Effect of Pelvic Control Training Using Pressure Biofeedback Versus Core Stability Training on Pain, Range of Motion, Muscle Strength, and Functional Disability in Patients With Non-Specific Low Back Pain
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- Oswestry Disability Index (ODI)
研究概览
简要总结
To compare the effects of pelvic control training using pressure biofeedback with core stability training on pain, range of motion, muscle strength, and functional disability in patients with non specific low back pain
详细描述
A randomized controlled trial compared core stabilization exercises with routine exercise therapy in patients with chronic nonspecific low back pain. Participants were randomly allocated into two groups, with both groups receiving conventional hot pack therapy three times per week for four weeks. Pain and functional disability were assessed using the Visual Analogue Scale (VAS) and Oswestry Disability Index (ODI). Both interventions significantly improved outcomes; however, core stabilization exercises produced greater reductions in pain and disability than routine exercise therapy.
Another randomized controlled trial investigated the effects of core stability training (CST) alone versus combined core and pelvic floor muscle (PFM) training in sedentary women with low back pain. Participants were allocated into a control group, a CST group, and a combined training group, with supervised sessions conducted three times weekly for four weeks. Although both exercise interventions significantly improved trunk muscle endurance and reduced pain, CST alone demonstrated greater improvements in lumbar function than the combined intervention.
A randomized controlled trial compared traditional lumbar dynamic strength training with stabilization exercises using pressure biofeedback in patients with chronic low back pain. Outcomes included pain intensity, disability, lumbar mobility, transversus abdominis strength, quality of life, and fear-avoidance beliefs. Both interventions significantly improved all measured outcomes, with no statistically significant differences between groups, indicating comparable effectiveness.
A comparative study evaluated Maitland mobilization and core stability exercises in adults with chronic nonspecific low back pain. Pain and disability were measured using the VAS and ODI before and after treatment. Both interventions significantly reduced pain and improved functional disability, with no clear superiority of either treatment approach.
A randomized study compared pelvic floor muscle training (PFMT) with conventional physiotherapy treatment. Participants received routine physiotherapy alone, PFMT, or PFMT combined with transversus abdominis co-activation. Functional disability and pain were assessed using the ODI and Numeric Pain Rating Scale (NPRS). PFMT, particularly when combined with transversus abdominis activation, resulted in greater improvements in pain and disability, supporting its role as an adjunct to conservative management.
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
- Single (Outcomes Assessor)
盲法说明
The assessor will be an experienced musculoskeletal physiotherapist and will be familiar with the outcome tools used. Blinding will help prevent bias in the outcome assessment.
入排标准
- 年龄范围
- 18 Years 至 30 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Children aged 18-30 years.
- •The body mass index within the typical range of 18.5 to 24.9 kg/m².
- •No history of musculoskeletal, neurological, or vestibular disorders.
- •Physically active individuals not engaged in regular core or balance training programs in the last 3 months.
- •Willing to provide informed consent and comply with the study protocol.
排除标准
- •History of lower extremity, spinal, or pelvic injuries in the past 6 months.
- •Current pain, dizziness, or balance impairments.
- •Known postural deformities (e.g., scoliosis, hyper lordosis).
- •Neurological, cardiovascular, or systemic conditions affecting balance or motor performance.
- •Pregnancy or recent childbirth (<6 months)
- •Participation in any other interventional study during the study period.
结局指标
主要结局
Oswestry Disability Index (ODI)
时间窗: 6 weeks
The ODI is comprised of ten categories, each of which evaluates a distinct element of daily functioning. These sections include the following: the level of pain, personal care, lifting, walking, sitting, standing, sleeping, social life, sexual function, and traveling. Every sentence has a score between 0 and 5, where 0 denotes the least amount of handicap and 5 the greatest score. The index, which varies from 0 to 100, is calculated by adding the scores for each question that has been answered, then multiplying the amount by two. A higher score denotes a higher degree of low back pain-related disability
Numeric Pain Rating Scale (NPRS)
时间窗: 6 weeks
The 11-point Numeric Rating Scale (NRS) goes from 0 to 10, with 10 denoting "the highest level of pain imaginable" and 0 denoting "no pain". It is a simple indicator of pain intensity since patients choose the number that most accurately represents their level of pain. Both the NRS and other well-validated pain measuring scales have shown strong correlation, validity, and sensitivity to treatments that are known to improve pain. The test-retest reliability for patients has been fairly high, with values of 0.96 and 0.95, respectively. The NRS and the Visual Analog Scale (VAS) demonstrated a high construct validity relationship in individuals with chronic pain syndromes (correlations varied from 0.86 to 0.95)
Bubble Inclinometer
时间窗: 6 weeks
The bubble inclinometer has high reliability for measuring lumbar range of motion in healthy individuals and patients with LBP. They can be used for evaluating lumbar range of motion in healthy individuals and patients suffering from lumbar back pain, as well as for monitoring therapeutic interventions. For healthy persons, the bubble inclinometer reliably measures the range of motion both within and between days (ICC˃0.75). Regarding the ICC measure, they deemed it high if it was between 0.80 and 1.00, average if it was between 0.60-0.79, and low if it was ≥0.59. Bubble inclinometer has a high degree of reliability when it comes to monitoring all of the aforementioned ranges of motion in the within-day test on patients. Regarding the Between Days Test, while the measurement reliability for side flexions, back extensions, and forward bends was excellent when standing, cut off value for lumbar flexion is less than 40 degrees, while for lumbar extension, it is less than 20 degrees. T
Pressure Biofeedback Unit (PBU)
时间窗: 6 weeks
The Pressure Biofeedback Unit (PBU) is a clinical instrument that assesses and trains the lumbopelvic stability through the changes in the pressure of an inflated cushion that is placed beneath the lumbar spine or Abdomen. It entails the employment of a pressure gauge that gets attached to a pressure cell so that the slightest movement in the pelvic or spinal region can be sensed during the period that particular muscles are being used in a synergistic exercise. One of the numerous functions of the PBU in the field of physical therapy and rehabilitation is the assessment of the capacity of the patient to maintain his spine in a neutral position when his deep abdominal muscles, i.e., multifidus and transversus abdominis, are contracted. When training, the unit is inflated to a basal pressure, which is usually 40 mmHg when the unit is below the lumbar spine. Subsequently, the patient performs the exercises (leg sliding, bridging and belly hollowing) against the desired range of pressure
次要结局
未报告次要终点