V-sitting Posture Stabilization Versus Modified Clamshell in Patients With Non-specific Chronic Low Back Pain.

Not Applicable

• Conditions: Non-specific Chronic Low Back Pain
• Interventions: Other: Modified clamshell exercises; Other: V-sitting posture stabilization

• Registration Number: NCT05393336
• Lead Sponsor: Riphah International University

Brief Summary

The aim of this study is to compare the v-siting posture stabilization and clamshell exercises on pain and disability in patients with non-specific chronic low back pain.

Detailed Description

Chronic low back pain (LBP) is a common musculoskeletal pain disorder that affects most adults and has the highest prevalence among other chronic musculoskeletal pain disorders. Non-traumatic lower back pain can have different etiologies: intervertebral disc related, vertebral body related, and facet joint related and sacroiliac joint related. Non-specific low back pain affects people of all ages and is a leading contributor to disease burden worldwide. Non-specific low back pain does not have a known pathoanatomical cause. Treatment of non-specific chronic low back pain includes manual therapy, exercise therapy, massage, acupuncture, yoga, cognitive behavioral therapy, and intensive interdisciplinary treatment.

Previous studies have compared the effects of different exercise therapies, other treatment modalities, osteopathic techniques, manual therapies, and yoga and eurhythmy therapy for the management of low back pain. There is very little literature found to evaluate the effects of single movement technique V-sitting exercises and modified clamshell exercises in the management of non-specific chronic low back pain. Previous literature showed less treatment sessions and follow up periods as they are barrier to see the exact picture of effects of treatment protocol followed. In contrast longer duration of treatment regime allow deep insight of the effects of the main treatment body. This study will fulfill these literature gaps. This study will find the comparative effects of V-sitting posture stabilization and Modified Clamshell exercises in the treatment of non-specific chronic low back pain with more treatment sessions in both genders.

Study Timeline

• Status Verified: 2022-05
• Study First Submitted: 2022-05-23
• Study First Submitted QC: 2022-05-23
• Last Update Submitted: 2022-05-23
• Study First Posted: 2022-05-26
• Last Update Posted: 2022-05-26
• Study Start: 2022-06-01
• Primary Completion: 2023-01-01
• Study Completion: 2023-01-01

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 30

Inclusion Criteria

• Patients with non-specific low back pain for more than 3 months
• Subjects being able to sustain 5 seconds of isometric hip abduction in the side-lying position
• Negative Crossed Straight leg raise test
• Negative Straight leg raise test

Exclusion Criteria

• Metabolic Bone disease (Osteoporosis)
• Any History of Hip pathology
• History of trauma
• History of systemic disease (Rheumatologic disorders, spondylitis, spinal cord disease)
• Radiculopathy

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
modified clamshell exercises	Modified clamshell exercises	Participants will perform modified clamshell exercises monitored visually and using a stabilizer pressure biofeedback unit.
V-sitting posture stabilization	V-sitting posture stabilization	V sitting exercises will be administered where patients will be asked to lift the torso and legs while engaging the core and abdominal muscles.

Primary Outcome Measures

Name	Time	Method
NPRS for pain	6th week	The Numerical Pain Rating Scale (NPRS) is a subjective measure in which individuals rate their pain on an eleven-point numerical scale. The scale is composed of 0 (no pain at all) to 10 (worst imaginable pain).
RMQ for pain and disability	6th week	The Roland-Morris Questionnaire (RMQ) is a self-administered disability measure in which greater levels of disability are reflected by higher numbers on a 24-point scale. For example, at the beginning of treatment, a patient's score was 12 and, at the conclusion of treatment, their score was 2 (10 points of improvement), we would calculate an 83% (10/12 x 100) improvement.

Trial Locations

Locations (1)

Riphah Rehabilitation Clinic; 🇵🇰 Lahore, Punjab, Pakistan