Effects of Abdominal Muscle Activation Training, Using Pressure Biofeedback in Comparison With Surface Electromyography

NCT06387563 | Recruiting

• 1 other identifier: FUI/CTR/2024/4
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

This study is a randomized control trial and the purpose of this study to determine the effects of abdominal muscle activation training on non-specific low back pain; using pressure biofeedback in comparison with surface electromyography biofeedback: a randomized control trial.

Conditions

Low Back Pain

Outcome Measures

Primary Outcomes (2)

• Pain Intensity

  The NPRS will be used to quantify LBP, and it exhibits good validity ranging from 0.79 to 0.95, as well as reliability ranging from 0.67 to 0.96(23). The scoring for NPRS involves a scale from 0 to 10, where 0 indicates no pain. The interpretation of scores is as follows: 0 to 3 for mild pain, 4 to 6 for moderate pain, and 7 to 10 for severe pain.

  4 weeks

• Level of Disability

  For measuring disability, Oswestry Disability Index will be utilized

  4 weeks

Study Arms (2)

Group A: Abdominal activation using pressure biofeedback

EXPERIMENTAL

Group A PBF assisted abdominal muscle activation training (30 min, 3x /week /4 weeks) Progressive Muscle Relaxation for 5 min Pressure biofeedback assisted abdominal muscle activation training. Frequency: 25 min; 10 sec hold, 15 sec relax, 10 reps Progression criteria in training: Maintaining 3 - 5 mmHg pressure on PBF dial while performing abdominal muscle activation. Exercises for Group For biofeedback assisted abdominal muscle activation training these exercises will be performed: 1. Supine abdominal muscle activation (45° Hip knee flexion) 2. Both hip and knee 90° flexion 3. One side hip and knee 90° flexion with other fully extended 4. One side hip and knee 90° flexion with other fully extended + heel 12 cm raised 5. Both legs fully extended with heel 12 cm raised 6. Partial curl ups 7. Prone lying abdominal muscle activation 8. Prone leg raises 9. Prone upper back extension simple 10. Prone reciprocal UE/LE exercises

Procedure: Abdominal activation using pressure biofeedback

Group B: Abdominal activation using SEMG biofeedback

EXPERIMENTAL

GROUP B: SEMG-BF assisted abdominal muscle activation training (30 min, 3x/ week/ 4 weeks) Progressive Muscle Relaxation for 5 min Surface EMG-BF assisted abdominal muscle activation training. Frequency: 25 min; 10 sec hold, 15 sec relax, 10 reps Maintaining minimal volumetric contraction of abdominal muscle activation (as per person) on SEMG device with abdominal muscle activation for set frequency Exercises for Group B For biofeedback assisted abdominal muscle activation training these exercises will be performed: 1. Supine abdominal muscle activation (45° Hip knee flexion) 2. Both hip and knee 90° flexion 3. One side hip and knee 90° flexion with other fully extended 4. One side hip and knee 90° flexion with other fully extended + heel 12 cm raised 5. Both legs fully extended with heel 12 cm raised 6. Partial curl ups 7. Prone lying abdominal muscle activation 8. Prone leg raises 9. Prone upper back extension simple 10. Prone reciprocal UE/LE exercises

Procedure: Abdominal activation using SEMG biofeedback

Interventions

Abdominal activation using pressure biofeedback PROCEDURE

PBF assisted abdominal muscle activation training (30 min, 3x /week /4 weeks) Progressive Muscle Relaxation for 5 min Pressure biofeedback assisted abdominal muscle activation training. Frequency: 25 min; 10 sec hold, 15 sec relax, 10 reps Progression criteria in training: Maintaining 3 - 5 mmHg pressure on PBF dial while performing abdominal muscle activation. Exercises for Group For biofeedback assisted abdominal muscle activation training these exercises will be performed: 1. Supine abdominal muscle activation (45° Hip knee flexion) 2. Both hip and knee 90° flexion 3. One side hip and knee 90° flexion with other fully extended 4. One side hip and knee 90° flexion with other fully extended + heel 12 cm raised 5. Both legs fully extended with heel 12 cm raised 6. Partial curl ups 7. Prone lying abdominal muscle activation 8. Prone leg raises 9. Prone upper back extension simple 10. Prone reciprocal UE/LE exercises

Group A: Abdominal activation using pressure biofeedback

Abdominal activation using SEMG biofeedback PROCEDURE

SEMG-BF assisted abdominal muscle activation training (30 min, 3x/ week/ 4 weeks) Progressive Muscle Relaxation for 5 min Surface EMG-BF assisted abdominal muscle activation training. Frequency: 25 min; 10 sec hold, 15 sec relax, 10 reps Maintaining minimal volumetric contraction of abdominal muscle activation (as per person) on SEMG device with abdominal muscle activation for set frequency Exercises for Group B For biofeedback assisted abdominal muscle activation training these exercises will be performed: 1. Supine abdominal muscle activation (45° Hip knee flexion) 2. Both hip and knee 90° flexion 3. One side hip and knee 90° flexion with other fully extended 4. One side hip and knee 90° flexion with other fully extended + heel 12 cm raised 5. Both legs fully extended with heel 12 cm raised 6. Partial curl ups 7. Prone lying abdominal muscle activation 8. Prone leg raises 9. Prone upper back extension simple 10. Prone reciprocal UE/LE exercises

Group B: Abdominal activation using SEMG biofeedback

Eligibility Criteria

• Age: 18 Years - 44 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Age (adults 19 - 44 years)
• Non-specific LBP with NPRS \> 3
• Negative SLR test in prone and supine
• Painless extremity movement and activity
• Manual muscle testing of abdominal muscles between grade 2 - 4
• Sedentary individuals (no exercise plan followed in last 3 months)

You may not qualify if:

• History of any spinal surgery
• Degenerative disc disorder, facet joint syndrome, spinal stenosis, myelopathy, lumbar syringomyelia
• Sensory disturbances due to neurological causes, lumbar radiculopathy, fibromyalgia, myofascial pain syndrome
• Sacroiliac joint dysfunction
• Pregnancy
• Medical conditions; Hypertension, Diabetes mellites
• Work disability greater than 6 months
• Not able to attend regular therapy appointments

Sponsors & Collaborators

• Foundation University Islamabad: lead

Study Sites (1)

Foundation University College of Physical Therapy

Rawalpindi, Punjab Province, 46000, Pakistan

RECRUITING

MeSH Terms

Conditions

Low Back Pain

Condition Hierarchy (Ancestors)

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

Central Study Contacts

Iqra Ali, MS-MSKPT*

CONTACT

0316-5187052; iqraalianmol@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Randomized control trial

Study Record Dates

• First Submitted: April 23, 2024
• First Posted: April 29, 2024
• Study Start: November 6, 2023
• Primary Completion: May 1, 2024
• Study Completion: May 30, 2024
• Last Updated: April 29, 2024

Record last verified: 2024-04

Locations

PA (1)