Effects of Abdominal Muscle Activation Training, Using Pressure Biofeedback in Comparison With Surface Electromyography
试验速览
- 阶段
- 不适用
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- Level of Disability
研究概览
简要总结
This study is a randomized control trial and the purpose of this study to determine the effects of abdominal muscle activation training on non-specific low back pain; using pressure biofeedback in comparison with surface electromyography biofeedback: a randomized control trial.
详细描述
The purpose of this study is to determine the effects of abdominal muscle activation training, using pressure biofeedback in comparison with surface electromyography biofeedback, in management of non-specific low back pain: a randomized control trial.
Pain and disability are the primary outcomes which will be determined using:
- Numeric pain rating scale (NPRS)
- Oswestry disability index (ODI) Data will be taken before and after the intervention protocol for each participant.
Data collection procedure: Participants of interest would be approached and explained about the research. Informed written consent will be taken. Pre and post intervention scores will be recorded.
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
- None
入排标准
- 年龄范围
- 18 Years 至 44 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age (adults 19 - 44 years)
- •Non-specific LBP with NPRS > 3
- •Negative SLR test in prone and supine
- •Painless extremity movement and activity
- •Manual muscle testing of abdominal muscles between grade 2 - 4
- •Sedentary individuals (no exercise plan followed in last 3 months)
排除标准
- •History of any spinal surgery
- •Degenerative disc disorder, facet joint syndrome, spinal stenosis, myelopathy, lumbar syringomyelia
- •Sensory disturbances due to neurological causes, lumbar radiculopathy, fibromyalgia, myofascial pain syndrome
- •Sacroiliac joint dysfunction
- •Pregnancy
- •Medical conditions; Hypertension, Diabetes mellites
- •Work disability greater than 6 months
- •Not able to attend regular therapy appointments
研究组 & 干预措施
Group A: Abdominal activation using pressure biofeedback
Group A PBF assisted abdominal muscle activation training (30 min, 3x /week /4 weeks) Progressive Muscle Relaxation for 5 min Pressure biofeedback assisted abdominal muscle activation training. Frequency: 25 min; 10 sec hold, 15 sec relax, 10 reps Progression criteria in training: Maintaining 3 - 5 mmHg pressure on PBF dial while performing abdominal muscle activation.
Exercises for Group For biofeedback assisted abdominal muscle activation training these exercises will be performed:
- Supine abdominal muscle activation (45° Hip knee flexion)
- Both hip and knee 90° flexion
- One side hip and knee 90° flexion with other fully extended
- One side hip and knee 90° flexion with other fully extended + heel 12 cm raised
- Both legs fully extended with heel 12 cm raised
- Partial curl ups
- Prone lying abdominal muscle activation
- Prone leg raises
- Prone upper back extension simple
- Prone reciprocal UE/LE exercises
干预措施: Abdominal activation using pressure biofeedback (Procedure)
Group B: Abdominal activation using SEMG biofeedback
GROUP B:
SEMG-BF assisted abdominal muscle activation training (30 min, 3x/ week/ 4 weeks) Progressive Muscle Relaxation for 5 min Surface EMG-BF assisted abdominal muscle activation training. Frequency: 25 min; 10 sec hold, 15 sec relax, 10 reps Maintaining minimal volumetric contraction of abdominal muscle activation (as per person) on SEMG device with abdominal muscle activation for set frequency
Exercises for Group B For biofeedback assisted abdominal muscle activation training these exercises will be performed:
- Supine abdominal muscle activation (45° Hip knee flexion)
- Both hip and knee 90° flexion
- One side hip and knee 90° flexion with other fully extended
- One side hip and knee 90° flexion with other fully extended + heel 12 cm raised
- Both legs fully extended with heel 12 cm raised
- Partial curl ups
- Prone lying abdominal muscle activation
- Prone leg raises
- Prone upper back extension simple
- Prone reciprocal UE/LE exercises
干预措施: Abdominal activation using SEMG biofeedback (Procedure)
结局指标
主要结局
Level of Disability
时间窗: 4 weeks
For measuring disability, Oswestry Disability Index will be utilized
Pain Intensity
时间窗: 4 weeks
The NPRS will be used to quantify LBP, and it exhibits good validity ranging from 0.79 to 0.95, as well as reliability ranging from 0.67 to 0.96(23). The scoring for NPRS involves a scale from 0 to 10, where 0 indicates no pain. The interpretation of scores is as follows: 0 to 3 for mild pain, 4 to 6 for moderate pain, and 7 to 10 for severe pain.
次要结局
未报告次要终点