Comparison Of The Effectiveness Of Elastic Resistance Versus Free Weight Training Of Gluteus Medius In Improving Pain, Strength, And Overall Gait Speed In Patients With Chronic Non-Specific Low Back Pain: Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 36
- 试验地点
- 1
- 主要终点
- Change in Pain Intensity
研究概览
简要总结
This randomized controlled trial aims to compare the effectiveness of elastic resistance training and free weight training in strengthening the gluteus medius muscle among patients with chronic non-specific low back pain. Weakness in the gluteus medius can contribute to pelvic instability and altered gait patterns, which may exacerbate low back pain. While both elastic resistance and free weight exercises are commonly used in rehabilitation, there is limited evidence comparing their relative benefits in this population. This study evaluates improvements in pain, muscle strength, and overall gait speed following each intervention. The findings will help guide clinicians in choosing the most effective and accessible strengthening method for patients with chronic non-specific low back pain.
详细描述
The gluteus medius plays a vital role in pelvic stabilization and maintaining proper gait mechanics. Dysfunction or weakness in this muscle is frequently associated with chronic non-specific low back pain, a condition affecting a significant proportion of the population. Rehabilitation strategies that target the gluteus medius are crucial for restoring lumbar-pelvic stability, optimizing functional movement, and reducing pain.
Free weight training, using equipment like dumbbells and barbells, is a traditional method to enhance muscle strength and improve neuromuscular coordination. However, it often requires proper supervision to avoid injury due to the need for controlled movements and joint stability. On the other hand, elastic resistance training, which employs tools like resistance bands or tubes, offers a safer, cost-effective, and portable alternative. It allows progressive resistance throughout the range of motion, matching the user's strength curve and facilitating home-based exercise programs.
This randomized controlled trial is designed to compare these two training modalities, which are elastic resistance versus free weights in terms of their effectiveness at improving gluteus medius strength, reducing low back pain, and enhancing gait speed in patients with chronic non-specific low back pain. The trial includes baseline and post-intervention assessments using validated clinical tools for measuring pain, strength, and gait speed.
The goal is to determine which intervention yields greater clinical benefit and offers a more practical approach for implementation in therapeutic settings, especially for populations with limited access to conventional gym equipment. The findings could contribute valuable evidence to inform clinical decision-making in physical therapy and rehabilitation.
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
Participants and assessors performing pre- and post-intervention evaluations will be blinded to group allocation to reduce bias.
入排标准
- 年龄范围
- 30 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age 30-60 years
- •Both males and females of any race and ethnicity
- •Musculoskeletal condition that affects the gluteus Medius of hip
- •MMT for gluteus medius is 3 or less than 3
- •chronic stage of nonspecific low back pain
- •Cognitively intact (mini mental scale) and able to walk 10 meters with or without support.
- •Volunteer participations.
排除标准
- •Post-surgical conditions like TKR, THR.
- •Any contraindication to exercise.
- •Female individuals who have muscular weakness due to pregnancy
- •Any neurological conditions (myopathies, neuropathies) causing muscular weakness
- •Chronic low back pain in which Gluteus Medius weakness is not measurable.
研究组 & 干预措施
Elastic Resistance Training with Conventional Training
The participants in this group will receive elastic resistance training with conventional training. The intervention would be given 5 times per week on alternate days for 4 weeks. Each exercise session will be given in 2sets of 8 repetitions each set.
干预措施: Elastic Resistance Training (Procedure)
Elastic Resistance Training with Conventional Training
The participants in this group will receive elastic resistance training with conventional training. The intervention would be given 5 times per week on alternate days for 4 weeks. Each exercise session will be given in 2sets of 8 repetitions each set.
干预措施: Conventional Training (Procedure)
Free Weight Training along with Conventional Training
The participants in this group will receive free weight training along with conventional training. The intervention frequency will be the same as group A (5 times/week for 4 weeks). Each exercise session will be given in 2 sets of 8 repetitions each set.
干预措施: Free Weight Exercises (Procedure)
Free Weight Training along with Conventional Training
The participants in this group will receive free weight training along with conventional training. The intervention frequency will be the same as group A (5 times/week for 4 weeks). Each exercise session will be given in 2 sets of 8 repetitions each set.
干预措施: Conventional Training (Procedure)
结局指标
主要结局
Change in Pain Intensity
时间窗: Baseline and at 4 weeks post-intervention
Pain will be assessed using the Numeric Pain Rating Scale (NPRS), a self-reported 11-point scale ranging from 0 (no pain) to 10 (worst imaginable pain).
Change in Gluteus Medius Muscle Strength
时间窗: Baseline and at 4 weeks post-intervention
Muscle strength will be measured using a manual muscle testing to assess isometric strength of the gluteus medius. A system of manually testing weakness of muscles by assuming different positions and performing movements against gravity or gravity eliminated depending on the strength of the and 5 indicates the muscle can hold anti-gravity position against maximum resistance.
Change in Overall Gait Speed
时间窗: Baseline and at 4 weeks post-intervention
Gait speed will be measured using the 10-Meter Walk Test (10MWT), recorded in meters per second (m/s).
次要结局
未报告次要终点