Low Back Pain, Mechanical
Conditions
Brief summary
the study aims to compare the effect of regular back exercises with shockwave therapy by treating male patients with non-specific low back pain between the age of (20-40). Who will be devided into 3 groups, and will be treated by shockwave therapy , exercises or both combined. After signing a consent form, patients will be assigned to the groups blindly, so the patients will not know if they are in the experimental or control group. Hypothesis: The hypothesis of this study states that: o Research hypothesis: there will be a significant difference between the radial ESWT and back exercises in reducing LBP
Interventions
shockwave therapy. 2000 impulses will be applied, 1000 on the TrPs and 1000 surrounding it, with Energy level up to 2,5 bars and frequency of 10Hz
the exercise program will include 5 exercises that focuses on the back and lower limbs. These exercises are: * Bridge * Plank * Squat * Push-ups * Back extension Each exercise will be done for 3-5 sets.
both types of interventions will be applied for the patient
Sponsors
Study design
Eligibility
Inclusion criteria
* Only male patients will be included. * Age 20-40 years old. * Non-specific LBP for at least 3 months. * At least one local tenderness or active trigger point in the anatomical region of the QL muscle. * Pain intensity on numerical pain scale should be more than 4
Exclusion criteria
* LBP due to a pathology or trauma. * Below 20 years of age. * Previous lumbar surgeries. * Malignancy. * Patients under medications or painkillers.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| pressure-pain threshold | 45 hour session | Algometry device will be used to measure three thresholds' values: * Tenderness threshold. * Referred pain threshold. * Pain tolerance threshold. |
| The Oswestry Disability Index | 45 minutes session | is an extremely important tool that researchers and disability evaluators use to measure a patient's permanent functional disability, scoring from 0 to 50, the lower score the better |
| Numerical pain scale | 45 minutes session | 0-10 the lower the better |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| ROM of the back | 45 minutes session | an electrical goniometer will be used to measure the change in the back ROM |