Correlation Between Motor Control Dysfunction and Radiographic Parameter in Non Specific Chronic Low Back Pain
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 64
- 主要终点
- Lumbar Lordotic Angle
研究概览
简要总结
This study aims to investigate the relationship between motor control dysfunction (MCD) and radiographic parameters in non-specific chronic low back pain (NSCLBP). Participants will undergo specific clinical motor control tests and lumbar spine X-rays to evaluate the alignment and coordination of spinal and pelvic structures. Understanding this relationship may help improve rehabilitation strategies and reduce pain in affected individuals.
详细描述
Non-specific chronic low back pain (NSCLBP) is a common musculoskeletal condition associated with impaired neuromuscular coordination and motor control dysfunction (MCD). This study seeks to determine the correlation between MCD and radiographic parameters including pelvic incidence (PI), pelvic tilt (PT), sacral slope (SS), and lumbar lordotic angle (LLA).
A total of 64 participants aged 20-40 with NSCLBP will be evaluated at the Faculty of Physical Therapy, Cairo University. Motor control will be assessed using a pressure biofeedback unit in two positions (crock lying and prone) via the Abdominal Draw-in Maneuver (ADIM). Radiographic measurements will be taken using lateral lumbar spine X-rays in standing posture.
The aim is to identify whether poor activation of deep stabilizing muscles (Transverse Abdominus and Multifidus) correlates with abnormal pelvic alignment and altered spinal curvature. Outcomes may support more effective personalized rehabilitation protocols targeting neuromuscular control to improve spine-pelvis function in NSCLBP patients.
Statistical analysis will include Pearson correlation to test for associations between motor control test performance and radiographic angle values.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 20 Years 至 40 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •. Patients diagnosed with non-specific chronic low back pain (NSCLBP) for more than 3 months
- •Age between 20 and 40 years
- •Both males and females
- •Body mass index (BMI) between 18.5 and 29.9
- •No physical therapy or medical treatment during the last 3 months
- •Able and willing to provide informed consent
排除标准
- •• Patients with specific causes of low back pain (e.g., disc herniation, fractures, tumors, infections)
- •History of spinal or lower limb surgery or injury
- •Radiculopathy or neurological disorders affecting motor control
- •Diagnosed spinal deformities (e.g., scoliosis, spondyloarthropathy, ankylosing spondylitis)
- •Contraindications to X-ray (e.g., pregnancy)
- •Patients currently undergoing physical therapy or medical intervention
结局指标
主要结局
Lumbar Lordotic Angle
时间窗: At baseline (during initial assessment visit)
Radiographic measurement of the lumbar lordotic angle (LLA) in degrees to assess sagittal spinal alignment in patients diagnosed with non-specific chronic low back pain.
Pelvic Incidence Angle
时间窗: At baseline (during initial assessment visit)
Measurement of Pelvic Incidence Angle in degrees obtained from lateral radiographic imaging in patients with non-specific chronic low back pain.
Pelvic Tilt Angle
时间窗: At baseline (during initial assessment visit)
Assessment of pelvic tilt angle in degrees as part of the evaluation of lumbopelvic alignment in patients with non-specific chronic low back pain.
Sacral Slope Angle
时间窗: At baseline (during initial assessment visit)
Evaluation of sacral slope angle in degrees based on standard radiographic imaging in patients with non-specific chronic low back pain.
Lumbar Motor Control Assessment via Pressure Biofeedback during ADIM
时间窗: At baseline (during initial assessment visit)
Evaluation of lumbar motor control using pressure biofeedback during the Abdominal Draw-In Maneuver (ADIM) from crook lying and prone position. Pressure changes in mmHg will be recorded to assess the ability to maintain abdominal contraction.
次要结局
未报告次要终点
研究者
Mohammad Abdelazeem Darwish Saad
Correlation between motor control dysfunction and radiographic parameter in non specific chronic low back pain
Cairo University