Effects of Lumbar Stabilization Exercises Versus Muscular Chain Therapy on Pain and Functional Disability in Patients With Mechanical Chronic Low Back Pain: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 42
- 试验地点
- 1
- 主要终点
- Pain Intensity
研究概览
简要总结
The goal of this randomized controlled trial is to compare the effectiveness of lumbar stabilization exercises and muscular chain therapy on reducing pain intensity and functional disability in patients with mechanical CLBP.
- Participants will be randomly assigned to two groups:
- Group A: Lumbar stabilization exercises
- Group B: Muscular chain therapy (posterior sagittal muscle chain)
Outcomes will be assessed at baseline and on week 6 to evaluate which exercise program is more effective in reducing pain and improving functional outcomes.
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
- Double (Participant, Outcomes Assessor)
盲法说明
This randomized controlled trial was double-blinded. Participants were randomly assigned to either the lumbar Stabilization Exercise group or the muscular chain therapy group using a simple randomization (lottery) method.
Participants were informed that both interventions were effective physiotherapy treatments for chronic low back pain but were not told which group they belonged to. The outcome assessor, who had over fifteen years of experience, remained blinded to group allocation throughout data collection at baseline and week 6.
To maintain blinding, participants were instructed not to disclose their exercise details during assessment, and all data were recorded using coded identifiers (Group A or B).
入排标准
- 年龄范围
- 18 Years 至 30 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients aged between 18-30 years will be included in the study.
- •Participants must have a history of mechanical CLBP.
- •The pain must be localized to the lumbar region.
- •Participants must be able to perform physical activities and participate in exercise-based interventions.
- •Participants who have pain range > 4 will be included in the study.
排除标准
- •Patient with structural lesions, such as spondylolisthesis, stenosis, vertebral bone fracture, scoliosis and kyphosis on x-ray, will be excluded.
- •Pregnant females would be excluded.
- •Females with a history of neurological, infections, and systemic disease, including cerebrovascular disease, spondylitis, cancer, spinal cord disease, cauda equine, rheumatologic disorders.
- •Females who have undergone spinal surgery or any surgical intervention related to the lower back or pelvis will be excluded.
- •Lumbar radiculopathy will be excluded in the study.
研究组 & 干预措施
Lumbar Stabilization Exercises
Participants will receive lumbar stabilization exercises (Abdominal drawing-in maneuver, Pelvic tilts, Bridging exercise), Repetitions: 10-15 reps per exercise- Sets: 2-3 sets per exercise, Rest Between Sets: 30-45 seconds.
干预措施: Lumbar Stabilization Exercises (Other)
Muscular Chain Therapy
- Straightening the lumbar spine while maintaining hip neutrality and preventing knee flexion.
- Hip flexion while avoiding lumbar flexion. Static holds: 3-5 repetitions per posture, Hold Duration: 2-3 minutes initially, progressing to 5 minutes ,Rest Interval: 1-2 minutes between repetitions
干预措施: Muscular Chain Therapy (Other)
结局指标
主要结局
Pain Intensity
时间窗: Assessment will be done at baseline and on Week 6.
Pain Intensity will be measured by Numerical Pain Rating Scale
Functional Disability
时间窗: Assessment will be done at baseline and on Week 6
Functional Disability will be assessed using Oswestry Disability Index
次要结局
未报告次要终点