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Effects of Core Strengthening Versus Motor Control Training on Pain, Disability & Endurance in Low Back Pain

Not Applicable
Recruiting
Conditions
Low Back Pain
Registration Number
NCT06756685
Lead Sponsor
Riphah International University
Brief Summary

The study aims to compare the effects of core strengthening versus motor control training on pain, disability \& endurance in patients with low back pain

Detailed Description

The study aims to compare the effects of core strengthening versus motor control training on pain, disability \& endurance in patients with low back pain.

Comparing core strength and conditioning versus motor control for low back pain on physical and self-report outcomes lies in identifying the most effective treatment approach for this condition. This will help to determine which one yields better results in terms of improving physical function and reducing self-reported pain and disability associated with low back pain. This study can provide valuable insights for clinicians and patients in selecting the most appropriate treatment option.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
74
Inclusion Criteria
  • Non-specific Chronic low back pain (>3 months)
  • Pain between the T12 vertebra and gluteal fold with pain of 2-8 on the numerical rating scale of 0-10
  • Both Genders
  • Age of 25 and above
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Exclusion Criteria
  • Participants fall in this category would be excluded of the study.

    • Lumbar radiculopathy
    • Structural scoliosis
    • Traumatic spinal injury
    • Cauda equina syndrome
    • History of seizures, epilepsy, stroke or head injury
    • Metal implants
    • Pregnancy or considering pregnancy in near future
    • Body mass >/= 100kg
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Goniometer8 weeks

A goniometer will be used to measure ranges of motion of Trunk in Flexion, Extension, lateral Flexion and Rotation

Lower body strength8 weeks

One-repetition maximum (1-RM) leg press at 70% 1-RM will be used to evaluate lower body strength.

Modified Oswestry disability index8 weeks

The Oswestry Disability Index is considered one of the best accepted tools for assessment of low back pain. It is a patient-completed questionnaire which gives a subjective percentage score of level of function (disability) in activities of daily living in chronic low back pain. The ODI is made up of 10 items. Each item consist of 6 statements which are scored from 0 to 5. With 0 indicating the least disability and 5 the greatest then the total score is calculated as a percentage, with 0% indicating no disability and 100% indicating the highest level of disability.

ODI = (Sum of items scored/Sum of sections answered) X 100

Tampa scale of kinesiophobia8 weeks

The Tampa Scale of Kinesiophobia (TSK) was first developed in 1991 by R. Miller, S. Kopri, and D. Todd. A self-reported questionnaire that quantifies fear of movement, or (re)injury.It uses a 4-point Likert scale (Strongly Disagree-Disagree-Agree-Strongly Agree).The 17 item TSK total scores range from 17 to 68 where the lowest 17 means no or negligible kinesiophobia, and the higher scores indicate an increasing degree of kinesiophobia.Scores above 37 (17-item) are generally considered to indicate kinesiophobia.

Visual analog scale8 weeks

The pain VAS is a uni dimensional measure of pain intensity, used to record patients' pain progression, or compare pain severity.Using a ruler, the score is determined by measuring the distance (mm) on the 10-cm line between the "no pain" anchor and the patient's mark, providing a range of scores from 0-100. A higher score indicates greater pain intensity.no pain (0-4 mm), mild pain(5-44 mm), moderate pain (45-74 mm), and severe pain (75-100 mm).Test-retest reliability has been shown to be good and moderate to good reliability for disability in patients with chronic musculoskeletal pain.

Japanese orthopedic association back pain evaluation questionnaire8 weeks

The JOABPEQ includes twenty-five questions that are subdivided into five sub scales: lower back pain, lumbar function, walking ability, social life function, and mental health. These questions are Intended to evaluate individuals with low back pain from five different perspectives.scores range from 0 to 100, with higher scores indicating a better patient condition. Both kappa and weighted kappa were more than 0.50 for all but one item, which was 0.48.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Mediplex Health Care Center

🇵🇰

Rawalpindi, Punjab, Pakistan

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