Effects of Lumbar Stabilisation Exercise and Treadmill Walk on Multifidus Activation, Pain and Functional Disability in Individuals With Chronic Low Back Pain
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 53
- 试验地点
- 2
- 主要终点
- Amplitude of Multifidus Muscle Activation
研究概览
简要总结
Chronic Mechanical Low Back Pain (CMLBP) is a common disabling health problem among the general population. Multifidus muscle inhibition accompanying CMLBP plays a major role in perpetuating the pain and functional disability. Lumbar stabilisation and treadmill exercises are established treatments for CMLBP. However, it is not known which of the two techniques is more effective. This study was conducted to compare the effects of lumbar stabilisation and treadmill walk on multifidus activation, pain and functional disability in individuals with CMLBP.
详细描述
Fifty-three individuals (23 females and 30 males) with CMLBP participated in this single blind randomised clinical trial. Consecutive participants were recruited from the outpatient Physiotherapy clinic of the Aminu Kano Teaching Hospital, Kano, Nigeria and were randomly assigned to one of two exercise groups: Lumbar Stabilisation Group (LSG; n = 27) or Treadmill Walk Group (TWG; n = 26). However, 50 participants, (LSG: n = 25; and TWG: n = 25) completed the eight week study. Participants in the LSG had lumbar stabilisation exercises using McGill protocol while those in the TWG had walking exercise on a treadmill using the Bruce protocol. Treatment was applied three times weekly for eight weeks. Outcomes assessed at baseline and end of eighth week of study were: Pain Intensity (PI) using Visual Analogue scale, Functional Disability (FD) using Oswestry Disability Index Questionnaire; and Multifidus Muscle Activation (MMA) level using a surface electromyography machine. Data were analysed using descriptive statistics, paired and independent t-tests at α0.05.
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)
入排标准
- 年龄范围
- 18 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Participants diagnosed with LBP of mechanical origin and have been present for 3 months or more.
- •Participants who have a score of at least 20% on Modified Oswestry Dis¬ability Index (ODI).
- •Participants who gave consent to participate in the study.
- •Participants who can comprehend instructions in English or Hausa
- •Participants who are not involved in any other form of exercise training during the course of the study.
排除标准
- •Patients with history of a prior surgery to the lumbosacral spine.
- •Patients with any neurological findings indicating radiculopathy.
- •Patients with very acute symptoms of LBP.
- •Patients with evidence of systemic disease, carcinoma or organ diseases.
- •Patients with obesity which due to reduce fatty infiltration that might affect electrical conductivity in the multifidus muscle.
- •Patients below 18 years of age.
结局指标
主要结局
Amplitude of Multifidus Muscle Activation
时间窗: 8 weeks of intervention
using the surface electromyography
次要结局
- Functional Disability status(8 weeks)
- Pain Intensity(8 weeks)
研究者
BASHIR BELLO
Dr.
Bayero University Kano, Nigeria