Ignite Creation Date:
2024-10-26 @ 3:42 PM
Last Modification Date:
2024-10-26 @ 3:42 PM
Study NCT ID:
NCT06634511
Status:
NOT_YET_RECRUITING
Last Update Posted:
None
First Post:
2024-10-08
Brief Title:
Core Stability Exercise Versus Aerobic Exercise on Pain Range of Motion and Function in Patients With Chronic Mechanical Low Back Pain Randomized Controlled Trial
Sponsor:
None
Organization:
None
Study Overview
Official Title:
Core Stability Exercise Versus Aerobic Exercise on Pain Range of Motion and Function in Patients With Chronic Mechanical Low Back Pain Randomized Controlled Trial
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-10
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Chronic mechanical low back pain CMLBP is a prevalent musculoskeletal condition characterized by persistent pain originating from the spine muscles ligaments or intervertebral discs It is one of the leading causes of disability worldwide CMLBP have significantly affected the individuals physical emotional and social well-being as well as their overall quality of life functional capacity and productivity of individuals Unlike acute low back pain which typically resolves within a few weeks CMLBP persists for more than three months and often fluctuates in intensity leading to recurrent episodes of pain and discomfort 1 Chronic mechanical low back pain LBP has been the subject of extensive research with numerous studies highlighting its multifactorial nature and varied treatment outcomes Previous research has established that chronic mechanical LBP often results from prolonged strain on the lumbar spine due to poor posture repetitive stress or underlying musculoskeletal imbalances Studies have consistently shown that interventions such as physical therapy which includes strengthening exercises and ergonomic adjustments can be effective in alleviating symptoms and improving functional outcomes
However evidence also suggests that the efficacy of these treatments can be limited by factors such as patient adherence and the presence of psychological components like anxiety and depression
Furthermore recent research emphasizes the importance of a multidisciplinary approach that integrates both physical and psychological therapies to address the complex nature of chronic mechanical LBP more comprehensively 2 Aerobic exercise involves activities that increase the heart rate and improve cardiovascular endurance The rationale for using aerobic exercise in the management of CMLBP is based on several physiological mechanisms Firstly aerobic exercise enhances blood ow and nutrient delivery to the spine and surrounding musculature which can promote healing and reduce muscle stiffness
Secondly regular aerobic activity has been shown to reduce systemic inflammation and increase endorphin production both of which can lower pain perception Additionally aerobic exercise can improve psychological well-being which is an important factor given the strong association between chronic pain and mental health conditions like depression and anxiety 1 Core stability training focuses on strengthening the muscles that support the spine including the transversus abdominis multifidus pelvic floor muscles and other muscles of the abdomen lower back and pelvis These muscles play a critical role in maintaining spinal stability and proper alignment which is essential for preventing and managing back pain Core stability exercises such as planks bridges and lumbar stabilization exercises aim to enhance the endurance and coordination of these muscles thereby reducing excessive spinal movements and mechanical strain that can exacerbate pain 3 Aerobic exercise and core stability training are commonly recommended for chronic mechanical low back pain CMLBP but to our knowledge there is insufficient evidence comparing the relative effectiveness of aerobic exercise and core stability training leaving a gap in understanding which approach provides superior outcomes for CMLBP So the aim of our study is to compare between the effectiveness of aerobic exercise and core stability training on pain range of motion flexibility and functional abilities in patients of CMLBP
However evidence also suggests that the efficacy of these treatments can be limited by factors such as patient adherence and the presence of psychological components like anxiety and depression
Furthermore recent research emphasizes the importance of a multidisciplinary approach that integrates both physical and psychological therapies to address the complex nature of chronic mechanical LBP more comprehensively 2 Aerobic exercise involves activities that increase the heart rate and improve cardiovascular endurance The rationale for using aerobic exercise in the management of CMLBP is based on several physiological mechanisms Firstly aerobic exercise enhances blood ow and nutrient delivery to the spine and surrounding musculature which can promote healing and reduce muscle stiffness
