Chronic low back pain with instability Core Stabilization Exercises, Thoracic Spine Self-Mobilization, Lumbar instability
Conditions
Interventions
Participants will receive a core stabilization exercise program combined with thoracic spine self mobilization using a tennis ball.
Core stabilization exercises will be performed for 10 repetitions p
Experimental Other,Experimental Other
Core stabilization exercise combined with thoracic spine self-mobilization,Core stabilization exercise
Sponsors
Faculty of Physical Therapy, Srinakharinwirot University
Eligibility
Sex/Gender
All
Age
20 Years to 40 Years
Inclusion criteria
Inclusion criteria: 1. Age between 20 and 40 years 2. History of low back pain extending from the costal margin to the gluteal folds for at least 3 months, with or without radiating pain to the lower extremities 3. Sitting in a seated position continuously for at least 2 hours per day 4. Moderate pain intensity measured by the Visual Analogue Scale ranging from 3.5 to 6.4 out of 10 5. Screening score for lumbar instability of 7 or higher out of a total of 14 points 6. Five Times Sit to Stand test time greater than 10.4 seconds
Exclusion criteria
Exclusion criteria: Self reported Exclusion Criteria 1. History of spinal surgery 2. Body mass index greater than 30 kilograms per square meter 3. History of lower extremity injury affecting postural control within the previous 6 months 4. Participation in core stabilization exercises or thoracic spine mobility exercises within 3 months prior to enrollment Researcher assessed Exclusion Criteria 1. Presence of spinal or joint deformities such as congenital abnormalities, spondylolisthesis, osteoarthritis, rheumatoid arthritis, or ankylosing spondylitis, assessed by medical history taking and physical examination including palpation of the spine 2. Presence of neurological abnormalities such as altered reflexes or sensory deficits of the lower extremities associated with spinal nerve root involvement, assessed by medical history and knee jerk reflex testing 3. Presence of postural control abnormalities related to medication use, alcohol consumption, visual impairment, or vestibular system dysfunction, assessed by medical history including screening questions regarding true vertigo, positional dizziness, duration of dizziness episodes, nausea, vomiting, and loss of balance within the previous 6 months 4. Pregnancy, assessed by screening questions regarding current pregnancy status, suspected pregnancy within the previous 1 to 2 months, and regularity of the last menstrual period
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain Measurement Baseline and Post-intervention Visual analogue scale | — |
Secondary
| Measure | Time frame |
|---|---|
| Lumbar Repositioning Sense Baseline and Post-intervention Joint Repositioning error,ROM of thoracic spine Baseline and Post-intervention Compass application on iPhone,Postural balance Baseline and Post-intervention Five time sit to stand,low back pain related disability Baseline and Post-intervention Modified Oswestry Disability Index,transversus abdominis muscle performance Baseline and Post-intervention Pressure biofeedback | — |
Countries
Thailand
Contacts
Public ContactAutchara Papia
Mae Sot Hospital, Ministry of Public Health, Thailand
Outcome results
None listed