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Non-specific low back pain is the most cause of adult disability throughout life. Its prevalence widens in young adults. Background of this pathology can be multifactorial. One of the most common is poor core stability and overloading of the local tissues as a result.
Among treatment methods stabilizing training is commonly used with good effects. This form of therapy affects the transverse abdomen and multifidus muscles. To assess these structures several methods can be applied, e.g. sonofeedback.
Our hypothesis claims that the core muscles morphology will change over the training process duration, in result, the analgesic effect will be achieved.
Non-specific low back pain is the most cause of adult disability throughout life. Its prevalence widens in young adults. Background of this pathology can be multifactorial. One of the most common is poor core stability and overloading of the local tissues as a result.
Among treatment methods stabilizing training is commonly used with good effects. This form of therapy affects the transverse abdomen (TrA) and multifidus (MF) muscles. To assess these structures several methods can be applied, e.g. sonofeedback.
All participants will be randomly divided into two groups:
Outcome measure:
Pre- and post-therapy outcome measure will be done. It will include:
Intervention:
Core stability training including 4 exercise positions, each of 15 repetitions, 4 sets. Once a day, 5 times a week, 20 sessions in total (4 weeks).
Our hypothesis claims that the core muscles morphology will change over the training process duration, in result, the analgesic effect will be achieved.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Training group | Experimental | 4-week core stability training |
|
| Control group | No Intervention | Standard physical therapy |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Core stability training | Other | 20 sessions of specific core stability exercise with no external loading. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Ultrasound | Non-invasive measure of the TrA and MF muscles | 5 minutes |
| Pain level | Numeric Rating Scale. Picking the number on a scale from 0 to 10. | 1 minute |
| Questionnaire | Oswestry Disability Index questionnaire - subjective disability measure throughout daily living activities. | 5 minutes |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Klinika Fizjoterapii | Wroclaw | Lower Silesian Voivodeship | 50-234 | Poland |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28160750 | Background | Masse-Alarie H, Beaulieu LD, Preuss R, Schneider C. Repetitive peripheral magnetic neurostimulation of multifidus muscles combined with motor training influences spine motor control and chronic low back pain. Clin Neurophysiol. 2017 Mar;128(3):442-453. doi: 10.1016/j.clinph.2016.12.020. Epub 2016 Dec 28. | |
| 28459281 | Background |
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| ID | Term |
|---|---|
| D017116 | Low Back Pain |
| ID | Term |
|---|---|
| D001416 | Back Pain |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
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Randomized clinical trial
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| Hides JA, Walsh JC, Smith MMF, Mendis MD. Self-Managed Exercises, Fitness and Strength Training, and Multifidus Muscle Size in Elite Footballers. J Athl Train. 2017 Jul;52(7):649-655. doi: 10.4085/1062-6050-52.3.13. Epub 2017 May 1. |
| 30568484 | Background | Finta R, Nagy E, Bender T. The effect of diaphragm training on lumbar stabilizer muscles: a new concept for improving segmental stability in the case of low back pain. J Pain Res. 2018 Nov 28;11:3031-3045. doi: 10.2147/JPR.S181610. eCollection 2018. |
| D013568 |
| Pathological Conditions, Signs and Symptoms |