Relationship Between Core Muscles Endurance and Saliba's Postural Classification System in Patients With Chronic Mechanical Low Back Pain
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Core Muscles
- Sponsor
- Cairo University
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- assessment of pain intensity using visual analogue scale
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
The aim of the study is to investigate the relationship between core muscles endurance and Saliba Postural Classification System in patients with chronic mechanical low back pain.
Detailed Description
chronic mechanical low back pain (CMLBP) is a significant health issue affecting 85-90% of the general and athletic population, causing a significant socioeconomic burden. This study aims to address functional deficits in patients with CMLBP, reducing the burden and improving care delivery and work performance. Core muscle dysfunction, particularly multifidus and transversus abdominus muscles, is found in patients with CMLBP. However, the relationship between posture, function, and pain is not established due to the absence of a standardized postural classification system. The proposed tests can help infer the stability and function of core muscles in patients with CMLBP, enabling researchers to develop effective treatment programs. This study may also benefit physical therapists by providing an evidence-based approach in assessment using a valid and reliable postural classification system. Future research may address the relationship between core muscle endurance and Saliba Postural Classification System in patients with CMLBP.
Investigators
Sara Eltelbany
principal investigator
Cairo University
Eligibility Criteria
Inclusion Criteria
- •Sixty male and female patients with CMLBP of more than 3 months duration
- •Patients with body mass between 18-25
- •Patients aged between 20-50 years old
- •Moderate level of pain (4-6 on visual analogue scale)
- •Minimal level of disability (0% to 20%) on Oswestry disability index as defined as "the patient can cope with most living activities. Usually, no treatment is indicated apart from advice on lifting, sitting, and exercise.
Exclusion Criteria
- •Participants will be excluded if they did not meet the inclusion criteria mentioned above.
Outcomes
Primary Outcomes
assessment of pain intensity using visual analogue scale
Time Frame: at baseline
The visual analog scale (VAS) is a unidimensional measure of pain intensity, consisting of a horizontal line 10 cm long. It is anchored by "no pain" (score 0) and "worst imaginable pain" (score 10), with higher scores indicating greater pain intensity.
Secondary Outcomes
- assessment of trunk endurance using Trunk flexion test(at baseline)
- assessment of functional disability using cross-culturally adapted Arabic version of the Oswestry disability questionnaire(at baseline)
- assessment of mechanical stress points using vertical stress test to confirm the Saliba Postural Classification System(at baseline)
- assessment of proper timing of core and global muscles in response to an external load using Elbow flexion test(at baseline)
- assessment of back extensors (the erector spinae and the multifidus) endurance using trunk extension test(at baseline)
- assessment of trunk side flexor endurance using side blank test(at baseline)
- assessment of trunk endurance using Prone plank test(at baseline)