Comparison of Static & Dynamic Back Extensor Endurance Exercises in LBP

NCT04559477 | Completed

• 1 other identifier: REC/00236 Ayesha Jamal
• Study Type: interventional
• Target: 52
• Locations: 1 country
• Sites: 1

Brief Summary

This study will help to find the effects of static and dynamic back extensors exercises for chronic low back pain.

Conditions

Back Pain

Keywords

Low Back Pain; Endurance; Static; Dynamic; Exercises; Pain

Outcome Measures

Primary Outcomes (5)

• Roland-Morris Disability Questionnaire

  The Roland-Morris Questionnaire (RMQ) is a self-administered disability measure in which greater levels of disability are reflected by higher numbers on a 24-point scale. The RMQ is a 24-item patient-reported outcome measure that inquires about pain-related disability resulting from LBP. Items are scored 0 if left blank or 1 if endorsed, for a total RMQ score ranging from 0 to 24; higher scores represent higher levels of pain-related disability

  6th week

• Modified Biering-Sorensen test of Static Muscular Endurance (BSME)

  The BSME is used to assess the static back endurance. During the test the participant lay down on the plinth in the prone position with the upper edge of the iliac crests aligned with the edge of the plinth with their hands held by their sides. The lower body is fixed to the plinth by two non elastic straps located around the pelvis and ankles. Horizontality in the test position is ensured by asking the participant to maintain contact between his/her back and a hanging weighted ball. Once a loss of contact for more than 10 seconds is noticed, the participant is encouraged once to immediately maintain contact again. Once the participant could not immediately correct or hold the position or claimed to be fatigued the test is terminated. This test is time based, as long as the patient hold the position

  6th week

• Repetitive Arch-Up Test (RAUT)

  Repetitive Arch-Up Test (RAUT) is used to assess the static back endurance. During the test, the participant lay in a prone position on the plinth with the arms positioned along the sides. The iliac crest is positioned at the edge of the plinth. The lower body is fixed to the plinth by two nonelastic straps located around the pelvis and ankles. With the arms held along the sides touching the body, the subject was asked to flex the upper trunk downward to 45∘ as indicated by a board. The participant then raised the upper trunk upwards to the horizontal position followed by returning back downward to 45 degrees to complete a cycle. The repetition rate is one repetition per two to three seconds. Once the movement becomes jerky or nonsynchronous, or do not reach the horizontal level, the subject is encouraged once to immediately correct the motion again. The test is terminated once the participant could not go on with the tempo of the motion or reported fatigue or exhaustion.

  6th week

• Numeric Pain Rating Scale (NPRS)

  The NPRS is a segmented numeric version of the visual analog scale (VAS) in which a respondent selects a whole number (0-10 integers) that best reflects the intensity of pain. '0' usually represents 'no pain at all' whereas the upper limit represents 'the worst pain ever possible

  6th week

• Oswestry Disability Index (ODI),

  Oswestry Disability Index is used to assess pain-related disability in persons with low back pain (LBP). The (ODI) is calculated based on each score of the ODQ, which consists of ten items. Each of the ten items is scored from 0 to 5, and the total is added and multiplied by 2. Therefore, the ODI ranges from 0 to 100. A higher score on the ODI indicates a more severe disability caused by LBP

  6th week

Study Arms (2)

Static extension endurance exercise

EXPERIMENTAL

static back extension endurance exercise

Other: Static extension endurance exercise

Dynamic extension endurance exercise

ACTIVE COMPARATOR

dynamic back extension endurance exercise

Other: Dynamic extension endurance exercise

Interventions

Static extension endurance exercise OTHER

Static extension endurance exercise were performed, 10 repetitions with 10 sec hold of each of exercises Heating pad:15 mins TENS: 15 mins 35 min/session, 3 sessions/week for 6 weeks

Static extension endurance exercise

Dynamic extension endurance exercise OTHER

Dynamic extension endurance exercise with 10 repetitions of each of exercises which has been performed Heating pad:15 mins TENS: 15 mins 35 min/session, 3 sessions/week for 6 weeks

Dynamic extension endurance exercise

Eligibility Criteria

• Age: 25 Years - 55 Years
• Gender Eligibility Details: females are included in the study
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Females
• years
• Low back pain \> 3 month
• Postural dysfunction

You may not qualify if:

• Red flags indicative of serious spinal pathology with signs and symptoms of nerve root compromise (with at least two of dermatomal sensory loss, myotomal muscle weakness and reduced lower limb reflexes)
• Individuals with any obvious spinal deformity or neurological disease;
• Pregnancy
• Previous spinal surgery
• Previous experience of static and dynamic endurance exercise.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

District Headquater hospital

Mirpur Mathelo, Mirpur Azad Kashmir, Pakistan

Location

Related Publications (10)

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  PMID: 23245607 BACKGROUND

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  PMID: 27408698 BACKGROUND

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  BACKGROUND

• Mbada CE, Ayanniyi O, Ogunlade SO, Orimolade EA, Oladiran AB, Ogundele AO. Influence of Mckenzie protocol and two modes of endurance exercises on health-related quality of life of patients with long-term mechanical low-back pain. Pan Afr Med J. 2014 Jan 18;17 Suppl 1(Suppl 1):5. doi: 10.11694/pamj.supp.2014.17.1.2950. eCollection 2014.

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  PMID: 14582557 BACKGROUND

Related Links

• BASIC EXERCISES FOR THE LOW BACK

MeSH Terms

Conditions

Back Pain; Low Back Pain; Motor Activity; Pain

Condition Hierarchy (Ancestors)

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

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 22, 2020
• Study Start: February 1, 2020
• Primary Completion: August 1, 2020
• Study Completion: August 30, 2020
• Last Updated: September 22, 2020

Record last verified: 2020-09

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)