Chronic non-specific low back pain.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Pain is felt in the area between the 12th rib and the area above the gluteal folds in the lower back History of chronic back pain for at least 3 months and at least 50% of the days in the last 6 months. Ages range from 18 to 40
Exclusion criteria
Exclusion criteria: The presence of any signs of serious involvement of the spine and body (such as fracture, surgery, etc.) The presence of Cauda Equina symptoms. The presence of symptoms suggests sciatic nerve involvement. The presence of signs and symptoms of spinal canal stenosis The presence of symptoms of nerve root involvement
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| During the implementation of the Y-Balance test, the normalized composite score (which is the sum of the three maximum normalized reach distances in each direction) calculated separately for each lower limb will be considered as the primary outcome. Timepoint: Three times the primary outcome will be evaluated: prior to the intervention, immediately following the ending of the physiotherapy sessions, and one month after the physiotherapy sessions (for follow-up purposes). Method of measurement: This test is performed in the center of the star matrix and while weighting on one of the lower limbs (as a support). While the other lower limb on the opposite side performs reaching tasks along the anterior, posterior-medial, and posterior-lateral directions. Subjects are asked to perform a reaching task in each of the three directions as far as possible, pointing with their big toe, and then returning to the starting position and again repeated for 4 trials. A motion capture system will be used to record the maximum reaching distance. Markers are placed on the big toe, lateral malleolus, and behind the aspect of the calcaneus. The maximum reach distance in each direction will be calculated through the Pythagorean formula. The normalized maximal reach distance per reach direction and leg was calculated as follows and used as an outcome measure:normalized maximal reach distance (% leg length [LL]) = (absolute maximal reach distance [cm]) / Leg Lenght [cm]) × 100.Further, the normalized composite score (i.e.,sum of the three maximal reach distances per reach direction) per leg was calculated byu sing the following formula:CS (% LL) = ((AT + PM + PL) / (LL × 3)) × 100. | — |
Secondary
| Measure | Time frame |
|---|---|
| Visual Analogue Scale. Timepoint: Three times this outcome will be evaluated: prior to the intervention, immediately following the end of the physiotherapy sessions, and one month after the physiotherapy sessions (for follow-up purposes). Method of measurement: The visual analog scale of pain is utilized to determine the intensity of pain. The scale is a horizontal line that measures 100 mm in length, with 0 indicating no pain and 100 at the end of the line indicating the most severe pain possible. The patient will mark a spot on the line, according to the amount of pain in the last 24 hours. A graded ruler is used to measure the intensity of pain from the start of the continuum to the person's mark.;Indices of Center of pressure. Timepoint: Three times this outcome will be evaluated: prior to the intervention, immediately following the ending of the physiotherapy sessions, and one month after the physiotherapy sessions (for follow-up purposes). Method of measurement: The abbreviated version of the Balance Systems Assessment Test has "six" items, each covering one subscale of the original version of the Balance Systems Assessment Exam. These subscales include biomechanical limitations, stability range, Anticipatory postural adjustments, reactive postural response, sensory orientation and gait stability.Two of the six tests are done bilaterally, which in fact has turned the test into an eight-item test. Each test is scored from zero (severe balance disorder) to three (no disruption in the balance), and it takes approximately 10 minutes to complete.;Roland Morris Disability Questionnaire. Timepoint: Three times this outcome will be evaluated: prior to the intervention, immediately following the end of the physiotherapy sessions, and one month after the physiotherapy sessions (for follow-up purposes). Method of measurement: It is used to measure disability caused by chronic low back pain. It contains 24 questions about the normal activities of daily living, which are | — |
Countries
Iran (Islamic Republic of)
Contacts
University of social welfare and rehabilitation sciences