Effect of Segmental Control Program on Hamstring Peak Torque in Patients With Non-specific Low Back Pain (NSLBP)

Cairo University (CU)

Status: Completed

Conditions: Chronic Low-back Pain

Treatments: Other: local segmental control and closed kinetic chain; Other: traditional therapy; Other: local segmental control and open kinetic chain

Study type: Interventional

Funder types: Other

Identifiers

NCT05288946

p.t.REC/012/002673

Details and patient eligibility

About

The purpose of this study is to investigate the effect of segmental control exercises program on hamstring peak torque, pain, function, and ROM in patients with non-specific low back pain.

Full description

Low back pain (LBP) is a significant health problem internationally characterized by various biophysical, psychological, and social dimensions affecting functioning, societal participation, and personal financial prosperity.The reported prevalence of LBP was high, especially for chronic non-specific low back pain, approximately 15.4%. of which chronic low back pain was about 2.5 times more prevalent in the working population compared to the non-working group. Recently, there has been a focus on lumbar stabilization exercises that prove to be effective and may be superior to general exercises for LBP management. The approach is aimed at improving the neuromuscular control, strength, and endurance of the active subsystem stabilizing the spine. Several groups of muscles are particularly targeted namely, the transverses abdominis and the multifidus muscles that are central to maintain spinal and trunk stability. But also other core muscles are involved. so this study will be conducted to investigate the effect of segmental stabilization exercise on low back pain. forty-five patients will be allocated to three groups. first experimental will receive segmental stabilization phase 1 and phase 2, second experimental will receive segmental stabilization phase 1 and 3, the third one is the control group and receives traditional treatment

Enrollment: 60 patients

Sex: All

Ages: 20 to 40 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. The patients had NS LBP Patients with age from 20 to 40 years for both genders.
2. The lumbar region of back pain lasts for 4 weeks & more has not been diagnose as a specific disease or spinal abnormality.
3. Mild to moderate disability according to the Oswestry Disability Index (ODI) (up to 40%).
4. Shortening of hamstring.
5. The study populations must be willing to participate in the study.

Exclusion criteria

1. Neurological, systemic illness and infectious diseases such as rheumatologic diseases, tumor, cardiovascular disease.
2. Psychiatric/mental deficit
3. Patients who had a previous surgical history (within 6 months) were also excluded prior to the baseline assessment.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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60 participants in 3 patient groups

local segmental control and closed kinetic chain

Experimental group

Description:

the patients will receive local segmental control and closed kinetic chain three times a week for four weeks

Treatment:

Other: local segmental control and closed kinetic chain

Other: traditional therapy

local segmental control and open kinetic chain

Experimental group

Description:

the patients will receive local segmental control and open kinetic chain three times a week for four weeks

Treatment:

Other: local segmental control and open kinetic chain

Other: traditional therapy

traditional therapy

Active Comparator group

Description:

the patients will receive traditional therapy three times a week for four week

Treatment:

Other: traditional therapy