Effect of Open Chain Versus Closed Chain Segmental Control Exercises on CSA of Lumbar Multifidus Muscle in Chronic MLBP

Not Applicable

Recruiting

• Conditions: Mechanical Low Back Pain
• Interventions: Other: Closed chain segmental control; Other: Open chain segmental control; Other: Conventional treatment

• Registration Number: NCT06009263
• Lead Sponsor: Cairo University

Brief Summary

To investigate the effect of adding open versus closed chain segmental control exercises to conventional treatment program on pain intensity, lumbar ROM, and CSA of multifidus muscle.

Detailed Description

* To investigate the effect of adding open versus closed chain segmental control exercises to conventional treatment program on pain intensity.

* To investigate the effect of adding open versus closed chain segmental control exercises to conventional treatment program on lumber ROM.

* To investigate the effect of adding open versus closed chain segmental control exercises to conventional treatment program on CSA of multifidus muscle.

* To investigate the effect of adding open versus closed chain segmental control exercises to conventional treatment program on lumber function.

Study Timeline

• Study First Submitted: 2023-08-13
• Study First Submitted QC: 2023-08-18
• Study First Posted: 2023-08-24
• Status Verified: 2023-09
• Study Start: 2023-09-02
• Last Update Submitted: 2023-09-09
• Last Update Posted: 2023-09-13
• Primary Completion: 2024-08-13
• Study Completion: 2025-03-01

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

1. Patients with chronic low back pain from both genders their age will be ranged and divided into three groups from 25-55 years.
2. Participants with chronic low back pain lasting for more than 6 Months.
3. A patient who can follow the command.
4. A patient who can do exercise.

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Exclusion Criteria

1. Low back pain patients with a history of severe neurological disease or orthopedic disease.
2. History of Psychological Disorder.
3. Unhealthy Patient.
4. Pregnant women.
5. Patient with a spinal tumor.
6. History of any operation related to spine. Ex. Vertebral fracture or dislocation.

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Intervention 2	Closed chain segmental control	The participants will receive "closed chain segmental control exercises" plus conventional treatment in the form of TENS and Ultrasound.
Intervention 1	Open chain segmental control	The participants will receive "open chain segmental control exercises" plus conventional treatment in the form of TENS and Ultrasound.
Control	Conventional treatment	The participants will receive conventional treatment in the form of TENS and Ultrasound.

Primary Outcome Measures

Name	Time	Method
Cross sectional area of multifidus muscle	Pre and Post measurement (12 weeks)	Cross sectional area of multifidus muscle
Pain intensity	Pre and Post measurement (12 weeks)	Measured by VAS (from 0 to 10; 0 means no pain and 10 means worst pain)

Secondary Outcome Measures

Name	Time	Method
Functional ability of lumbar spine	Pre and Post measurement (12 weeks)	Questionnaire for measuring lumbar activities (lower score means better and higher score means worse)
ROM of lumbar spine	Pre and Post measurement (12 weeks)	Measuring ROM of lumbar spine

Trial Locations

Locations (1)

Faculty of Physical Therapy; 🇪🇬 Giza, Dokki, Egypt