Gluteus Medius Strengthening n Non Specific Chronic Low Back Pain

NCT05521165 | Unknown

• 1 other identifier: Gluteus Medius in back pain
• Study Type: interventional
• Target: 58
• Locations: 0 countries
• Sites: N/A

Brief Summary

To study the effect of adding selected G Med muscle strengthening exercises to the APTA-guided program on pain, disability level, and G Med macromorphology in patients with NSCLBP.

Conditions

Gluteus Medius, Ultrasonography, NSCLBP

Outcome Measures

Primary Outcomes (3)

• back Pain intensity level

  The Numerical Pain Rating Scale (NPRS) for pain is a one-dimensional measure of pain intensity.

  6 weeks

• disability level of low back pain patients

  Back pain related disability is estimated using the cross-culturally adapted Arabic version of Oswestry disability index (ODI-AR).

  6 weeks

• G Med macromorphology

  measuring gluteus medius thickness by ultrasonography

  6 weeks

Study Arms (2)

group A

EXPERIMENTAL

The patients in group (A) (n=29) will receive an American physical therapy association (APTA) guided program consisting of stretching exercises for global trunk, back muscles, and hamstring muscles, strengthening exercises for abdominal and back muscles, and stabilizing exercises for trunk and pelvic muscles.

Other: therapeutic exercises

group B

EXPERIMENTAL

The patients in group (B) (n=29) will receive treatment as in group (A) in addition to selected G Med strengthening exercises.

Other: therapeutic exercises

Interventions

therapeutic exercises OTHER

strengthening exercises for gluteus medius and APTA guided program for NSCLBP

group A; group B

Eligibility Criteria

• Age: 20 Years - 45 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• \. Patients aged between 20-45yrs 2. Patients with NSCLBP (pain \> 3 months). 3. NSCLBP must have been present for at least the previous 12 weeks. 4. Patients with unilateral or bilateral symptoms that are worse on one side than the other, are referred by an orthopedist.

You may not qualify if:

• \. 'Red Flag' symptoms include, a history of major trauma, persistent night pain, bladder or bowel dysfunction, and/or lower extremity neurological deficit.
• \. History of previous back surgery. 3. History of the previous pelvis or hip surgeries. 4. Recent or old fractures in lower limbs. 5. Cognitive impairment and inability to understand the scale. 6. Systemic inflammatory diseases e.g., rheumatoid arthritis and ankylosing spondylitis.

Sponsors & Collaborators

• Cairo University: lead

Related Publications (8)

• Abe T, Loenneke JP, Thiebaud RS. Morphological and functional relationships with ultrasound measured muscle thickness of the lower extremity: a brief review. Ultrasound. 2015 Aug;23(3):166-73. doi: 10.1177/1742271X15587599. Epub 2015 May 29.

  PMID: 27433253 BACKGROUND

• Aboufazeli M, Akbari M, Jamshidi AA, Jafarpisheh MS. Comparison of Selective Local and Global Muscle Thicknesses in Females with and without Chronic Low Back Pain. Ortop Traumatol Rehabil. 2018 Jun 27;20(3):197-204. doi: 10.5604/01.3001.0012.1473.

  PMID: 30152768 BACKGROUND

• Algarni AS, Ghorbel S, Jones JG, Guermazi M. Validation of an Arabic version of the Oswestry index in Saudi Arabia. Ann Phys Rehabil Med. 2014 Dec;57(9-10):653-63. doi: 10.1016/j.rehab.2014.06.006. Epub 2014 Aug 4.

  PMID: 25262247 BACKGROUND

• Amabile AH, Bolte JH, Richter SD. Atrophy of gluteus maximus among women with a history of chronic low back pain. PLoS One. 2017 Jul 17;12(7):e0177008. doi: 10.1371/journal.pone.0177008. eCollection 2017.

  PMID: 28715424 BACKGROUND

• Ayotte NW, Stetts DM, Keenan G, Greenway EH. Electromyographical analysis of selected lower extremity muscles during 5 unilateral weight-bearing exercises. J Orthop Sports Phys Ther. 2007 Feb;37(2):48-55. doi: 10.2519/jospt.2007.2354.

  PMID: 17366959 BACKGROUND

• Bernet BA, Peskura ET, Meyer ST, Bauch PC, Donaldson MB. The effects of hip-targeted physical therapy interventions on low back pain: A systematic review and meta-analysis. Musculoskelet Sci Pract. 2019 Feb;39:91-100. doi: 10.1016/j.msksp.2018.11.016. Epub 2018 Dec 1.

  PMID: 30553988 BACKGROUND

• Cooper NA, Scavo KM, Strickland KJ, Tipayamongkol N, Nicholson JD, Bewyer DC, Sluka KA. Prevalence of gluteus medius weakness in people with chronic low back pain compared to healthy controls. Eur Spine J. 2016 Apr;25(4):1258-65. doi: 10.1007/s00586-015-4027-6. Epub 2015 May 26.

  PMID: 26006705 BACKGROUND

• de Jesus FLA, Fukuda TY, Souza C, Guimaraes J, Aquino L, Carvalho G, Powers C, Gomes-Neto M. Addition of specific hip strengthening exercises to conventional rehabilitation therapy for low back pain: a systematic review and meta-analysis. Clin Rehabil. 2020 Nov;34(11):1368-1377. doi: 10.1177/0269215520941914. Epub 2020 Jul 21.

  PMID: 32691625 BACKGROUND

MeSH Terms

Interventions

Exercise Therapy

Intervention Hierarchy (Ancestors)

Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Physical Therapy Modalities

Central Study Contacts

Hadil Mo Mohamed salama

CONTACT

01092755255; hadilmohamed71@gmail.com

Mona Mo Ibrahim

CONTACT

01004046183

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: assistant lecturer

Study Record Dates

• First Submitted: August 27, 2022
• First Posted: August 30, 2022
• Study Start: September 1, 2022
• Primary Completion: September 1, 2023
• Study Completion: January 1, 2024
• Last Updated: September 2, 2022

Record last verified: 2022-08