Secondly regular aerobic activity has been shown to reduce systemic inflammation and increase endorphin production both of which can lower pain perception Additionally aerobic exercise can improve psychological well-being which is an important factor given the strong association between chronic pain and mental health conditions like depression and anxiety 1 Core stability training focuses on strengthening the muscles that support the spine including the transversus abdominis multifidus pelvic floor muscles and other muscles of the abdomen lower back and pelvis These muscles play a critical role in maintaining spinal stability and proper alignment which is essential for preventing and managing back pain Core stability exercises such as planks bridges and lumbar stabilization exercises aim to enhance the endurance and coordination of these muscles thereby reducing excessive spinal movements and mechanical strain that can exacerbate pain 3 Aerobic exercise and core stability training are commonly recommended for chronic mechanical low back pain CMLBP but to our knowledge there is insufficient evidence comparing the relative effectiveness of aerobic exercise and core stability training leaving a gap in understanding which approach provides superior outcomes for CMLBP So the aim of our study is to compare between the effectiveness of aerobic exercise and core stability training on pain range of motion flexibility and functional abilities in patients of CMLBP
Detailed Description:
Study Design
Randomized control trail study 22 Study Area Faculty of applied medical sciences physiotherapy department at Jouf University 23 Study Population We will include studies that evaluated patients over 18years of age and below 50 years with chronic non-specific low back pain defined as pain or discomfort lasting more than 12weeks in the region below the last costal margins and above the lower gluteal folds without symptoms in the lower limbs 4 231 Inclusion Criteria All females between 18-50 years have mechanical LBP more than 3 months 232 Exclusion Criteria Patients will be excluded if they evaluated patients with nerve root compromise metabolic or serious spinal pathologies eg fractures tumors inflammatory and infectious diseases previous spinal surgery postpartum low back pain or pelvic pain due to pregnancy and pain unrelated to the lower back
Assessment tools
Numerical rating scale
Pain Numeric Rating Scale PNRS The PNRS is a straightforward tool where patients rate their pain on a scale from 0 no pain to 10 worst possible pain
It provides a subjective measure of pain intensity and is widely used due to its simplicity and effectiveness in capturing a patients perceived pain level Pain scores were classified as follows 0 no pain 1-3 mild 4-7 moderate and 8-10 high 5
Range of Motion ROM
Lumber ROM will be assessed by A standard gravity-based inclinometer model A-300 Vertex Co Taiwan for assessing flexion extension and lateral bending
Modified modified schober test for assessment of lumber flexibility Modified Modified Schober Test MMSTis a modification of Modified Schober TestMST by Van Adrichen and Van der Korst1973 It uses two marks one over the spine connecting two PSIS and other over 15 cm superior to first mark It eliminates the errors in identification of lumbosacral junction and make sure that entire lumbarspine was included 6
The Oswestry Disability Index also known as the Oswestry Low Back Pain Disability Questionnaire is an extremely important tool that researchers and disability evaluatorsFAIRS RESEARCH CENTER use to measure a patients permanent functional disability The test is considered the gold standard of low back functional outcome tools 7
Randomized control trail study 22 Study Area Faculty of applied medical sciences physiotherapy department at Jouf University 23 Study Population We will include studies that evaluated patients over 18years of age and below 50 years with chronic non-specific low back pain defined as pain or discomfort lasting more than 12weeks in the region below the last costal margins and above the lower gluteal folds without symptoms in the lower limbs 4 231 Inclusion Criteria All females between 18-50 years have mechanical LBP more than 3 months 232 Exclusion Criteria Patients will be excluded if they evaluated patients with nerve root compromise metabolic or serious spinal pathologies eg fractures tumors inflammatory and infectious diseases previous spinal surgery postpartum low back pain or pelvic pain due to pregnancy and pain unrelated to the lower back
Assessment tools
Numerical rating scale
Pain Numeric Rating Scale PNRS The PNRS is a straightforward tool where patients rate their pain on a scale from 0 no pain to 10 worst possible pain
It provides a subjective measure of pain intensity and is widely used due to its simplicity and effectiveness in capturing a patients perceived pain level Pain scores were classified as follows 0 no pain 1-3 mild 4-7 moderate and 8-10 high 5
Range of Motion ROM
Lumber ROM will be assessed by A standard gravity-based inclinometer model A-300 Vertex Co Taiwan for assessing flexion extension and lateral bending
Modified modified schober test for assessment of lumber flexibility Modified Modified Schober Test MMSTis a modification of Modified Schober TestMST by Van Adrichen and Van der Korst1973 It uses two marks one over the spine connecting two PSIS and other over 15 cm superior to first mark It eliminates the errors in identification of lumbosacral junction and make sure that entire lumbarspine was included 6
The Oswestry Disability Index also known as the Oswestry Low Back Pain Disability Questionnaire is an extremely important tool that researchers and disability evaluatorsFAIRS RESEARCH CENTER use to measure a patients permanent functional disability The test is considered the gold standard of low back functional outcome tools 7
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None