Low Back Pain
Conditions
Brief summary
PURPOSE: to investigate The Efficacy of lumbar spine correction training on postural awareness and stability in patients with low back pain. Patients with low back pain demonstrate impairments in function and range of motion to deficits in patient's quality of life. HYPOTHESES: It will be hypothesized that there will be no statically Effect of lumbar spine correction training on postural awareness and stability in patients with low back pain
Detailed description
Progressive postural control exercise (PPCE) including lumbar correction training, is a novel strategy for patients with LBP. It originates from motor control exercise and resistance training with a theme of challenging postural control with phased progression, a beneficial effect for strength or resistance and coordination or stability exercise programs over other interventions be used in the treatment of LBP. Motor control exercises were also reported to produce slightly better short-term function and perceptions of an effect than general exercise in patients with chronic non-specific back pain. The progression of the training load was suggested to improve postural control in young individuals as it was better on neuromuscular plasticity than general exercise
Interventions
OTHERlumbar spine correction training
The patients will be mainly trained with trunk control exercise inform of: the trunk muscle against gravity and a Swiss ball for training on an unstable surface. Also the program will include Postural correction exercise inform of: Abdominal drawing-in breathing, upper body raising, bridge exercise, quadruped and spinal extension exercises will carried out
OTHERconventional treatment
Therapeutic Ultrasound device with patient prone lying position paravertebral in posterior aspect of back, Transcutaneous Electrical Nerve Stimulation (TENS) in the prone position, the electrodes will be positioned on the patient's pain area with a frequency of 100Hz , Heat application: in the form of (hot packs) for 15 minutes on posterior aspect of back as the patient will be in prone lying position and Core strengthening exercises
Sponsors
October 6 University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
25 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
* Their ages range from 25 to 45 years. * Both sex * Low back pain for more than 6 months. * Normal body mass index (18.5 - 29 Kg/m2).
Exclusion criteria
* Patients with any other Neurological deficits, psychiatric disease lumbar myelopathy, Cognitive problems, vertebral fractures and previous history of spine or lumbar surgery. * Clinical instability, recent trauma * Structural abnormalities of the spine, osteoporosis, and spasmodic torticollis. * Inflammatory or other specific disorders of spina such as ankylosing spondylitis and rheumatoid arthritis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| postural habits and awareness scale (PHAS) | four weeks | The Postural Habits and Awareness Scale (PHAS) is a 19-item, 5-point Likert scale developed to assess individuals' self-perceived postural habits and their conscious awareness of posture Scoring: The scale is scored from 1 (completely disagree) to 5 (completely agree), with 7 items being reverse-coded. where higher scores indicate better postural habits and greater awareness. |
| Oswestry Low Back Pain Disability Questionnaire | four weeks | The Oswestry Disability Index (ODI) a patient-completed questionnaire which gives a subjective percentage score of level of function (disability) in activities of daily living in those rehabilitating from low back pain. Each item consist of 6 statements which are scored from 0 to 5. With 0 indicating the least disability and 5 the greatest then the total score is calculated as a percentage, with 0% indicating no disability and 100% indicating the highest level of disability |
| multidirectional reach test | four weeks | The Multi-directional reach test is an inexpensive, reliable, and valid tool for measuring the limits of stability as derived by reach in four directions. Values obtained on relatively healthy older adults serve as norms for screening patient populations |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| visual analogue scale (VAS) | four weeks | The visual analogue scale (VAS) is a validated, subjective measure for acute and chronic pain. Scores are recorded by making a handwritten mark on a 10-cm line that represents a continuum between "no pain" and "worst pain |
Outcome results
None listed