Comparison of Egoscue Versus Pilates Exercises in Patient With Mechanical Low Back Pain

Comparative Effect of Egoscue Versus Pilates Exercises on Pain, Range of Motion, Flexibility and Muscles Endurance in Patients With Mechanical Low Back Pain

Mechanical low back pain arises intrinsically from the spine, intervertebral disc,or surrounding soft tissues.It is causes by muscular spasm, and other soft tissue injuries. The aim of the study will be to compare the effect of Egoscue versus Pilates exercises on pain, range of motion and muscle endurance in patient with mechanical low back pain.

A Randomized Clinical Trial will be conducted at Riphah Clinic Lahore through consecutive sampling technique on 30 patients which will be allocated using simple random sampling through sealed opaque enveloped into Group A and Group B. Group A will be treated with Pilates exercises at frequency 2 sets 5 repetitions 5 days a week and Group B will be treated with Egoscue exercises at the frequency of 2 sets with 5 repetitions 5 days a week. Outcome measures will be conducted through pain, disability,lumber range of motion, Muscle flexibility, Extensor muscle endurance, Lateral muscle endurance, Flexors muscle endurance questionnaires after 4 weeks. Data will be analyzed during SPSS software version 21. After assessing normality of data by ANOVA test, it will be decided either parametric or non-parametric test will be used within a group or between two groups.

Inclusion Criteria:

• Age 18 to 40 years
• Both gender
• Patient with non-radiating pain
• Pain NPRS <7
• Positive McGill Extensor Endurance Test ( <101 seconds)
• Positive McGill lateral flexor endurance test (<54 sec Right side, <55sec left side)
• Positive McGill flexor endurance test < 120 seconds
• Positive Finger to Floor Test : > 48cm in males, >50cm for females
• Patient with Oswestry disability index (ODI) < 40 ODI score
• Decrease lumbar ROM; Lateral flexion, Extension, Flexion

Exclusion Criteria:

• Sacroiliac Joint Dysfunction (SIJD)
• Coccydynia
• Lumber disc pathology
• Malignancy
• Recent fractures