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The Effect of an Acute Bout of Exercise on Pain Sensitivity and Clinical Pain in Adults With Chronic Low Back Pain

Not Applicable
Completed
Conditions
Chronic Low-back Pain
Interventions
Other: Single bout of exercise
Registration Number
NCT05779748
Lead Sponsor
Taif University
Brief Summary

The goal of this interventional study is to investigate the efficacy of an acute bout of exercises on pain sensitivity (primary aim) and clinical pain intensity (secondary aim) among adults with Chronic Low Back Pain. The following question will be answered in this research Q1: Is acute bout of exercise effective in reducing pain among adults with Chronic Low Back Pain?

Participants who agree to participate and sign the informed consent will be randomized to one of three groups:

Group 1: Isometric exercise with neutral language and no verbal suggestion consisting of 1 rep of wall squat, 3 min or to volitional fatigue at 100° knee angle;(n=30).

Group 2: Isometric exercise with neutral language and no verbal suggestion consisting of 3 reps of wall squat, 3 min or to volitional fatigue at 100°degree knee angle, 30-sec rest between rep, ;(n=30).

Group 3 (Control group): true control (do nothing);(n=30).

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
90
Inclusion Criteria
  1. aged 18 years or older; and
  2. diagnosed with chronic non-specific LBP (lasting for more than 12 weeks).
  3. Able to perform physical therapy exercises.
Exclusion Criteria
  1. pregnancy.
  2. patients who have neurological compromise (e.g., cauda equine syndrome or spinal nerve compromise).
  3. Patients who have spinal pathologies (e.g., fracture, ankylosing spondylitis)
  4. Uncontrolled diabetic.
  5. who has any history of heart disease (e.g., myocardial infarction, embolism)
  6. Orthopaedic impairment (e.g., balance problems)

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Isometric exercise-one repetitionSingle bout of exerciseIsometric exercise consisting of 1 session only. The session will last for around 5 minutes which will include asking the patient to do 1 repetition of wall squat for 3 min or to volitional fatigue at 100° knee angle. Intervention: Other: Single bout of exercise
Isometric exercise-three repetitionsSingle bout of exerciseisometric exercise consisting of 1 session only. The session will last for around 10 minutes which will include asking the patient to perform 3 repetitions of wall squats (each time the exercise will be performed for 3 min or to volitional fatigue at 100°degree knee angle); the patient will be given 30-sec rest between repetitions. Intervention: Other: Single bout of exercise
Primary Outcome Measures
NameTimeMethod
Pain pressure threshold[ Time Frame: Change from pre-intervention (baseline) compared to post-intervention (immediately after session) ]

The pain will be measured using digital pressure algometer, FDX®️ (Wagner instrument, Greenwich, USA). All trials will be conducted on forearm, lumbar spine and calf sites. There will be at least 20 sec rest before an individual site is tested again. Two trials will be performed at each site. The raw values of each test will be recorded.

Because we are testing repeated times, we will use a marker to mark the location of each test site to ensure consistency in location.

Algometer must be positioned perpendicular to the measurement site for all trials.

Secondary Outcome Measures
NameTimeMethod
Pain intensity[ Time Frame: Change from pre-intervention (baseline) compared to post-intervention (immediately after session) ]

It will be assessed using Visual Analogue Scale (VAS; 0-10). A rating of zero means that participant don't currently have pain at the low back. A rating of ten on this scale means that the pain at low back is the worst pain. So, the higher the number on this scale means the higher the pain intensity participant is experiencing.

Trial Locations

Locations (1)

King Abdullah Hospital

🇸🇦

Bisha, Saudi Arabia

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