Chronic Low Back Pain (CLBP)
Conditions
Keywords
Egoscue, Postural correction, Core stabilization exercises, Chronic low back pain, Hyperlordosis, Disability, Posture, Range of motion, numeric pain rating scale (NPRS), Oswestry Disability index (ODI)
Brief summary
Chronic low back pain is a widespread musculoskeletal condition that limits mobility and affects quality of life. It is often caused due to the poor posture, hyperlordosis and weak core muscles. This randomized clinical trial aims to evaluate the effectiveness of egoscue based postural correction combined with core stabilization exercises compared to core stabilization exercises alone in managing chronic low back pain. The primary outcomes measures includes numeric pain rating scale (NPRS), disability (Oswestry Disability Index), while secondary outcomes includes range of motion (Inclinometer), and posture (flexicurve Ruler).
Detailed description
Chronic low back pain (CLBP) is a highly prevalent musculoskeletal condition characterized by pain and discomfort in the lumbar region. It significantly affects functional activities, posture, mobility, and quality of life. Persistent low back pain may lead to muscle weakness, reduced spinal stability, limited range of motion, and increased disability in daily activities. Poor posture, especially lumbar hyperlordosis, is considered one of the contributing biomechanical factors associated with chronic low back pain. Core stabilization exercises are widely used in physiotherapy rehabilitation for chronic low back pain. Improvement in core muscle activation helps enhance spinal stability, reduce mechanical stress on the lumbar spine, improve functional performance, and decrease pain intensity. Egoscue-based postural correction exercises are designed to improve body alignment, muscle balance, and postural symmetry through a sequence of therapeutic exercises. These exercises focus on correcting abnormal posture, restoring muscular balance, and improving movement patterns. Although both core stabilization exercises and Egoscue-based postural correction exercises have individually shown beneficial effects in musculoskeletal rehabilitation, there is limited evidence regarding their combined effectiveness in patients with chronic low back pain associated with lumbar hyperlordosis. Therefore, this randomized clinical trial aims to compare Egoscue-based postural correction combined with core stabilization exercises versus core stabilization exercises alone in patients with chronic low back pain. Pain intensity will be measured using the numeric pain rating scale (NPRS), and functional disability Urdu Version of the Oswestry Disability Index (ODI). Secondary outcomes will include lumbar range of motion measured by inclinometer and posture/lumbar lordosis assessed by the Flexicurve ruler. The findings of this study may provide evidence regarding the effectiveness of combining Egoscue-based postural correction with core stabilization exercises for improving pain, disability, posture, and spinal mobility in patients with chronic low back pain.
Interventions
OTHEREgoscue exercises
* Physiotherapy care:10 minutes hot pack therapy combined with TENS for pain relief, reduce muscle spasm,and muscle relaxation before exercise * Egoscue exercises:20 minutes Egoscue-based postural correction exercises including Static Back Exercise,Static Back with Breathing,Abdominal Contraction,Abductor Press(3sets 5reps)hold10sec,Overhead Extension,Elbow Curls on Wall,Static Wall, Upper Spinal Twist,Pelvic Tilts,Supine Groin Progression,Air Bench.(3sets 5reps) * Core stabilization exercises:15 minutes core stabilization exercises including Crook Lying Position(20sec),Crook Lying with One Leg Extended,Quadruped with Neutral Head(3X5reps),Plank Position(10sec),prone lying arm at side(15sec),Sitting Erect on Chair,trunk muscle activation,and postural control. * Treatment schedule:Session will consist 45 minutes including 10 minutes hot pack with TENS,20 minutes Egoscue exercises, and 15 minutes core stabilization exercises.Treatment will be provided 3 sessions per week for 8 weeks
OTHERCore stabilization exercises
* Physiotherapy care: 10 minutes of hot pack therapy combined with TENS (Transcutaneous Electrical Nerve Stimulation) for pain relief, reduction of muscle spasm, and muscle relaxation before exercise intervention. * Core stabilization exercises:15 minutes core stabilization exercises including Crook Lying Position(20sec),Crook Lying with One Leg Extended,Quadruped with Neutral Head(3X5reps),Plank Position(10sec),prone lying arm at side(15sec),Sitting Erect on Chair,trunk muscle activation,and postural control. * Treatment schedule: Total treatment session will consist of 45 minutes including 10 minutes of hot pack with TENS and 35 minutes of core stabilization exercises. Treatment will be provided 3 sessions per week for 8 weeks.
Sponsors
University of Lahore
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
25 Years to 55 Years
Healthy volunteers
No
Inclusion criteria
* Patients aged 25-55 years , both genders * Pain 4-7/10 (NPRS) * Patients with chronic low back pain * Hyperlumbar lordosis
Exclusion criteria
* Patients with lumbar radiculopathy * Patients taking painkiller medications, patients with other spinal pathologies * Patients with neurological conditions (e.g., stroke, multiple sclerosis), patients with any cardiac or psychological disorders
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain Intensity | Baseline, 4th week and at 8 weeks of intervention | Pain intensity will be assessed using the Numeric Pain Rating Scale (NPRS), an 11-point self-reported pain scale ranging from 0 to 10, where 0 = no pain and 10 = worst pain imaginable. Higher scores indicate greater pain intensity (worse outcome) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Functional Disability | Baseline, 4th week and at 8 weeks of intervention | Functional disability will be assessed using the Urdu version of the Oswestry Disability Index (ODI). The ODI consists of 10 items, each scored from 0 to 5, with a total score ranging from 0 to 50, which is commonly expressed as a percentage (0% to 100%). Higher scores indicate greater disability and poorer functional status (worse outcome) |
| Lumbar Range of Motion (ROM) | Baseline, 4th week and at 8 weeks of intervention | Lumbar spine range of motion measured using an Inclinometer, a reliable tool for assessing joint angle movement. |
| Postural Alignment | Baseline, 4 weeks and at 8th week of intervention | Lumbar lordosis and postural changes assessed using a Flexicurve Ruler, which measures spinal curvature by tracing the contour of the lumbar spine |
Countries
Pakistan
Contacts
STUDY_CHAIRSahreen Anwar, PhD
University of Lahore
Outcome results
None listed