Reeducation Program

Hamstring Stretch Program OTHER

Hamstring Stretch Program 3 times for 30 seconds hold, subjects rested for 15 seconds between stretches. Knee -flexor eccentric training to prevent hamstring muscle strain 10-15 rep 40 min/session, 3 times/week for 6 weeks

Hamstring Stretch Program

Eligibility Criteria

• Age: 18 Years - 35 Years
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Females
• years
• Low back pain \> 3 month
• no exercise for last 6 months

You may not qualify if:

• Any diagnosed pathology (disc herniation, lumbar stenosis, spinal deformity, fracture, spondylolisthesis)
• Any lower limb abnormality
• Congenital deformities
• Central or peripheral neurologic signs
• Systemic illness (tumor and rheumatologic diseases),
• Psychiatric and mental deficits
• Diabetic neuropathy

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Helping hand institute of rehabilitation sciences

Mānsehra, Khyber Pakhtunkhwa, Pakistan

Location

Related Publications (15)

• Cuenca-Martinez F, Cortes-Amador S, Espi-Lopez GV. Effectiveness of classic physical therapy proposals for chronic non-specific low back pain: a literature review. Phys Ther Res. 2018 Mar 20;21(1):16-22. doi: 10.1298/ptr.E9937. eCollection 2018.

  PMID: 30050749 BACKGROUND

• da Silva DA, de Carvalho MEIM, de Andrade Mesquita LS. Effects of a protocol with manual therapy and postural techniques for non-specific low back pain. Manual Therapy, Posturology & Rehabilitation Journal. 2019;17:0-.

  BACKGROUND

• Cohen SP, Argoff CE, Carragee EJ. Management of low back pain. BMJ. 2008 Dec 22;337:a2718. doi: 10.1136/bmj.a2718. No abstract available.

  PMID: 19103627 BACKGROUND

• Parreira P, Maher CG, Steffens D, Hancock MJ, Ferreira ML. Risk factors for low back pain and sciatica: an umbrella review. Spine J. 2018 Sep;18(9):1715-1721. doi: 10.1016/j.spinee.2018.05.018. Epub 2018 May 21.

  PMID: 29792997 BACKGROUND

• Bento TPF, Genebra CVDS, Maciel NM, Cornelio GP, Simeao SFAP, Vitta A. Low back pain and some associated factors: is there any difference between genders? Braz J Phys Ther. 2020 Jan-Feb;24(1):79-87. doi: 10.1016/j.bjpt.2019.01.012. Epub 2019 Feb 13.

  PMID: 30782429 BACKGROUND

• Abu-Naser SS, ALDAHDOOH R. Lower back pain expert system diagnosis and treatment. 2016.

  BACKGROUND

• Krismer M, van Tulder M; Low Back Pain Group of the Bone and Joint Health Strategies for Europe Project. Strategies for prevention and management of musculoskeletal conditions. Low back pain (non-specific). Best Pract Res Clin Rheumatol. 2007 Feb;21(1):77-91. doi: 10.1016/j.berh.2006.08.004.

  PMID: 17350545 BACKGROUND

• Abdullah IB, Al-Mutairi MM, Alghubayan MA, Alamir AA, Bu-Jubarah AY, Almajed N, et al. Literature Review on Prevalence, Risk Factors and, Evaluation of Acute Lower Back Pain. International Journal of Pharmaceutical Research & Allied Sciences. 2020;9(1).

  BACKGROUND

• Manchikanti L. Epidemiology of low back pain. Pain Physician. 2000 Apr;3(2):167-92.

  PMID: 16906196 BACKGROUND

• Brighton SW. The management of acute low back pain in adults: a guide for the primary care physician, Part II. South African Family Practice. 2013;55(1):26-32.

  BACKGROUND

• Paolucci T, Attanasi C, Cecchini W, Marazzi A, Capobianco SV, Santilli V. Chronic low back pain and postural rehabilitation exercise: a literature review. J Pain Res. 2018 Dec 20;12:95-107. doi: 10.2147/JPR.S171729. eCollection 2019.

  PMID: 30588084 BACKGROUND

• van Tulder MW, Malmivaara A, Esmail R, Koes BW. Exercise therapy for low back pain. Cochrane Database Syst Rev. 2000;(2):CD000335. doi: 10.1002/14651858.CD000335.

  PMID: 10796344 BACKGROUND

• Bonetti F, Curti S, Mattioli S, Mugnai R, Vanti C, Violante FS, Pillastrini P. Effectiveness of a 'Global Postural Reeducation' program for persistent low back pain: a non-randomized controlled trial. BMC Musculoskelet Disord. 2010 Dec 16;11:285. doi: 10.1186/1471-2474-11-285.

  PMID: 21162726 BACKGROUND

• Guastala FAM, Guerini MH, Klein PF, Leite VC, Cappellazzo R, Facci LM. Effect of global postural re-education and isostretching in patients with nonspecific chronic low back pain: a randomized clinical trial. Fisioterapia em Movimento. 2016;29(3):515-25.

  BACKGROUND

• Mistry GS, Vyas NJ, Sheth MS. Comparison of hamstrings flexibility in subjects with chronic low back pain versus normal individuals. J Clin Exp Res. 2014;2(1):85-8.

  BACKGROUND

MeSH Terms

Conditions

Back Pain; Low Back Pain

Condition Hierarchy (Ancestors)

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

Study Officials

• Nazish Rafique, MSPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 16, 2020
• First Posted: September 21, 2020
• Study Start: January 15, 2020
• Primary Completion: August 15, 2020
• Study Completion: September 1, 2020
• Last Updated: September 21, 2020

Record last verified: 2020-09

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)