Effect of Power's Program of Gluteus Maximus on LBP

NCT05770986 | Unknown

• 1 other identifier: 012/003955
• Study Type: interventional
• Target: 52
• Locations: 1 country
• Sites: 1

Brief Summary

Low back pain (LBP) is highly prevalent that causes significant pain and disability. Core muscles are important for LBP. One of them is gluteus maximus, but effect of power's program for this muscle and its role in LBP is lacking in literature, so this study aims to study the effect of power's program of gluteus maximus on LBP.

Conditions

Low Back Pain

Keywords

Disability; Gluteus maximus; Low back pain; Power's program

Outcome Measures

Primary Outcomes (1)

• Severity of low back Pain

  Using the Arabic version of visual analogue scale (VAS), the patient will mark on a 0-10 graphic rating scale in which the (0) value indicating no pain,

  1 year

Secondary Outcomes (4)

• Severity of low back disability

  1 year

• Gluteus maximus strength

  1year

• Single limb triple hop test for distnace:

  One year

• Single-Limb Crossover Hop Test for Distance

  One year

Study Arms (2)

Group A ( power's group)

EXPERIMENTAL

Patients will receive the eight phases of the power's program plus a conventional treatment of flexibility exercises, hot pack, transcutaneous electrical stimulation (TENS), prone resisted hip extension for 12 sessions (3 sessions per week for 4 weeks).

Other: Group A

Group B ( control)

ACTIVE COMPARATOR

Patients will receive a conventional treatment of flexibility exercises, hot pack, transcutaneous electrical stimulation (TENS), prone resisted hip extension for 12 sessions (3 sessions per week for 4 weeks).

Other: Group B

Interventions

Group A OTHER

the patient must attain the goal repetitions (and holds when required) at one level before progressing to the next level. The principal investigator will provide extensive education to the patient while progressing through the program. Three resistance bands will be used through the exercise progression; yellow band (low resistance), green band (moderate resistance) to blue band (high resistance). The patient will progress to more advanced level if he/she can sustain the position with high resistance band (blue) for one minute with three isometric holds of each exercise on each limb. three sets for 10 repetitions will be performed) Phases 1-3 of the program are focused on GMax activation. Phases 4- 5 are focused on GMax strength, and the final three phases emphasize functional applications of the GMax during ballistic tasks.

Also known as: Power's Program

Group A ( power's group)

Group B OTHER

Flexibility exercises of the back muscles: knee to chest stretch, bridging, stretching exercises for hip flexors, piriformis, adductors and hamstring will be performed, with a hold of position for 30 s and with repetitions (3-5 times). Static stretches will be held for 30 seconds to induce changes in flexibility and will be repeated for three sets. Three sessions of stretching per week will be performed b. Prone resisted hip extension 10 repetitions for two sets. c. Hot pack: for 10 minutes. d. TENS: The electrodes will be placed over the area of most severe pain for 15 minutes.

Also known as: Control

Group B ( control)

Eligibility Criteria

• Age: 21 Years - 45 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Both sex.
• Age 21-45 years.
• Chronic mechanical liw back pain for more than 3 years.
• Body mass index 18.4-29.9 kg/m\^2.

You may not qualify if:

• Back pain due to specific pathology.
• postoperative
• Trauma to lower quadrant with past 6 months.
• Radicular pain. Lumbar instability.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Central hospital of Alkhanka

Cairo, Egypt

RECRUITING

MeSH Terms

Conditions

Low Back Pain

Condition Hierarchy (Ancestors)

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

Study Officials

• Enas Fawzy

  professor, department of physical Therapy for musculoskeletal disorders

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Alshaymaa AA Mohammed

CONTACT

01096617838; alshaymaa.mohammed2012@yahoo.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Physical therapist at Central hospital of Alkhanka, Qalyubiya

Model Details: Eligible patients will be randomly allocated to an experimental and a control group as follow: Group A (n= 26) will receive the eight phases of the Powers program plus a conventional treatment of flexibility exercises, hot pack, transcutaneous electrical stimulation (TENS), prone resisted hip extension for 12 sessions (3 sessions per week for 4 weeks). Group B (n= 26) will receive the same conventional treatment only.

Study Record Dates

• First Submitted: December 3, 2022
• First Posted: March 16, 2023
• Study Start: May 1, 2022
• Primary Completion: April 1, 2023
• Study Completion: May 1, 2023
• Last Updated: March 16, 2023

Record last verified: 2023-03

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)