Chronic Low Back Pain
Conditions
Interventions
rTMS Group:rTMS: The treatment was delivered using a repetitive transcranial magnetic stimulation device for a duration of 8 minutes, administered by a therapist trained in rTMS safety and operational
rTMSsham Group:Sham rTMS: In the sham stimulation group, the coil was positioned at a 90-degree angle relative to the scalp, with one wing in contact with the scalp, while all other parameters remaine
rTMS+MCE Group:rTMS combined with Motor Control Exercise: The intervention procedure for this group was consistent with that of the rTMS group. The entire process was performed by a professionally tra
rTMSsham+MCE Group:sham rTMS combined with Motor Control Exercise: This group first received 8 minutes of sham repetitive transcranial magnetic stimulation. The entire procedure was performed by a pro
Sponsors
Chengdu Sport University
Eligibility
Sex/Gender
All
Age
18 Years to 25 Years
Inclusion criteria
Inclusion criteria: 1. Duration of low back pain >= 3 months; 2. No history of spinal or lower limb surgery or trauma; 3. BMI: 18.5-23.9 kg/m^2; 4. Right-handed general university students aged 18-25 years, not specializing in sports; 5. No contraindications to exercise testing (e.g., severe hypertension, heart disease, peripheral vascular disease, respiratory diseases, etc.); 6. Visual Analog Scale (VAS) score for low back pain >= 3, indicating moderate pain; 7. Oswestry Disability Index (ODI) score > 15%, indicating moderate dysfunction; 8. Positive findings on motor control tests: >= 2 positive items.
Exclusion criteria
Exclusion criteria: 1. Spinal stenosis/fracture, radiculopathy, or history of surgery; 2. Presence of pain in the buttocks and thighs; sensory or reflex abnormalities in the lower limbs; pain in joints other than the lumbar region; 3. Low back pain caused by specific pathological conditions, such as tumors, osteoporosis, lumbar fractures, rheumatoid arthritis, ankylosing spondylitis, lumbar disc herniation with nerve root involvement, spondylolisthesis, etc.; 4. Concurrent severe primary diseases involving the liver, kidneys, hematopoietic system, endocrine system, etc.; 5. Concurrent skin diseases; 6. Pregnant or breastfeeding women, or individuals with psychiatric disorders; 7. Use of medications (e.g., analgesics, nonsteroidal anti-inflammatory drugs, opioid analgesics, etc.) within the three months prior to the experiment; 8. Inability to tolerate the discomfort induced by rTMS (e.g., scalp pain, headache, dental or facial muscle twitching, etc.); 9.Inability to provide accurate information regarding caffeine and nicotine use, or refusal to comply with pre-experiment requirements (to control for potential interference of caffeine and nicotine with fNIRS signals, participants were required to refrain from consuming caffeinated products for at least 6 hours and from smoking for at least 2 hours prior to the experiment).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Movement Control Tests;Change in beta values of oxygenated hemoglobin concentration;Pain Intensity;Functional Disability; | — |
Secondary
| Measure | Time frame |
|---|---|
| Hip flexion angle during the supine double leg lowering test;Peak Intra-abdominal Pressure;Surface EMG test root mean square amplitude; Integrated Electromyography; | — |
Countries
China
Contacts
Public ContactZhangYang
Chengdu Sport University
Outcome results
None listed