Effectiveness of Balance Training in Chronic Low Back Pain Patients (CLB)

Baskaran Chandrasekaran

Status and phase: Unknown; Early Phase 1

Conditions: Chronic Low Back Pain

Treatments: Behavioral: Balance Exercise Training; Behavioral: Routine Back exercise program

Study type: Interventional

Funder types: Other

Identifiers

NCT02222935

PSG02

Details and patient eligibility

About

Balance problems are addressed in low back pain patients. Dearth of literature available to prove core strengthening or any form of back exercises improving functional outcomes or balance in chronic back pain patients. No studies focus on balance training in improving balance of low back pain patients. The authors are conducting a randomised trial comparing balance exercises and routine back exercise program in improving pain, functional outcomes and balance of the patients

Full description

Background: Balance deficits are common in low back pain. Current literature fail to prove the effectiveness of routine back exercises in improving balance of back pain patients. No study has concentrated on balance training in back pain patients.

Objective: Compare balance exercises and routine back exercises in improving balance and other functional outcomes.

Procedure: Back pain patients attending physiotherapy department of tertiary care teaching hospitals will be recruited voluntarily. Randomised to either balance and routine program based on simple lottery method. Balance training comprises of 5 exercises - single leg squats, dead lift, single leg raises, lateral step-ups and forward reach outs. Routine back exercises includes 5 sets - pelvic bridges, dynamic dead bug, prone planks, situps, lateral planks. 10Repetition Maximum, 2 Sets/ day, five days a week, 2 weeks. Baseline balance (star Edward, berg balance) and functional test (sit to stand) and pain (Visual analogue score) and post 2 weeks outcome scores will be analysed through paired and unpaired for between and within groups.

Enrollment: 48 patients

Sex: All

Ages: 25 to 45 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• non specific low back pain diagnosed by orthopedical surgeon or physiatrist
• Both genders
• Age 25 - 45 years (to avoid age related balance deficit)
• Should have balance deficit percentage (> 20%) through balance assessment scale

Exclusion criteria

• H/O Benign Paroxysmal Positional Vertigo
• Neuromuscular disorders(Stroke, Polio, Potts spine, spinal stenosis) affecting balance
• any form of ear infection
• Recent ear, nose, throat surgery
• Recent surgery in abdomen, thorax, head (< 2 years)
• Recent lower limb surgeries, injuries (< 6 months)
• Any form of walking aids (cane, walker)

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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48 participants in 2 patient groups

Balance exercise training

Experimental group

Description:

Balance exercise training - thrice week, 2 weeks, 10 repetition Maximum/ set, 2 sets

Treatment:

Behavioral: Balance Exercise Training

Routine Back exercise Program

Active Comparator group

Description:

Routine Back exercise Program - 10 Repetition Maximum / set, 2 sets, three times weekly, 2 weeks

Treatment:

Behavioral: Routine Back exercise program