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The goal of this clinical trial is to learn if Feldenkrais method affects balance in patients with mechanical low back pain. The main questions it aims to answer is:
does Feldenkrais method affects balance in patients with mechanical low back pain.
Participants will:
Be assessed for inclusion using slump and straight leg raise tests. Visit the clinic twice every week for sessions. Assessed pre and post treatment using Biodex Balance.
Sample size calculation showed that our sample is 40. Forty patients with mechanical low back pain not referring beyond the knee will be recruited from Souad Kafafi Hospital and multiple outpatient clinics in Giza, Egypt. Inclusion criteria is male or female patients, 18-45 years, mechanical pain for the last 6 months, with no previous surgeries or diseases in the spine. Treatment strategy include 10 treatment sessions for each allocated subject. Core strengthening exercises and Feldenkrais method (balance exercises) are the treatment approached used in this study. Two experienced physical therapists will apply the treatment in the Faculty of Physical therapy clinic. Overall, mediolateral, and anteroposterior stability will be assessed for each patient. The measurement will be done twice pretreatment and immediately after the last session.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Feldenkrais Method balance exercises | Experimental | Balance exercises in Feldenkrais method plus core stability exercises |
|
| Core stability exercises only | Active Comparator | Core strengthening exercises to engage global and local stabilizers of the spinal column as Bridging exercises, Side bridging exercise, plank, side plank, McGill Abdominal exercises. Each exercise will be repeated for 3 sets with 8 repetitions with hold for 5 seconds. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Feldenkrais Method and Core stabilization | Other | Balance exercises from supine lying position using Feldenkrais style, plus core stabilization exercises. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Balance | Using Biodex Balance System 3 parameters will be assessed. Overall stability Mediolateral stability Anteroposterior stability | Baseline and 5 weeks. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Mohamed E Fahmy, Instructor | Contact | +201114650668 | mohamed.khater@must.edu.eg | |
| Aya A Khalil, Lecturer | Contact | +20 11 12204944 | aya.abdelhamied@pt.cu.edu.eg |
| Name | Affiliation | Role |
|---|---|---|
| Neveen A Abdelraouf, Professor | Cairo University Faculty of Physical Therapy | Study Chair |
| Aya A Khalil, Lecturer | Cairo University Faculty of Physical Therapy | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Misr University for Science and Technology | Recruiting | Giza | 12582 | Egypt |
Study protocol will be shared by the principal investigator using email address mohamed.khater@must.edu.eg upon request.
After the date of publication of this work by 3 months.
The requests will be assessed by the principal investigator. The data will be sent by the formal email address.
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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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| Core stability exercises | Other | trunk deep muscles activation and engaging using exercises as bridging, side bridging, plank, side plank and McGill Abdominal |
|
| Shereen M Said, Lecturer |
| Misr University for Science and Technology |
| Study Director |
| Mohamed E Fahmy, Instructor | Misr University for Science and Technology | Principal Investigator |
| D013568 |
| Pathological Conditions, Signs and Symptoms |