Additional Gluteal Control Training for Low Back Pain With Functional Leg Length Inequality: A Ramdomized Controlled Trail
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 48
- 试验地点
- 2
- 主要终点
- Ilium Anterior Tilt Difference
研究概览
简要总结
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.
详细描述
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.
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
- 20 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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)
排除标准
- •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
研究组 & 干预措施
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.
干预措施: GC group (Other)
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.
干预措施: CG group (Other)
结局指标
主要结局
Ilium Anterior Tilt Difference
时间窗: change from baseline at 6 weeks later
bilateral ilium anterior tilt difference
Pelvic Inclination
时间窗: change from baseline at 6 weeks later
bilateral pelvic inclination
Leg Length Inequality
时间窗: change from baseline at 6 weeks later
functional leg length inequality
次要结局
- Functional Ability(change from baseline at 6 weeks later)
- Pain Intensity(change from baseline at 6 weeks later)
- Functional Disability(change from baseline at 6 weeks later)
研究者
Yi-Fen Shih
Professor, Department of Physical Therapy and Assistive Technology, National Yang-Ming University
National Yang Ming Chiao Tung University