The Effect of Lumbar Stabilization Exercise and Gait Training on Lower Back Muscles- Electromyographic(EMG) Analysis

Seoul National University

Status: Completed

Conditions: Low Back Pain

Treatments: Behavioral: exercise

Study type: Interventional

Funder types: Other

Identifiers

NCT02938169

B-1604-344-004

Details and patient eligibility

About

The purpose of this study is to determine the effective exercise protocol in chronic low back pain patients.

Full description

• Design: Prospective study
• Setting: hospital rehabilitation department
• Intervention: Participants are randomly assigned 4 different exercise group: flexibility exercise, bracing exercise + stabilization exercise group, bracing exercise+ walking exercise group and bracing+ walking + stabilization exercise group
• Main outcome measures: Numeric rating scale(NRS), Oswestry disability index Peak torque of lumbar extensor by surface electromyography Time duration of capability of maintenance the posture

Enrollment: 60 patients

Sex: All

Ages: 20 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

• Inclusion Criteria:

  • Age>20
  • Who suffered low back pain more than 3 months.

• Exclusion Criteria:

  • Pregnancy
  • Under 20-year-old
  • Who have significant neurologic deficit
  • Who experienced spine operation
  • Who cannot walking

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

---

60 participants in 4 patient groups

walking exercise group

Experimental group

Description:

\*\*walking exercise with bracing exercise * walking exercise: treadmill gait with tolerable gait speed * bracing exercise: patient is instructed as follows: "Draw your navel up towards your head and in toward your spine without moving your pelvis. Continue to breathe normally as you do this."

Treatment:

Behavioral: exercise

stabilization exercise group

Experimental group

Description:

\*\* stabilization exercise with bracing exercise * stabilization exercise: Lumbar stabilization is a multi-component program and involves education/training, strength, flexibility, and endurance. It is generally used during all phases of a back pain episode and may be prescribed after a thorough evaluation of the patient's specific condition. * bracing exercise: patient is instructed as follows: "Draw your navel up towards your head and in toward your spine without moving your pelvis. Continue to breathe normally as you do this."

Treatment:

Behavioral: exercise

walking and stabilization exercise group

Experimental group

Description:

\*\*walking exercise, bracing exercise with stabilization exercise * stabilization exercise: Lumbar stabilization is a multi-component program and involves education/training, strength, flexibility, and endurance. It is generally used during all phases of a back pain episode and may be prescribed after a thorough evaluation of the patient's specific condition. * bracing exercise: patient is instructed as follows: "Draw your navel up towards your head and in toward your spine without moving your pelvis. Continue to breathe normally as you do this." * walking exercise:treadmill gait with tolerable gait speed

Treatment:

Behavioral: exercise

flexibility exercise group

Sham Comparator group

Description:

\*\*Stretching exercise(control) * Only educate the flexibility exercise(stretching exercise) * Don't educate the walking exercise method and stabilization exercise method

Treatment:

Behavioral: exercise