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The purpose of this study is to investigate the effect of segmental control exercises program on hamstring peak torque, pain, function, and ROM in patients with non-specific low back pain.
Low back pain (LBP) is a significant health problem internationally characterized by various biophysical, psychological, and social dimensions affecting functioning, societal participation, and personal financial prosperity.The reported prevalence of LBP was high, especially for chronic non-specific low back pain, approximately 15.4%. of which chronic low back pain was about 2.5 times more prevalent in the working population compared to the non-working group. Recently, there has been a focus on lumbar stabilization exercises that prove to be effective and may be superior to general exercises for LBP management. The approach is aimed at improving the neuromuscular control, strength, and endurance of the active subsystem stabilizing the spine. Several groups of muscles are particularly targeted namely, the transverses abdominis and the multifidus muscles that are central to maintain spinal and trunk stability. But also other core muscles are involved. so this study will be conducted to investigate the effect of segmental stabilization exercise on low back pain. forty-five patients will be allocated to three groups. first experimental will receive segmental stabilization phase 1 and phase 2, second experimental will receive segmental stabilization phase 1 and 3, the third one is the control group and receives traditional treatment
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| local segmental control and closed kinetic chain | Experimental | the patients will receive local segmental control and closed kinetic chain three times a week for four weeks |
|
| local segmental control and open kinetic chain | Experimental | the patients will receive local segmental control and open kinetic chain three times a week for four weeks |
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| traditional therapy | Active Comparator | the patients will receive traditional therapy three times a week for four week |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| local segmental control and closed kinetic chain | Other | the patients will receive Lumbar multifidus activation and Transversus abdominis activation then closed kinetic chain exercise in the form of Stand-up position on unstable surface, Closed chain lunge exercises, with the addition of hand weights, Bridge in prone position, Bridge in supine position, Lateral Bridge |
| Measure | Description | Time Frame |
|---|---|---|
| peak torque | isokinetic will be used for measuring hamstring peak torque | up to four weeks |
| Measure | Description | Time Frame |
|---|---|---|
| pain intensity | visual analogue scale will be used for assessment of pain intensity | up to four weeks |
| disability | oswestry disability scale will be used for assessment of disability, Each patient was asked to answer by checking one box in each section for the statement which best applies to him. Then the marks had been counted and divided by 50 or 45.score ranging from 0 (no pain or disability) to 50 (severe pain and disability) . Then was multiplied by 100 for the percentage (score/ 50) x 100=% points. A score of 0% to 20% is minimal disability, 21%-40%: moderate disability, 41%-60%: severe disability, 61%-80%: crippled and 81%-100%: complete disability. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cairo University | Giza | 11251 | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40954623 | Derived | Abdelazeim AS, Elhafez HM, Abdullah HH, Essa SA, Zahran MR. Effect of segmental control program on hamstring peak torque, pain and disability in patients with non-specific low back pain: A randomized controlled trial. J Bodyw Mov Ther. 2025 Oct;44:507-514. doi: 10.1016/j.jbmt.2025.06.014. Epub 2025 Jun 18. |
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segmental stabilization exercises
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random generator
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| local segmental control and open kinetic chain | Other | the patients will receive Lumbar multifidus activation and Transversus abdominis activation then open kinetic chain in the form of Lower limb abduction, Knee extension in a supine position on a roller, Open chain exercise of the upper limb after co-contraction of transversus abdominis and multifidus. |
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| traditional therapy | Other | the patients will receive exercise in the form of Sitting knee raise on gym ball to maintain stability in the presence of hip movement on a reduced base of support, abdominal slide to control action of the rectus abdominis while moving, Lying trunk curl with leg lift to strengthen upper and lower abdominals (figure 1-6), Basic superman to strengthen the spinal and hip extensors |
|
| up to four weeks |
| 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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