Dynamic Lumbar Strengthening Exercises Versus Pilates, Combined With Myofascial Release in Non Specific Chronic Low Back Pain
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Pain Intensity Measured by Visual Analog Scale (VAS)
研究概览
简要总结
This randomized controlled trial aims to compare the effectiveness of dynamic lumbar strengthening exercises combined with myofascial release versus Pilates combined with myofascial release in individuals with non-specific chronic low back pain.
Non-specific chronic low back pain is one of the most common musculoskeletal disorders affecting adults and is associated with pain, reduced spinal mobility, and functional disability. Exercise-based rehabilitation programs and manual therapy techniques are commonly used to improve functional outcomes in these patients. Dynamic lumbar strengthening exercises focus on improving spinal stability and strengthening trunk musculature, whereas Pilates exercises emphasize core muscle activation, postural control, and controlled movement patterns. Myofascial release is a manual therapy technique used to reduce fascial restrictions, improve soft tissue mobility, and decrease pain.
In this randomized controlled trial, a total of 60 participants aged between 25 and 35 years with non-specific chronic low back pain lasting more than three months will be recruited from the Physiotherapy Department of the University of Lahore Teaching Hospital. Participants will be randomly allocated into two groups. Group A will receive dynamic lumbar strengthening exercises combined with myofascial release, while Group B will receive Pilates exercises combined with myofascial release.
Both groups will also receive baseline therapy consisting of therapeutic massage, interferential therapy, and therapeutic ultrasound applied to the lumbosacral region. The exercise programs will be conducted for eight weeks on alternate days, with each session lasting approximately 20-25 minutes.
Outcome measures will include pain intensity assessed using the Visual Analog Scale (VAS), functional disability measured using the Oswestry Disability Index (ODI), and lumbar range of motion measured using an inclinometer. Assessments will be conducted at baseline before the intervention and after completion of the 8-week intervention period.
The findings of this study will help determine which exercise approach combined with myofascial release is more effective in reducing pain, improving functional disability, and enhancing spinal mobility in individuals with non-specific chronic low back pain. The results may contribute to evidence-based physiotherapy management and improve rehabilitation strategies for patients with chronic low back pain.
详细描述
Non-specific chronic low back pain (NSCLBP) is a prevalent musculoskeletal condition that significantly affects quality of life, physical function, and work productivity. It is characterized by persistent pain in the lumbar region lasting longer than three months without a specific identifiable pathology. Conservative physiotherapy interventions including therapeutic exercises and manual therapy techniques are commonly used to manage symptoms and improve functional outcomes.
Dynamic lumbar strengthening exercises are designed to enhance spinal stability by strengthening key trunk muscles such as the erector spinae, rectus abdominis, and other core stabilizers. These exercises improve neuromuscular control, spinal support, and functional movement patterns. Pilates-based exercises, on the other hand, focus on controlled movements, core stabilization, breathing control, and activation of deep stabilizing muscles including the transversus abdominis and multifidus.
Myofascial release (MFR) is a manual therapy technique that applies gentle sustained pressure and stretching to fascial tissues to reduce fascial restrictions, improve tissue mobility, and relieve musculoskeletal pain. Combining exercise therapy with myofascial release may enhance therapeutic outcomes in individuals with chronic low back pain.
This randomized controlled trial will be conducted at the Physiotherapy Department of the University of Lahore Teaching Hospital. A total of 60 participants aged 25-35 years diagnosed with non-specific chronic low back pain for more than three months will be recruited using convenient sampling. Participants meeting the inclusion criteria will provide written informed consent prior to enrollment.
Participants will be randomly allocated into two groups using a computer-generated randomization method:
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)
入排标准
- 年龄范围
- 25 Years 至 35 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Male and female aged between 25 to 35 years. History of persistent low back pain for more than 3 months. Pain intensity with a score > 3 on the Visual Analog Scale (VAS). Functional disability measured by the Oswestry Disability Index (ODI), with scores ranging from 20% to 60%
排除标准
- •Individuals with acute or subacute low back pain. Presence of systemic illnesses or specific spinal pathologies. Psychological disorders such as severe anxiety or depression affecting participation.
研究组 & 干预措施
group A Dynamic Lumbar Strengthening Exercises with Myofascial Release
Participants in this group will receive dynamic lumbar strengthening exercises combined with myofascial release therapy for the management of non-specific chronic low back pain. The exercise program will include bird dog, glute bridge, dead bug, side-lying leg lifts, and modified superman exercises performed on a mat. Each session will last approximately 20-25 minutes and will be conducted on alternate days for 8 weeks under the supervision of a physiotherapist. Myofascial release techniques will be applied to the thoracolumbar fascia using sustained pressure, longitudinal gliding, and fascial stretching techniques for approximately 4-6 minutes per session. Participants will also receive baseline therapy including therapeutic massage, interferential therapy, and therapeutic ultrasound applied to the lumbosacral region.
干预措施: Dynamic Lumbar Strengthening Exercises (Behavioral)
group B Pilates Exercises with Myofascial Release
Participants in this group will receive Pilates-based exercises combined with myofascial release therapy for the treatment of non-specific chronic low back pain. The Pilates program will focus on core stabilization, breathing control, and spinal mobility. Exercises will include pelvic tilts, pelvic curl, modified hundred, single-leg stretch, swimming, and knee folds performed on a mat. Each session will last approximately 20-25 minutes and will be conducted on alternate days for a period of 8 weeks under physiotherapist supervision. Myofascial release techniques will be applied to the thoracolumbar fascia using standardized manual techniques for approximately 4-6 minutes per session. Participants will also receive baseline therapy including therapeutic massage, interferential therapy, and therapeutic ultrasound applied to the lumbosacral region.
干预措施: Pilates Exercises with Myofascial Release (Behavioral)
结局指标
主要结局
Pain Intensity Measured by Visual Analog Scale (VAS)
时间窗: Baseline, 2 weeks and after 8 weeks
Pain intensity will be assessed using the Visual Analog Scale (VAS). The VAS consists of a 10-cm horizontal line anchored with two descriptors: "no pain" at 0 and "worst imaginable pain" at 10. Participants will mark their perceived pain intensity on the line, and the score will be recorded in centimeters to quantify pain severity.
次要结局
未报告次要终点
研究者
Maheen Rauf
principal investigator
University of Lahore