The Relationship Between Chronic Non-Specific Low Back Pain and Isokinetic Performance of Ankle Joint Muscles
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 50
- 试验地点
- 1
研究概览
简要总结
Chronic non-specific low back pain and its resulting infirmity have become a huge health and socioeconomic burden. Low back pain is reportedly associated with decreased activities of daily living and quality of life. Previous literature supports the presence of a link between CLBP and lower limb kinematics that can contribute to functional limitations and disability. For example, CLBP commonly coexist with postural and structural asymmetry. Ankle muscle performance of individuals with LBP during gait becomes more clinically important as it may provide insights into the mechanisms of ankle strategies. The isokinetic testing is an assessment method of high effectivity and trustworthiness that can be used to compare bilateral and agonist/ antagonist ankle muscles strength of normal subjects and athletes. It can be used to analyze muscular performance and differences in muscle performance between dominant and non-dominant limbs.
详细描述
This study will involve 50 male patients diagnosed with CNSLBP and will correlate between level of pain, disability, psychological status, and overall body fatiguability, core muscles endurance with the strength, endurance, joint angle position, and time parameters of isokinetic testing profile of ankle joint.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 20 Years 至 25 Years（Adult）
- 性别
- Male
- 接受健康志愿者
- 否
入选标准
- •50 male patients diagnosed with Chronic non-specific low back pain through direct referral from their orthopedic surgeon.
- •Each patient will be diagnosed by "Waddle sign"
- •Age limit 20-40 years.
- •BMI: less than
- •Pain duration: chronic more than 3 months or 12 weeks.
- •Pain location: Between T12- and lower gluteal folds.
- •Pain Intensity: At least have 3 out of 10 on VAS.
- •Level of functional disability: 21%-40% on MODI.
- •Each patient sign an informed consent.
排除标准
- •Unexplained weight loss.
- •History of malignancy.
- •Recent trauma within last 12 months.
- •Osteoporosis.
- •Cauda Equina Symptoms.
- •Herniated discs.
- •Radicular signs.
- •Spine fractures.
- •Spinal Canal Stenosis.
- •Myofascial Pain Syndrome.
- •Spondylolisthesis.
- •Rheumatological history.
- •CVS manifestations.
- •GIT manifestations.
- •Psychiatric disorders.
- •Weakness or parathesis in L.L.
- •History of back surgery.
- •Chronic Ankle Instability.
- •Scoliosis or leg length discrepancies.
- •Neurological and systemic manifestations such Epilepsy, muscular diseases, or seziures.
- •Mechanical back pain
研究组 & 干预措施
Study Group
50 patient diagnosed with Chronic non-specific low back pain will be evaluated and assessed by humac isokinetic for ankle profile, Mcgill core endurance tests, level of pain, disability, fatiguability through questionnaires and measuring Lumbosacral angle for each patient, and correlate all variables with each others.
干预措施: Humac Isokinetic 2015 System 2 (Device)
结局指标
主要结局
未指定
次要结局
- Level of pain intensity(Baseline)
- Level of functional disability(Baseline)
- Kinesiophobia and fearing of physical activity and work(Baseline)
- Overall body fatiguability status and physical function(Baseline)
- Assessment of core muscles endurance(Baseline)
- Core endurance The Sorenson test(Baseline)
- Core endurance Side Plank test(Baseline)
研究者
Mohamed Hazem Abdelhakam Elshafey
Demonstrator of Biomechanics department, Faculty of Physical Therapy
Cairo University