Chronic Non Specific Low Back Pain
Conditions
Keywords
LBP, Pilate mat exercise, MET
Brief summary
to investigate the effect of pilat mat exercise versus MET on chronic non specific LBP:Randomized controlled trial
Detailed description
Low back pain (LBP) affects almost everyone at least once per life. Hence,it has been considered one of the most common musculoskeletal problems.The Pilates Method starts by strengthening the core, which is achieved by coordinating breathing with movement. Muscle energy technique is an associate degree of osteopathic manipulation methodology. The muscles of patients were used, on request, to type a singular controlled position, in a very specific direction, and against a distinctly executed therapist-applied counterforce.pilate mat exercise and muscle energy technique play a major role in treatment of patients with chronic non specific LBP so this trial will be conducted to investigate the effect of pilat mat exercise versus MET on chronic non specific LBP:
Interventions
OTHERpilate mat exercise will be performed
pilate group:1- bridging 2- shoulder bridge 3- front support 4- spine stretch forward 5- spine twist plus standard treatment(stretch hamstring -stretch lower back - strength abdominal muscles - electrical heat pad)
OTHERMET
Will receive MET for hamstring and erectorspinae plus standard treatment
OTHERcontrol group receive standard treatment
electrical heat pad - stretch hamstring - stretch lower back muscles - stregth abdominal muscles
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Investigator, Outcomes Assessor)
Intervention model description
The trial has 3 groups
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Seventyeight Subjects will be selected from both genders, with age above 18 years. * Normal body mass index (BMI) will be included. * Participants diagnosed with chronic nonspecific LBP.
Exclusion criteria
* The participants will be excluded if they had one of the following criteria: * Patient with previous back surgery, lumbar disc herniation, spinal deformities. * Neuromusculoskeletal problems as hip arthrodesis or arthroplasty and spondylolisthesis. * History of Cardiovascular disease, diabetes mellitus and rheumatoid arthritis * Pregnant women and Osteoprosis. * Leg length discrepancy.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| pain intensity | up to 4 weeks for each group | using visual analogue scale.each patient willbe instructed to rate the current level of pain by placing (X) sign across the horizontal VAS line. The distance in millimeters from the lower limit was measured using a ruler. VAS will be assessed before and after the treatment program.as 1:2 mild , 3:6moderate and 7:10 sever pain. |
| functional disability | up to 4 weeks for each group | using ronald morris questioneer.The RMDQ is scored by adding up the number of items the patient has ticked. Scores can vary between 0-24. Greater levels of disability are reflected by higher scores |
| ROM | up to 4 weeks for each group | using BROMII.Use the two universal inclinometers to make flexion/extension measurements. Measurements with the universal inclinometer need to be with the patient in an upright position. 1. Palpate and mark S1 and T12. Mark on bare skin when possible. This avoids the marks moving with the patient's clothing (Fig.2) 2. Center the two inclinometers over the palpation marks and zero with your finger by spinning the dial (zero would then be at the bottom of the inclinometer). 3. Have the patient flex forward as far as possible (Fig. 3). Note the reading on each inclinometer. 4. The reading on the upper inclinometer is total lumbar flexion. The reading on the lower inclinometer is sacral flexion. The difference between the reading at S1 and T12 is true lumbar flexion. 5. Repeat flexion protocol for extension having the patient extend back for full extension instead of flexing forward |
| flexibility | upto 4 weeks for each group | using V sit and reach test.The test is done twice with a short break in between . Scoring: Zero point is at the level of feet. (We note negative values towards our body and positive values outward from our body.) The best trial is recorded in centimeters by best score |
Contacts
Primary Contacthager na hekal, PHD student
Outcome results
None listed