Kinetic Control Training Versus Core Stability Exercises on Proprioception and Spatiotemporal Gait Parameters in Chronic Non-specific Low Back Pain
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 60
- 主要终点
- lumber repositioning error (lumbar proprioception)
研究概览
简要总结
This study will be conducted to comapre between kinetic control training versus core stability exercises on proprioception and spatiotemporal gait parameters in chronic non-specific low back pain.
详细描述
Chronic nonspecific low back pain (CNSLBP) represents a significant public health problem and an economic burden to employers. It has become one of the most common problems in industrialized societies; it can affect 80% of people and has become the most common cause of functional limitation in individuals younger than 35 years. Neuromuscular impairments and deficits are a primary contributor to the inception and chronicity of Low back pain with the psychological and social competes. Specific-oriented retraining has a major effect in modulating biopsychosocial competes severity and peculiarity and crucial for controlling chronic Low back pain. Interventions targeting neuromuscular impairments of the movement system are the most promising movement control concepts in these Low back pain treatment approaches.Kinetic Control Training (KCT), which focuses on movement control and muscle coordination, has emerged as a potential intervention for addressing the underlying motor control deficits associated with CNSLBP. Exercises in managing CNSLBP. For instance, a randomized controlled trial demonstrated that core stability training significantly improved back muscle strength and reduced pain intensity in young adults with chronic non-specific low back pain. To the best of authors' knowledge, the effect of kinetic control versus core stability training on the spatiotemporal parameters of the gait has not been investigated yet. So this study will be conducted to investigate this point.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
盲法说明
obaque sealed envelope
入排标准
- 年龄范围
- 18 Years 至 45 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Subjects from both sexes diagnosed with chronic non-specific low back pain with uncontrolled movement related to kinetic control concept
- •aging range from 18-45 years
- •Pain provoked by movement.
- •Pain for at least 3 months
- •Pain with sufficient intensity (equal to or greater than 4 points on VAS).
排除标准
- •History of previous spinal surgery.
- •Patients with lumbar spine diseases (for example, disc prolapse or spondylolisthesis).
- •Patients with abnormal neurological signs in lower extremities, radicular pain in the lower limb, hip arthrosis, congenital musculoskeletal deformity, female patients with pelvic lesions, and pregnant females.
- •Red flag signs include unwanted weight loss, less than three months of symptom persistence, malignancies of the spine, spinal instability due to structural cause, for example: ligamentous sprain or spondylolisthesis.
- •Gynaecological problems in females that may cause low back pain include coccydynia and hysterotomy
结局指标
主要结局
lumber repositioning error (lumbar proprioception)
时间窗: up to 8 weeks
The iPhone® application will be used to assess lumbar repositioning error. It will be placed vertically, halfway between the anterior superior and PSIS, just above the iliac crest, and fastened with a belt. The initial location and the inclination of the inclinometer were both fixed at 0°. There was a 0 to 30° range of motion (ROM). The assessor gently guided the individual to a 30° flexion and instructed them to hold this posture for ten seconds. After then, the participant actively went back to their starting location and subsequently did it three times.
次要结局
- pain intensity(up to 8 weeks)
- gait speed(up to eight weeks)
- cadence(up to eight weeks)
- stride and step time(up to eight weeks)
- stride and step length(up to eight weeks)
- COG vertical displacement(up to eight weeks)
- life disability(up to eight weeks)
研究者
Ola Adel Abd Elrazik Ibrahem
principal investigator: Ola Adel Abd Elrazik Ibrahem
Cairo University