Chronic Non-Specific Low Back Pain
Conditions
Brief summary
This study sought to determine the effect of Pilates exercises versus segmental control exercises on spinopelvic angles, pain intensity, and functional disability in patients with chronic non-specific low back pain.
Detailed description
Low back pain (LBP) is the most common musculoskeletal condition and constitutes a global public health problem. The majority of patients (up to 90%) are categorized as having nonspecific low back pain, which is described as symptoms lack of clear particular reasons, i.e., beginning of low back pain is not known. Many clinical guidelines and systematic reviews have recommended exercise therapy as one of the preferred treatments at decreasing pain and improving function in NSLBP. In the last decade, the Pilates method has become one of the most popular exercise programmes incorporated in clinical practice. Therapeutic exercises, specifically Segmental control exercises, decrease pain, reduce disability, improve quality of life, increase muscular endurance and strength, improve segmental stability, and reduce risk of injury. Studies have shown that both segmental control exercises and Pilate's exercises are effective in the management of pain and disability in individuals with Chronic LBP. However, it appears there is dearth of empirical data establishing which is more effective between the segmental control exercises and Pilates exercises on individuals with non-specific chronic low back pain. Thus, there exist certain gaps involving the two therapeutic techniques. Therefore, this study sought to determine the effect of Pilates exercises versus segmental control exercises on spinopelvic angles, pain intensity, and functional disability in patients with chronic non-specific low back pain.
Interventions
OTHERPilates mat exercices
Pilates mat exercise which consists of (single leg stretch + Pelvic press + Swimming + Opposite arm and leg reach + Side to side), 3 sets of 10 repetitions.
OTHERSegmental control exercises
Segmental control exercise which consists of (Segmental control over primary stabilizers, Exercises in closed chain, and Exercises in open chain)
OTHERTraditional physical therapy
Traditional physical therapy eg. (Back, hamstring, calf and hip flexors stretches, Abdominal curl-up exercise in supine, Back extensors exercise in prone, and Hip extensors exercises in prone along with ultrasound and Transcutaneous electrical nerve stimulation (TENS)
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Age group: 18 to 65 years. (Yentür et al., 2021) * Both male and female gender will be included in the study. (Akhtar et al., 2017) * Nonspecific, non-radicular (axial) chronic LBP diagnosis with hyperlordosis (LBP for at least three months). (Kızıltaş et al., 2022) * Visual Analog Scale (VAS) score of 3 or higher. (Mannion et al., 2009)
Exclusion criteria
* Patients with acute attacks of LBP. (Caglayan et al.,2014) * Pain referred from the lumbar to the lower extremities. * Serious spinal disorder including malignancy, osteoporosis, ankylosing spondylitis, cauda equina compression, and infection. * Fracture of vertebrae, and administered epidural injection. (Sarker et al., 2020) * Pregnancy and feeding * Structural abnormalities in the lumbar region * Surgical history in the lumbar spine area * Heart disease. (Kızıltaş et al., 2022) * History of Vestibular dysfunction * Regular Pilates/any other specific exercise program in the last 3 months. (Mehta et al.,2022)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Spinopelvic angels | 6 weeks | Spinopelvic angles consists of (Sacral slope, lumber lordosis, pelvic incidence, and pelvic tilt) from the X-ray picture of the lateral view of the lumbosacral region by using CorelDraw graphic suits X7 software program. (Bhosale et al.2020) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain intensity | 6 weeks | Pain intensity by using a Visual analogue scale (VAS). (Begum, and Hossain 2019) |
| Functional disability | 6 weeks | Functional disability by using the Oswestry disability questionnaire. (Koivunen et al., 2024) |
Countries
Egypt
Contacts
Primary ContactAlyaa MAM Elgendy, Master
Outcome results
None listed