Recurrent Low Back Pain
Conditions
Keywords
specific stabilization exercise, ultrasound, low back pain
Brief summary
1. Specific aim 1:Identify factors that influence muscle performance by use of ultrasound imaging. Hypothesis: Gender, age, and BMI affect the muscle performance of deep trunk muscles. 2. Specific aim 2. To compare the performance of trunk deep muscles (transversus abdominis and multifidus) and the sensation and pain thresholds of patients with recurrent low back pain with asymptomatic subjects. Hypothesis: patients with recurrent low back pain have: (A) less activation of the transversus abdominis and multifidus, (B) peripheral and central sensitization, with decreased sensation and pain thresholds in the lumbar and foot areas. 3. Specific aim 3. To determine the performance of the transversus abdominis and multifidus, and the sensation and pain thresholds by use of ultrasound feedback training in asymptomatic adults, and to compare these results with the traditional training protocols for trunk stabilization. Hypothesis: Specific stabilization exercise using ultrasound feedback training is more effective in activating deep trunk muscles and increasing sensation and pain thresholds than the traditional stabilization training protocol in asymptomatic adults. 4. Specific aim 4. To determine the performance of the transversus abdominis and multifidus, and the sensation and pain thresholds by using the ultrasound feedback training in adults with low back pain, and to compare these results with the traditional training protocols for trunk stabilization. Hypothesis: Specific stabilization exercise using ultrasound feedback training is more effective in activating deep trunk muscles and increasing sensation and pain thresholds than the traditional stabilization training protocol in adults with low back pain.
Interventions
OTHERspecific stabilization exercise
The specific stabilization exercise refers to an exercise that targets the deep trunk muscle, including the multifidus and transversus abdominis with ultrasound feedback.
Sponsors
National Health Research Institutes, Taiwan
National Taiwan University Hospital
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
20 Years to 50 Years
Healthy volunteers
Yes
Inclusion criteria
* recurrent low back pain for at least the past year * lumbar region discomfort more than one day in the past three months * recurrent discomfort more than one time in the past three months
Exclusion criteria
* pregnancy * carcinoma * systematic disease (rheumatic arthritis, ankylosing spondylitis etc) * had surgery on lumbar region or lower extremities * neurological symptom on lower extremities(numbness, pain etc) * spondylolisthesis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Increased change of sliding of transversus abdominis muscle and change of thickness on multifidus muscle in asymptomatic and low back pain group | pre treatment (0 week), post treatment(6 week) |
Secondary
| Measure | Time frame |
|---|---|
| Decrease cold sensation threshold on left back and hot sensation threshold on left leg in both group | pre treatment (0 week), post treatment(6 week) |
Countries
Taiwan
Outcome results
None listed