Low Back Pain, Mechanical
Conditions
Keywords
Low Back Pain, Lumbar Stabilization Exercises, Muscular Chain Therapy, Functional Disability
Brief summary
The goal of this randomized controlled trial is to compare the effectiveness of lumbar stabilization exercises and muscular chain therapy on reducing pain intensity and functional disability in patients with mechanical CLBP. * Participants will be randomly assigned to two groups: * Group A: Lumbar stabilization exercises * Group B: Muscular chain therapy (posterior sagittal muscle chain) Outcomes will be assessed at baseline and on week 6 to evaluate which exercise program is more effective in reducing pain and improving functional outcomes.
Interventions
Participants will receive lumbar stabilization exercises (Abdominal drawing-in maneuver, Pelvic tilts, Bridging exercise), Repetitions: 10-15 reps per exercise- Sets: 2-3 sets per exercise, Rest Between Sets: 30-45 seconds.
OTHERMuscular Chain Therapy
1. Straightening the lumbar spine while maintaining hip neutrality and preventing knee flexion. 2. Hip flexion while avoiding lumbar flexion. Static holds: 3-5 repetitions per posture, Hold Duration: 2-3 minutes initially, progressing to 5 minutes ,Rest Interval: 1-2 minutes between repetitions
Sponsors
Ibadat International University, Islamabad
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Masking description
This randomized controlled trial was double-blinded. Participants were randomly assigned to either the lumbar Stabilization Exercise group or the muscular chain therapy group using a simple randomization (lottery) method. Participants were informed that both interventions were effective physiotherapy treatments for chronic low back pain but were not told which group they belonged to. The outcome assessor, who had over fifteen years of experience, remained blinded to group allocation throughout data collection at baseline and week 6. To maintain blinding, participants were instructed not to disclose their exercise details during assessment, and all data were recorded using coded identifiers (Group A or B).
Eligibility
Sex/Gender
ALL
Age
18 Years to 30 Years
Healthy volunteers
No
Inclusion criteria
* Patients aged between 18-30 years will be included in the study. * Participants must have a history of mechanical CLBP. * The pain must be localized to the lumbar region. * Participants must be able to perform physical activities and participate in exercise-based interventions. * Participants who have pain range \> 4 will be included in the study.
Exclusion criteria
* Patient with structural lesions, such as spondylolisthesis, stenosis, vertebral bone fracture, scoliosis and kyphosis on x-ray, will be excluded. * Pregnant females would be excluded. * Females with a history of neurological, infections, and systemic disease, including cerebrovascular disease, spondylitis, cancer, spinal cord disease, cauda equine, rheumatologic disorders. * Females who have undergone spinal surgery or any surgical intervention related to the lower back or pelvis will be excluded. * Lumbar radiculopathy will be excluded in the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain Intensity | Assessment will be done at baseline and on Week 6. | Pain Intensity will be measured by Numerical Pain Rating Scale |
| Functional Disability | Assessment will be done at baseline and on Week 6 | Functional Disability will be assessed using Oswestry Disability Index |
Countries
Pakistan
Contacts
CONTACTInza Farooq, MS-PT(MSK)*
CONTACTFatima Amjad, MS-SPT
PRINCIPAL_INVESTIGATORMuhammad Nazim Farooq, PhD-PT
Ibadat International University
Outcome results
None listed