Comparison of Egoscue Versus Pilates Exercises in Patient With Mechanical Low Back Pain

Riphah International University

Status: Completed

Conditions: Low Back Pain

Treatments: Other: baseline treatment

Study type: Interventional

Funder types: Other

Identifiers

NCT06461494

REC/RCR & AHS/23/ 0195 Ghazala

Details and patient eligibility

About

Mechanical low back pain arises intrinsically from the spine, intervertebral disc,or surrounding soft tissues.It is causes by muscular spasm, and other soft tissue injuries. The aim of the study will be to compare the effect of Egoscue versus Pilates exercises on pain, range of motion and muscle endurance in patient with mechanical low back pain.

Full description

A Randomized Clinical Trial will be conducted at Riphah Clinic Lahore through consecutive sampling technique on 30 patients which will be allocated using simple random sampling through sealed opaque enveloped into Group A and Group B. Group A will be treated with Pilates exercises at frequency 2 sets 5 repetitions 5 days a week and Group B will be treated with Egoscue exercises at the frequency of 2 sets with 5 repetitions 5 days a week. Outcome measures will be conducted through pain, disability,lumber range of motion, Muscle flexibility, Extensor muscle endurance, Lateral muscle endurance, Flexors muscle endurance questionnaires after 4 weeks. Data will be analyzed during SPSS software version 21. After assessing normality of data by ANOVA test, it will be decided either parametric or non-parametric test will be used within a group or between two groups.

Enrollment: 34 patients

Sex: All

Ages: 18 to 40 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age 18 to 40 years
• Both gender
• Patient with non-radiating pain
• Pain NPRS <7
• Positive McGill Extensor Endurance Test ( <101 seconds)
• Positive McGill lateral flexor endurance test (<54 sec Right side, <55sec left side)
• Positive McGill flexor endurance test < 120 seconds
• Positive Finger to Floor Test : > 48cm in males, >50cm for females
• Patient with Oswestry disability index (ODI) < 40 ODI score
• Decrease lumbar ROM; Lateral flexion, Extension, Flexion

Exclusion criteria

• Sacroiliac Joint Dysfunction (SIJD)
• Coccydynia
• Lumber disc pathology
• Malignancy
• Recent fractures

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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34 participants in 2 patient groups

Group A: Pilates exercise

Active Comparator group

Description:

Group A received the pilates exercise. It doesn't require any special equipment and can be done in any training center. Week 1: Leg slides, hip release, knee to chest, spinal rotation, single knee extension, cat stretch, neutral to imprint Week 2: Imprint table top position, ab prep, Imprint table top toe touching floor, imprint table top knee extensions, spine twist, Ab prep in table top position, bridging Week 3: Half roll back, pull up; pull up with leg extension, swimming exercise, single leg extension, leg circles, and single leg stretch Week 4: Bridging on the ball, spine stretch forward, single leg lift, double knee lifts, upward dog, and shell stretch Each exercise was performed for 5 times

Treatment:

Other: baseline treatment

Group B: Egoscue exercise

Experimental group

Description:

Static back and static back with breathing, abdominal contraction while in the static back position, abductor press, overhead extension, elbow curls on wall, static wall, upper spinal twist, pelvic tilts, supine groin progressive, and air bench Week 1: 3 times with 30 s hold time Week 2: 5 times with 30 s hold time Week 3: 15 times with 30 s hold time Week 4: 20 times with 30 s hold time

Treatment:

Other: baseline treatment