Non Specific Low Back Pain
Conditions
Brief summary
The goal of this clinical trial is to learn if knee extensor training with different protocols works to treat LBP in adults.. The main questions it aims to answer are: What are the comparative effects of open and closed kinetic chain knee extensor strengthening exercises versus lumbar stabilization exercises on lumbar curvature, postural control, and disability in individuals with non-specific low back pain? 1.4.2. How does open kinetic chain knee extensor strengthening affect pain, functional capacity, and lumbar spine stability compared to closed kinetic chain exercises in individuals with non-specific low back pain? 1.4.3 What is the effect of open kinetic chain knee extensor strengthening on pain, functional capacity, and lumbar spine stability compared to conventional lumbar muscle exercises in individuals with non-specific low back pain? 1.4.4 What is the effect of closed kinetic chain knee extensor strengthening on pain, functional capacity, and lumbar spine stability compared to conventional lumbar muscle exercises in individuals with non-specific low back pain? 1.4.5 What is the effect of open kinetic chain knee extensor strengthening on pain, functional capacity, and lumbar spine stability in individuals with non-specific low back pain? 1.4.6 What is the effect of close kinetic chain knee extensor strengthening on pain, functional capacity, and lumbar spine stability in individuals with non-specific low back pain? 1.4.7 What is the effect of conventional lumbar extensor strengthening on pain, functional capacity, and lumbar spine stability in individuals with non-specific low back pain Researchers will compare three different exercise protocols to a control group (will not receive exercise) to see if knee extensor training has an effect on problems associated with LBP. Participants will: * Exercise three times per week for 8 weeks * Be assessed before, 4 weeks after, and 8 weeks after intervention
Interventions
OTHERback strengthening exercise
strengthening exercise to lumbar extensors
OTHEROKC Exercise
knee extensor OKC exercise added to the lumbar strengthening exercise
OTHERCKC Exercise
knee extensor CKC exercise added to the lumbar strengthening exercise
OTHERCKC and OKC Exercise
knee extensor OKC and CKC exercise added to the lumbar strengthening exercise
Sponsors
Cairo University
Taif University
Lincoln University College
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Outcomes Assessor)
Eligibility
Sex/Gender
MALE
Age
40 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
I. Males aged 40 to 60 years, II. nonsmokers, III. with normal body mass index IV. of Saudi nationality, V. office workers, VI. suffering from chronic NLBP for 12 weeks or more with a moderate disability according to the Oswestry Disability Index (score of 21 - 40%) moderate activity level according to the Arabic version of the International Physical Activity Questionnaire short form .
Exclusion criteria
I. Previous spinal surgery, fracture, deformity, or disease. II. Neurological deficit and Lower limb deformity or fracture, or disease. III. Mental or psychological illness. The Arabic version of the Self-Reporting Questionnaire (SRQ-20) developed by the World Health Organization (WHO) to screen for common mental disorders such as depression and anxiety, uses a cut-off score to distinguish between individuals with and without significant psychological distress. A score of 7 or below is generally considered normal, indicating no significant psychological distress (Al-Subaie et al., 1998). IV. Systematic chronic illnesses such as hypertension, cardiac and respiratory disorders, and diabetes mellitus.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Mean change in the Lumbar lordosis Cobb angle in degrees measured by X-ray | 8 weeks |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mean change of LBP intensity from the baseline measured by Numeric Pain Rating Scale | 8 weeks | Minimum Value: 0, which represents no pain. Maximum Value: 10, which represents worst imaginable pain, worst possible pain, or most intense pain imaginable Higher scores indicate a worse outcome |
| Mean change in the quality of Life score as measured by the Oswestry Disability Index | 8 weeks | Minimum Value: 0%, which represents the highest possible level of functioning and independence (no disability). Maximum Value: 100%, which represents the lowest possible level of functioning and total dependence |
| Mean change in the muscle strength measured by the Hand-held dynamometer | 8 weeks | A higher score indicate improvement |
| Mean change in the posture control measured by the stare exursion test | 8 weeks | Higher scores mean a better outcome |
Contacts
Primary ContactLamiaa K Elsayyad, Assistant professor
Backup ContactHatem H Allam, Assistant professor
Outcome results
None listed