Additional Gluteal Control Training for Low Back Pain With Functional Leg Length Inequality
- Conditions
- Low Back Pain, Recurrent
- Interventions
- Other: CG groupOther: GC group
- Registration Number
- NCT03554746
- Lead Sponsor
- National Yang Ming Chiao Tung University
- Brief Summary
Low back pain (LBP) is a prevalent musculoskeletal disorder. A variety of exercise interventions which were designed as randomized control trails (RCTs) have been studied and shown effectiveness in improving pain and disability. These exercises typically focus on the abdominal and back musculature strength. However, many LBP patients did not show any improvement in their symptom after they carry out those exercise programs.
- Detailed Description
Low back pain (LBP) is a prevalent musculoskeletal disorder. A variety of exercise interventions which were designed as randomized control trails (RCTs) have been studied and shown effectiveness in improving pain and disability. These exercises typically focus on the abdominal and back musculature strength. However, many LBP patients did not show any improvement in their symptom after they carry out those exercise programs. Some authors consider that this type of low back pain may be caused by leg length inequality (LLI) in these patients, which resulted from poor gluteal neuromuscular control or muscles' imbalance.
In consideration of few studies have been done for investigating the effects of gluteal muscles control training in LBP. Thus, the purpose of this study is to investigate the effect of additional gluteal muscles control training on improving functional LLI in patients with LBP. We hypothesized that gluteal muscle control training would be more effective in self-reported pain, and their functional disability would be improve after 6-week training program than control training group.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 48
- non-specific LBP (from inferior rib margin to the gluteal fold)
- more than 3 months
- Visual Analog Scale ≧5 (in past one month)
- pelvic innominate rotation (anterior rotation in dominant side)
- history of fracture or surgery
- congenital anomalies in the spine, pelvis, or lower limbs
- recent trauma, tumor, pregnancy or scoliosis
- lower extremity paresthesia, unknown weakness
- bowel and bladder dysfunction
- predominant lower extremity pain with standing
- presence of system illness, no reasoning weight loss, predominant night pain
- specific sacroiliac joint dysfunction
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description CG group CG group It involve core stability exercise and stretching exercise. All of above will be arranged 3 times a week for a total 6 weeks. GC group GC group It mainly involve core stability exercise, stretching exercise and gluteal control training. All of above will be arranged 3 times a week for a total 6 weeks.
- Primary Outcome Measures
Name Time Method Ilium Anterior Tilt Difference change from baseline at 6 weeks later bilateral ilium anterior tilt difference
Pelvic Inclination change from baseline at 6 weeks later bilateral pelvic inclination
Leg Length Inequality change from baseline at 6 weeks later functional leg length inequality
- Secondary Outcome Measures
Name Time Method Functional Ability change from baseline at 6 weeks later PSFS (0-10) Maximum: 10 Minimal: 0 higher scores mean a better outcome
Pain Intensity change from baseline at 6 weeks later Visual Analog Scale (VAS) (0-10) Maximum: 10 Minimal: 0 higher scores mean a worse outcome
Functional Disability change from baseline at 6 weeks later Oswestry disability index (ODI) Maximum: 100 Minimal: 0 higher scores mean a worse outcome
Trial Locations
- Locations (1)
National Yang Ming University
🇨🇳Taipei, Taiwan