Effectiveness of Dynamic Neuromuscular Stabilization Exercises in Patients of Non- Specific Chronic Low Back Pain with Movement Control Impairment
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 66
- 试验地点
- 1
- 主要终点
- 1. Lumbar Segmental Motion
研究概览
简要总结
This study will examine and compare the therapeutic outcomes of Dynamic Neuromuscular Stabilization (DNS) with Strengthening and Flexibility Exercises (SFE) in patients with Non-Specific Chronic Low Back Pain (NSCLBP) with Movement Control Impairment (MCI).
The intended study is an assessor-blinded, experimental, randomized controlled trial with two parallel arms and two measurement points: baseline assessment and at the end of the six-week intervention or after the conclusion of 30 sessions of intervention. A total of 66 subjects having non-specific chronic low back pain will be chosen based on inclusion criteria and randomly assigned to one of the two groups (33 subjects in each group). Outcome variables will include lumbar segmental stability (sagittal plane inter-vertebral rotations and translations), lumbo-pelvic dynamic stability, trunk endurance, proprioception, pain, disability, kinesiophobia and quality of life. Both groups will receive progressive group-specific exercises. Group A will receive DNS Exercises and Group B will receive generally prescribed strengthening and flexibility exercises (SFE) for 30-45 minutes per session. Altogether, participants will have maximum 5 sessions of supervised training in a week for a total of 6 weeks (30 sessions).
研究设计
- 研究类型
- Interventional
- 分配方式
- Computer generated randomization
- 盲法
- Outcome Assessor Blinded
入排标准
- 年龄范围
- 18.00 Year(s) 至 45.00 Year(s)（—）
- 性别
- All
入选标准
- •Numeric Pain Rating Scale (NPRS) of 2 or more
- •Positive prone instability test
- •Two or more positive test findings on Luomajoki MCI tests battery as 
well as MCI specific complaints of pain elicitation in static postures
- •Score of 20% or more on Oswestry Disability Index version 2.1a (ODI v 2.1a).
排除标准
- •Back discomfort caused by a specific pathology, such as a disc herniation, tumour, infection, or fracture, osteoporosis, structural deformity, inflammatory illness, radicular syndrome, or cauda equina syndrome
- •Lower Back pain that is constant or severe, as determined by clinical criteria, due to nerve root irritation 

- •Any Spinal surgery or Major surgery within the past years 

- •Current Pregnancy or post partum period less than 6 months and a multiparous woman who 
has given birth more than twice

- •BMI ≥ 30 Or Presence of co-morbidity (e.g. history of angina, shortness of breath, 
uncontrolled hypertension), which may limit exercise performance.
- •Straight Leg 
Raise (SLR) less than 50° Or positive sacroiliac-joint pain provocation tests 

- •Patients with a score of ≥ 72 on the Örebro Musculoskeletal Screening Questionnaire -12 (OMSQ-12) will be excluded to avoid confounding by psychosocial factors.
结局指标
主要结局
1. Lumbar Segmental Motion
时间窗: Two measurement points -At the baseline and at the end of the six-week intervention or 30 sessions
2. Lumbo-Pelvic Dynamic Stability 

时间窗: Two measurement points -At the baseline and at the end of the six-week intervention or 30 sessions
3. Trunk Endurance
时间窗: Two measurement points -At the baseline and at the end of the six-week intervention or 30 sessions
4. Proprioception 

时间窗: Two measurement points -At the baseline and at the end of the six-week intervention or 30 sessions
次要结局
- Kinesiophobia 
(Fear of Movement)(Two measurement points -At the baseline and at the end of the six-week intervention or 30 sessions)
- Quality of life 
(Two measurement points -At the baseline and at the end of the six-week intervention or 30 sessions)
- Pain 

- Functional Disability 
(Two measurement points -At the baseline and at the end of the six-week intervention or 30 sessions)