Efficacy of Core Strengthening and Intensive Dynamic Back Exercises in Patient With Low Back Pain

NCT05708781 | Completed

• 1 other identifier: IE/IIMS&R/2022/43
• Study Type: interventional
• Target: 45
• Locations: 2 countries
• Sites: 2

Brief Summary

The study aimed to investigate the efficacy of core strengthening and intensive dynamic back exercises on pain, muscle strength, endurance, and functional disability in patients with chronic non-specific low back pain.

Conditions

Low Back Pain

Outcome Measures

Primary Outcomes (3)

• Pain Intensity

  The pain intensity was assessed Using a numeric pain rating scale (NPRS), It's a 11 point scale, where zero indicates no pain and 10 indicates severe pain

  6 Weeks

• functional Limitation

  Functional limitation was assessed by using Oswestry disability Index questionnaire Each section is scored on a 0-5 scale, 5 representing the greatest disability.

  6 Weeks

• Muscle Endurance

  Muscle endurance was assessed by using timed endurance tests including the extensor endurance test, flexor endurance test and the side bridge test. The hold time was recorded in seconds once the patient was not able to maintain the respective endurance test position.

  6 Weeks

Study Arms (3)

CSE Group

EXPERIMENTAL

in addition to Conventional treatment, core strengthening exercise were given

Other: Core strengthening exercise; Other: Control group

IDBE Group

EXPERIMENTAL

in addition to Conventional treatment, intensive dynamic back exercise were given

Other: intensive dynamic back exercise; Other: Control group

Control Group

ACTIVE COMPARATOR

Conventional Treatment

Other: Control group

Interventions

Core strengthening exercise OTHER

1. Isolated lumbar stabilization muscle training: 2. Bridge track: 3. Dead bug track: 4. Quadruped Track: 5. Supine Track: 6. Side-support Track: 7. Prone Track: 8. Standing Track:

CSE Group

intensive dynamic back exercise OTHER

1. Trunk lifting Prone on a couch, hips at the edge, upper part of the body free but supported by the hands against the floor. Strap fixation over the calves. With hands on the forehead, the trunk is lifted to the greatest possible extension in hips and spine. If necessary, starting with support from physical therapist. During pauses a chair in front of the couch supports the patient. 2. Leg lifting Standing by the end of the couch, leaning over to a prone position with the hips against the edge in 90 degree flexion, knees 45 degree and feet on the floor. Strap fixation over the chest. Straps around knees to keep legs together. Both legs are straightened and lifted to the greatest possible extension in hips and spine. Again support from physical therapist is necessary. 3. Pull to neck Sitting on a tool with the arms straight and abducted over the head and hands grasping a weight lever. Against sub-maximal resistance the lever is pulled behind neck and shoulders.

IDBE Group

Control group OTHER

Hot Pack was given for twenty minutes, slow sustained stretching exercises ( 20 second hold, 10- second relaxation) were given, and isometric exercise of the back((10 repetitions of two sets with 10 seconds hold) alternate days for six weeks.

CSE Group; Control Group; IDBE Group

Eligibility Criteria

• Age: 20 Years - 50 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• age 20-50 years
• chronic low back pain (\>3 months),

You may not qualify if:

• Participants with low back pain related to cancer,
• infection,
• inflammatory arthropathy,
• high-velocity trauma,
• fracture
• low back pain associated with severe or progressive neurological deficits trauma
• pregnancy.

Sponsors & Collaborators

• Najran University: lead

Study Sites (2)

Integral University Hospital

Lucknow, Uttar Pardesh, India

Location

Hashim Ahmed

Najrān, Najran Region, 1988, Saudi Arabia

Location

MeSH Terms

Conditions

Low Back Pain

Interventions

Control Groups

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Epidemiologic Research Design; Epidemiologic Methods; Investigative Techniques; Research Design; Methods

Study Officials

• Hashim Ahmed, PhD

  Najran University

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: January 20, 2023
• First Posted: February 1, 2023
• Study Start: December 20, 2022
• Primary Completion: August 17, 2023
• Study Completion: September 28, 2023
• Last Updated: November 22, 2023

Record last verified: 2023-01

Data Sharing

• IPD Sharing: Will not share

Locations

IN (1); SA (1)