Low Back Pain
Conditions
Brief summary
Chronic non-specific low back pain (CNSLBP) is a prevalent condition contributing to pain, functional limitations, and reduced quality of life. Core stabilization exercises (CSE) have shown promise in enhancing spinal stability and reducing symptoms. Additionally, vitamin D supplementation plays a critical role in musculoskeletal health. Study objective will be to determine combined effect of vitamin D supplementation and core Stabilization exercises is better than core Stabilization Exercises alone in reducing pain-related and functional independence among chronic non-specific low back patient A randomized controlled trial will be conducted on 52 adults aged 25-45 diagnosed with Chronic non-specific low back pain.
Detailed description
Subjects will be divided into two groups: the intervention group will receive an 8-week Core stabilization exercises program alongside daily vitamin D supplementation, while the control group will receive either Core stabilization exercises alone Visual Analog Scale (VAS), and Oswestry Disability
Interventions
Will receive 8 week core stabilization exercise 3 session per week which include 10 min warm up and 10 min cool down (walking ) 6 sets of movements co contraction of abdominal muscles (Abdominal hollowing) ,bridging ,dead bug ,plank with 50,000 IU of vitamin D weekly
stabilization exercise 3 session per week which include 10 min warm and 10 min cool down (walking ) sham medicine, 6 sets of movements co contraction of abdominal muscles (Abdominal hollowing) ,bridging ,dead bug and plank
Sponsors
Study design
Eligibility
Inclusion criteria
* Adults aged 25 to 45 years will be included. * Both gender Male /Female will participate. * Subjects with diagnosed non-specific low lumber pain persisting for at least 12 weeks will be included. * Subjects must have baseline pain score of ≥4 on the Visual Analog Scale. * Confirmed serum vitamin D levels \<30 ng/m will be included
Exclusion criteria
* Low lumber pain due to specific causes such as fracture malignancy infection or inflammatory diseases (e.g. ankylosing spondylitis). * Presence of significant comorbidities that could interfere with participation (e.g. cardiovascular neurological or respiratory disorders). * History of spinal surgery within the last year. * Subjects currently taking vitamin D supplements or undergoing other treatments for vitamin D deficiency. * Use of medications such as corticosteroids or opioids that might affect pain perception or functional assessment. * Enrolled in any other physical therapy or pain management program within the last three months.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The Visual Analogue Scale (VAS) | 12 Months | The Visual Analogue Scale (VAS) uses a 10 cm line with anchors like no pain and worst pain imaginable, and the score is determined by measuring the distance (in mm or cm) from the no pain end to the patient's mark, ranging from 0 to 100 |
| The Oswestry Disability Index (ODI) | 12 Months | The Oswestry Disability Index (ODI) is a questionnaire used to assess functional disability in individuals with low back pain, with scores ranging from 0% (no disability) to 100% (maximum disability), and interpreted as follows: 0-20% minimal disability, 21-40% moderate, 41-60% severe, 61-80% crippling, and 81-100% bed-bound or exaggerated symptoms |
Countries
Pakistan