Generalized Segmental Stabilization Exercises, Segmental Stabilization
Conditions
Brief summary
Chronic low back pain effects more than 50% of general population. It's prevalence is higher is young adults that are economically active adults. Its significance is often underestimated because usually young adults ignore these initial episodes of low back pain due to their busy life style or life full of commitments. Approximately 70% of adults have at least one episode of low back pain during their lifetimes.
Detailed description
It will be randomized control trial with 60 patients with chronic low back pain divided into 2 groups. One group will be given segmental stabilization whose purpose is to achieve segmental control over primary stabilizers. Second group will be given just generalized lumber stabilization exercises as it includes close chain exercises with low velocity as well as low load. This study will be conducted in Rehabilitation setup of Benazir Bhutto hospital Rawalpindi and IIRS that is Rehabilitation dept. at Al Nafees medical college and hospital, Islamabad. Non probability Convenience Sampling technique will be utilized
Interventions
Physiotherapist will perform activation of multifidus in prone position. It also includes activation of transverse abdominas in crook lying position, in sitting as well as in point kneeling position to re-establish simultaneous contraction of deep muscles synergy.
It can by performed by patient him or her self under physiotherapist's assistance. Lumber neutral position is maintained. Bridging in prone as well as supine position will be maintained.
Sponsors
Study design
Masking description
single
Intervention model description
44 patients with chronic low back pain, distributed randomly in to two groups.
Eligibility
Inclusion criteria
* Both males and females will be included in the study
Exclusion criteria
* Age limits of subjects will be between 15 to 60
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| VAS | 4 weeks (1st reading is at the baseline, 2nd is at 3rd day, 3rd is at 5th day, 4th is at 8th day, 5th is at 10th day, 6th is at 12th day, 7th is at 19th day and 8th reading is at 26th day. | Visual analogue scale for Pain 0= no pain, 10= unbearable pain |
| Oswestry disability Index | 4 weeks (1st reading is at the baseline, 2nd is at 3rd day, 3rd is at 5th day, 4th is at 8th day, 5th is at 10th day, 6th is at 12th day, 7th is at 19th day and 8th reading is at 26th day. | It is used to measure permanent functional disability. For each section, total possible score is 5, after completing all 10 sections. sum of all scores will be obtained in the form of percentages. |
| International physical activity questionnaire | Only one reading is required that is the baseline reading. | It is used to measure to physical activity of a person |
Other
| Measure | Time frame | Description |
|---|---|---|
| ROM | 4 weeks (1st reading is at the baseline, 2nd is at 3rd day, 3rd is at 5th day, 4th is at 8th day, 5th is at 10th day, 6th is at 12th day, 7th is at 19th day and 8th reading is at 26th day. | It is an acronym of Range of motion |
Countries
Pakistan