chronic low back pain (Those who have chronic low back pain at least 3 months) -
Conditions
Interventions
The exercise programs of low-
load exercise group were focused on transverse abdominal muscle and lumbar spine multifidus facilitation. Then trunk and extremity dissociated movement training and spine segmental control. Try to mov
consciously. There are totally 7 flexion movement control test. After assess the movement control impairment of each patient the experimenter will pick 1~2 movement control test for patient to learn d
experimenter will use subject'
s record device to record the correct movement control in each subject in purpose to they could training correctly in home program. Each movement test train in home for 2 minutes and 2~3 times a day.
load exercise group also underlined TrA and MF facilitation. Then maintain the neutral position in lumbar spine during the sumo-
deadlift process. Each subject will retest their 1 repetition maximum (RM) every two weeks after intervention. In the early stage of intervention we set at 30%~40% of 1 RM for each subject'
s training weight and as the case might be 60%~70% of 1 RM from middle stage of intervention. Each session of lifting would be 8~10 repetitions and 3 bouts. A three minutes brake between each bout. Li
up would be set at 20% of 1 RM for 5~10 repetitions. The intervention will take for a period of six weeks totally 12 session and thirty minute per session.
There are five grades for high-
load exercise group home program.
Grade 1 Bilateral shoulder lift
Experimental Other,Experimental Other
load exercise,high-
load exercise
Sponsors
none
Eligibility
Sex/Gender
All
Age
20 Years to 65 Years
Inclusion criteria
Inclusion criteria: 1. Age between 20 to 65 year-old 2. First time or a recurrent low back pain sustain over 3 months 3. Only low back pain but without any radiation pain toward lower extremities 4. Initial score of Modified Oswestry Disability Index is higher than 25 points 5. Can accept prone position 6. The score of Numerical Pain Rating Scale is higher than 3 points in total 10 points 7. Dominate pain is lumbar flexion
Exclusion criteria
Exclusion criteria: 1. Has a spine surgery in the past (for example: lumbar spine segment fusion) 2. A fracture history in lumbar spine or adjacent bone and joint 3. Can't properly do a spine flexion or extension that interference the test or the intervention 4. Having a low back pain even in the rest without any movement 5. Suspect or be confirmed by medical images for spine pathology (for example: fracture, infection, oncology issues, spine deformity) 6. Pregnant 7. Receiving similar treatment interventions 8. Systemic or neurologically related diseases (for example: rheumatoid arthritis, ankylosing spondylitis, Parkinson's disease patients)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| physical performance tests 6 weeks after intervention timer,movement control test 6 weeks after intervention observation and pressure bio-feedback,Numerical Pain Rating Scale 6 weeks after intervention pain score,Modified Oswestry Disability Index 6 weeks after intervention Patient reported outcome using a questionnaire | — |
Secondary
| Measure | Time frame |
|---|---|
| Global rating of change scale 6 weeks after intervention Patient reported outcome using a questionnaire,strength for back extensors 6 weeks after intervention dynamometer,endurance for back extensors 6 weeks after intervention timer | — |
Contacts
Public Contactan hua Huang
Cheng Hsin general hospital
Outcome results
None listed