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Low Back Pain (LBP) as estimates show that up to 84% of adults will experience LBP at some point in their lifetime, ranking it as a leading cause of disability globally. If the pain lasts more than 12 weeks and remains difficult to manage effectively, it can be called Chronic low back pain (CLBP). Physical therapy interventions play an important role in the non-pharmacological management of CLBP including lumbar stabilization exercises (LSEs) and back extension/endurance exercises which are commonly prescribed modalities that may help in improving the spinal function, reducing pain and improving the quality of life in general.
LSEs can be considered as an isometric contraction that might be used to strengthen the deep core muscles surrounding the lumbar spine. Studies showed that although most conventional therapies can improve lumbar stability and reduce the severity of CLBP, LSEs are the most effective technique. However, both back extension and endurance exercises can play a significant role in strengthening the superficial back muscles particularly in the lower back region via dynamic movements.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A (Lumbar stabilization group) | Experimental | This group will receive lumbar stabilization exercises in addition to home based program two times per week for four consecutive weeks. |
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| Group B (Trunk endurance) | Experimental | This group will receive trunk endurance exercises for back flexors and extensors in addition to home based program two times per week for four consecutive weeks. |
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| Group C (control group) | Active Comparator | This group will receive home based program two times per week for four consecutive weeks. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| lumbar stabilization exercises | Other | The participants required to be in a prone position with pillow under abdomen, first raise one leg then the other leg, raise one arm then the other arm, after that raise two legs together, then raise two arms together, raise right arm with left leg then left arm with right leg, then raise both arms and both legs together, every position hold for 20 seconds. Then they required to be in a half kneeling on standing for right leg hold for 20 second and repeat for other leg, do it again but their knees doesn't touch the ground. Finally they required to lie on their backs, and bend their knees at around a 90 degree angle. Place their hands to their sides and their feet flat on the floor at about shoulder width and asked to raise their hips off the floor, hold 20 second. |
| Measure | Description | Time Frame |
|---|---|---|
| Spinal range of motion (ROM) | Two inclinometers will be used. One placed at T12-L1 (thoracic 12- lumbar 1) and another placed at L5-S1 (lumbar 5-sacrum 1), respectively. | 4 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Trunk Endurance | Endurance test will be performed in flexion and extension using stop watch to record how long the patient can maintain these two positions. | 4 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Nesma M Allam, PhD | Contact | 01281968332 | dr.nesma2011@yahoo.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of physical therapy, Cairo University | Recruiting | Cairo | Egypt |
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6 months after publication
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| ID | Term |
|---|---|
| D000076663 | Endurance Training |
| ID | Term |
|---|---|
| D005081 | Exercise Therapy |
| D012046 | Rehabilitation |
| D000359 | Aftercare |
| D003266 | Continuity of Patient Care |
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| endurance training | Other |
The participants asked to sit on the table with your arms crossed against their chest and their back against the wedge. Fix them to the table with a belt across the feet. They asked to remove the wedge from their back using the timing device to record how much time is accumulated until the original position can no longer be maintained. |
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| Home based program | Other | General and similar exercises for back muscles introduced for this group. They instructed to do knee to chest stretch, lower back rotational stretch, bridge exercise. The required measure data were obtained from the selected cases in this group before and after the end of rehabilitation program. |
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| D005791 |
| Patient Care |
| D013812 | Therapeutics |
| D026741 | Physical Therapy Modalities |
| D064797 | Physical Conditioning, Human |
| D015444 | Exercise |
| D009043 | Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |