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临床试验/NCT06430255
NCT06430255尚未招募不适用

Effects of Global Postural Re-education Versus Laser-guided Supervised Exercise in Individuals With Non-specific Chronic Low Back Pain: A Randomized Controlled Clinical Trial

Taif University0 个研究点目标入组 36 人开始时间: 2024年5月16日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
尚未招募
入组人数
36
主要终点
Disability

研究概览

简要总结

Effects of Global Postural Re-education Versus Laser-guided Supervised Exercise in Individuals With Non-specific Chronic Low Back Pain

详细描述

The objective of this study will be to investigate the effectiveness of GPR or LGE, in addition to PNE and home exercise program. The primary outcomes will be pain intensity, disability, and fingertip to floor test. The secondary outcomes will be pain catastrophizing, kinesiophobia and depression.

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
18 Years 至 45 Years(Adult)
性别
All
接受健康志愿者
是

入选标准

  • •Aged between 18 and 45 years.
  • •Diagnosed with NSLBP.
  • •Experiencing NSCLBP for ≥ 3 months and score at least 3/10 on the Numerical Pain Rating Scale (NPRS).

排除标准

  • •Diagnosed with a condition that hinders their ability to engage in physical exercise (e.g., uncontrolled diabetes, cardiovascular disease, orthopedic impairments; balancing problems).
  • •Diagnosed with severe spine conditions (such as fractures, tumors, ankylosing spondylitis, or inflammatory disorders).
  • •Diagnosed with neurological problems (such as spine nerve problems or cauda equina syndrome)
  • •Diagnosed with mental illness or severe cognitive impairment that made it impossible to follow the PNE program.
  • •With a physical condition that made it impossible to complete the PNE program (the timed "up and go" test had to be completed in 10 seconds at a minimum).
  • •Receiving alternate therapy for related pathologies (myopathies and neurological diseases) that prevented them from completing the PNE program.

研究组 & 干预措施

Global Postural Re-education

Experimental

is a physical therapy method developed in France by Philippe-Emmanuel Souchard. This therapy method is founded on an integrated concept of the muscular system, which is composed of muscle chains. These muscle chains are susceptible to shortening as a result of constitutional, behavioral, and psychological factors, Patients allocated to this group will be having a GPR method course of 8 sessions, two sessions per week for a four-week period. Each session will consist of 3 therapeutic postures, lying, sitting, or standing, to be held for 15-20 minutes each. The postures used are considered the most effective in lengthening the posterior chain, which is usually shortened in patients with LBP.

干预措施: Global Postural Re-education (Other)

Laser-guided Supervised Exercise

Experimental

Patients allocated to this group will be having a LGSE method course of 8 sessions, two sessions per week for a four-week period. Each session will consist of lumbar movement control exercises. The physiotherapist responsible for the intervention corrected each participant individually as required when performing the movement control exercises to ensure the correct technique. The exercises is progress from the supine position through to standing, 4-point kneeling. The program consists of 8 exercises first starting with abdominal-diaphragmatic breathing and isolated contraction of the transversus abdominis contractions of 10 seconds' duration 5 repetition, Abdominal preparation, Pelvic elevation with previous transversus abdominis contraction and neutral pelvis,

干预措施: Laser-guided Supervised Exercise (Other)

结局指标

主要结局

Disability

时间窗: 7 weeks

modified Oswestry Low Back Pain Disability (ODI) questionnaire Each part has six statements rated from 0 (least difficult to accomplish action) to 5 (most difficult) The overall score goes from 0 to 50 (the greatest impairment) In individuals with LBP

Pain intensity

时间窗: One month

assessed using the Numerical Pain Rating Scale which goes from 0 ("no pain at all") to 10 ("worst imaginable pain")

Fingertip-to-floor test

时间窗: 7 weeks

excellent metric properties for LBP

次要结局

  • Pain catastrophizing(One month)
  • Kinesiophobia(One month)
  • Depression(4 weeks)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Alaa Saleh Baboor

Physical Therapist

Taif University

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