Additional Gluteal Control Training for Low Back Pain With Functional Leg Length Inequality

National Yang Ming Chiao Tung University

Status: Completed

Conditions: Low Back Pain, Recurrent

Treatments: Other: GC group; Other: CG group

Study type: Interventional

Funder types: Other

Identifiers

NCT03554746

YM106055F

Details and patient eligibility

About

Low back pain (LBP) is a prevalent musculoskeletal disorder. A variety of exercise interventions which were designed as randomized control trails (RCTs) have been studied and shown effectiveness in improving pain and disability. These exercises typically focus on the abdominal and back musculature strength. However, many LBP patients did not show any improvement in their symptom after they carry out those exercise programs.

Full description

Low back pain (LBP) is a prevalent musculoskeletal disorder. A variety of exercise interventions which were designed as randomized control trails (RCTs) have been studied and shown effectiveness in improving pain and disability. These exercises typically focus on the abdominal and back musculature strength. However, many LBP patients did not show any improvement in their symptom after they carry out those exercise programs. Some authors consider that this type of low back pain may be caused by leg length inequality (LLI) in these patients, which resulted from poor gluteal neuromuscular control or muscles' imbalance.

In consideration of few studies have been done for investigating the effects of gluteal muscles control training in LBP. Thus, the purpose of this study is to investigate the effect of additional gluteal muscles control training on improving functional LLI in patients with LBP. We hypothesized that gluteal muscle control training would be more effective in self-reported pain, and their functional disability would be improve after 6-week training program than control training group.

Enrollment: 48 patients

Sex: All

Ages: 20+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• non-specific LBP (from inferior rib margin to the gluteal fold)
• more than 3 months
• Visual Analog Scale ≧5 (in past one month)
• pelvic innominate rotation (anterior rotation in dominant side)

Exclusion criteria

• history of fracture or surgery
• congenital anomalies in the spine, pelvis, or lower limbs
• recent trauma, tumor, pregnancy or scoliosis
• lower extremity paresthesia, unknown weakness
• bowel and bladder dysfunction
• predominant lower extremity pain with standing
• presence of system illness, no reasoning weight loss, predominant night pain
• specific sacroiliac joint dysfunction

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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48 participants in 2 patient groups

GC group

Experimental group

Description:

It mainly involve core stability exercise, stretching exercise and gluteal control training. All of above will be arranged 3 times a week for a total 6 weeks.

Treatment:

Other: GC group

CG group

Experimental group

Description:

It involve core stability exercise and stretching exercise. All of above will be arranged 3 times a week for a total 6 weeks.

Treatment:

Other: CG group