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the study aims to compare the effect of regular back exercises with shockwave therapy by treating male patients with non-specific low back pain between the age of (20-40). Who will be devided into 3 groups, and will be treated by shockwave therapy , exercises or both combined. After signing a consent form, patients will be assigned to the groups blindly, so the patients will not know if they are in the experimental or control group.
Hypothesis:
The hypothesis of this study states that:
o Research hypothesis: there will be a significant difference between the radial ESWT and back exercises in reducing LBP
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| shockwave group | Experimental |
| |
| exercise group | Active Comparator |
| |
| combined group | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| shockwave machine | Device | shockwave therapy. 2000 impulses will be applied, 1000 on the TrPs and 1000 surrounding it, with Energy level up to 2,5 bars and frequency of 10Hz |
|
| Measure | Description | Time Frame |
|---|---|---|
| pressure-pain threshold | Algometry device will be used to measure three thresholds' values:
| 45 hour session |
| The Oswestry Disability Index | is an extremely important tool that researchers and disability evaluators use to measure a patient's permanent functional disability, scoring from 0 to 50, the lower score the better | 45 minutes session |
| Numerical pain scale | 0-10 the lower the better | 45 minutes session |
| Measure | Description | Time Frame |
|---|---|---|
| ROM of the back | an electrical goniometer will be used to measure the change in the back ROM | 45 minutes session |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| maram makki | Contact | +971567288781 | mmarram95@gmail.com |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| Background | Epidemiological features of chronic low-back pain | ||
| Background | Joshi S, Sheth M. Effect of extracorporeal shockwave therapy on myofascial pain syndrome of upper trapezius: A systematic review. Int J Med Sci Public Health. 2020;9(10):1. | ||
| Background | Effect of Static Versus Dynamic Ultrasound on Pain in Subjects with Trigger Point in Quadratus Lumborum Having Non-Specific Chronic Low Back. 2020;10(December):263-9. |
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| leg and back exercises | Other | the exercise program will include 5 exercises that focuses on the back and lower limbs. These exercises are:
|
|
| shockwave and exercises | Combination Product | both types of interventions will be applied for the patient |
|
| ID | Term |
|---|---|
| D017116 | Low Back Pain |
| ID | Term |
|---|---|
| D001416 | Back Pain |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D015444 | Exercise |
| ID | Term |
|---|---|
| D009043 | Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
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