Comparison Of Resistance Training And Core Strengthening Exercises Vitamin D In Postmenopausal Women With Low Back Pain

Superior University

Status: Active, not recruiting

Conditions: Pain, Low Back; Menopausal

Treatments: Diagnostic Test: Resistance Training and Core Strengthening Exercises Group; Diagnostic Test: Resistance Training and Core Strengthening Exercises Group Plus Vitamin D Supplementation

Study type: Interventional

Funder types: Other

Identifiers

NCT06377618

DPT/Batch-Fall19/556

Details and patient eligibility

About

This study aims to evaluate the effectiveness of resistance training, core strengthening exercises, and vitamin D supplementation in reducing low back pain (LBP) among postmenopausal women.

Full description

Postmenopausal women are particularly susceptible to LBP due to physiological changes such as reduced estrogen levels, decreased muscle mass, and bone density. The randomized controlled trial (RCT) will be conducted over six months in various clinical settings in Lahore, with a sample size of 36 participants, divided into two groups. The inclusion criteria focus on postmenopausal women aged 50-70 years experiencing LBP for at least three months and who are not currently taking vitamin D supplements. Data on pain intensity, functional disability, muscle strength, endurance, and vitamin D levels will be collected and analyzed to assess the interventions' impact. The study's findings could provide evidence-based recommendations for managing LBP in postmenopausal women, combining physical activity with nutritional supplementation.

Enrollment: 36 patients

Sex: Female

Ages: 50 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Postmenopausal women aged 50-70 years.
• Experiencing low back pain for at least 3 months.
• Capable of engaging in light to moderate physical exercise.

Exclusion criteria

• History of spinal surgery.
• currently taking vitamin D supplements.
• Diagnosed with severe osteoporosis.
• Chronic use of pain medication that cannot be temporarily ceased.
• Current participation in another clinical trial.

Trial design

Primary purpose: Diagnostic

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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36 participants in 2 patient groups

Resistance Training and Core Strengthening Exercises Group

Experimental group

Description:

The regimen includes resistance training (using bands, weights, and bodyweight for major muscle groups) and core strengthening (targeting abdominal, lower back, hip, and gluteal muscles) exercises.

Treatment:

Diagnostic Test: Resistance Training and Core Strengthening Exercises Group

Resistance Training and Core Strengthening Exercises Group Plus Vitamin D Supplementation

Other group

Description:

Identical exercise protocol to Group 1, with three supervised sessions per week. First Arm Intervention plus Vitamin D Supplementation: Daily vitamin D supplementation, with the dosage adjusted based on initial serum 25(OH)D levels to achieve and maintain optimal vitamin D status. Typical dosages range from 800 to 2000 IU/day, subject to adjustments as necessary. Serum 25(OH)D levels and potential supplementation-related adverse effects will be monitored at baseline and after 12 weeks. Outcome Measures: In addition to the same outcome measures as Group 1, changes in serum 25(OH)D levels will also be assessed.

Treatment:

Diagnostic Test: Resistance Training and Core Strengthening Exercises Group Plus Vitamin D Supplementation