Effect of Core Muscles Training On Patients With Chronic Mechanical Low Back Pain According To SALIBA'S Postural Classification System
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- pain intensity.
研究概览
简要总结
This study is designed as a pre and post experimental study. The purposes of this study are to evaluate the effect of core muscles training in patients with chronic mechanical low back pain according to SALIBA'S postural classification system (SPCS) in terms of pain intensity, function, and core muscles endurance.
详细描述
Male and female patients diagnosed with chronic mechanical low back pain will be referred to physical therapy department. Patients will then be screened based on the inclusion and exclusion criteria of the current study. They will be asked to sign the informed consent form. Then, participants will be assessed for the severity of pain, functional disability, and core endurance test at baseline and at the end of the treatment by the same physiotherapist.
In addition, participants will be instructed to stand in habitual posture while looking forward and will be photographed from sagittal plane wearing shorts(males) and a thin clothes(female). The photos will be used to subjectively classify the patients into one of the 6 postural classification groups (G1, G2, G3,G4, G5, G6). The Vertical compression test and elbow flexion test will be used to objectively confirm the classification.
Later, photos will be then entered by researcher to Kinovea software for more objective confirmation of the classification.
Then, Participants will be allocated purposive randomly to one of the six groups according to evaluation criteria(saliba's postural classification system).
Then, Patients in each postural category will receive a 4-week program of core muscles training.
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 (Participant)
入排标准
- 年龄范围
- 20 Years 至 55 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients referred with a diagnosis of CMLBP of at least 3 months.
- •Age ranging from 20 to 55 years old.
- •Both genders will be included.
- •BMI(18.5-24.9).
排除标准
- •Lumbar canal stenosis.
- •History of vertebral fractures.
- •patients with neurological deficits such as altered sensation.
- •Spinal surgery or failed back surgery.
- •cardiovascular/ pulmonary disorder
研究组 & 干预措施
group 3: posterior/ posterior
participant posture: The thoracic block is aligned posterior to the pelvic block and is posteriorly tipped in the sagittal plane. Vertical force leads to an accentuated extension in the lower lumbar region with a forward shear of the pelvis and decreased ability to sustain vertical forces.
干预措施: core muscles training exercises (Other)
group1: vertical/ vertical
participant posture: The thoracic block is vertically aligned over the pelvic block.The angle of the thoracic block is vertical in the sagittal plane allowing for the dome of the diaphragm to rest on top of the abdomen.Vertical force transfers through the musculoskeletal system through the mid-foot and into the standing surface causing no shifts in postural alignment.
干预措施: core muscles training exercises (Other)
group 2: vertical/ posterior
participant posture: The thoracic block is vertically aligned over the pelvic block but is posteriorly tipped in the sagittal plane.Vertical force leads to an accentuated extension in the thoracolumbar and lumbar regions with decreased ability to sustain vertical forces.
干预措施: core muscles training exercises (Other)
group 4: posterior/ anterior
participant posture: The thoracic block is aligned posterior to the pelvic block and is anteriorly tipped in the sagittal plane. Vertical force leads to a slight flexion in the thoracic and lumbar regions with a forward shear of the pelvis and decreased ability to sustain vertical force.
干预措施: core muscles training exercises (Other)
group 5:anterior/ posterior
participant posture: The thoracic block is aligned anterior to the pelvic block and is posteriorly tipped in the sagittal plane. Vertical force leads to extension in the mid and lower lumbar regions with a posterior shear of the pelvis and decreased ability to sustain vertical forces.
干预措施: core muscles training exercises (Other)
group 6: anterior/ anterior
participant posture: The thoracic block is aligned anterior to the pelvic block and is anteriorly tipped in the sagittal plane. Vertical force leads to an overall flexion of the trunk and decreased ability to sustain vertical forces
干预措施: core muscles training exercises (Other)
结局指标
主要结局
pain intensity.
时间窗: one month
Pain intensity will be assessed using the visual analog scale (VAS). The VAS is a unidimensional measure of pain intensity. It is a continuous scale comprises of a horizontal line 10 cm in length. The scale is anchored by "no pain" (score of 0) and "worst imaginable pain" (score of 10). A higher score indicates greater pain intensity
function disability
时间窗: one month
Functional disability will be estimated using the cross-culturally adapted Arabic version of the Oswestry disability questionnaire.The score is calculated by the addition of the values assigned for each of the 10 individual questions and is used to categorize disability as: mild or no disability (0- 20%); moderate disability (21%-40%); severe disability (41% to 60%); incapacity (61% to 80%); restricted to bed (81% to 100%).
core muscles endurance
时间窗: one month
The researcher will conduct a series of core stability tests before and after the core training program. The following core tests will be used: trunk flexion test (McGill's test) , Trunk extension (Sorenson Test, Right Side plank test,left side plank and prone plank test. We will record the time (in seconds) the patient can hold the isometric posture, with a normal range of 1-2 minutes
次要结局
未报告次要终点
研究者
Rania Saleh Elemam Yassin
researcher
Cairo University