Thoracic Mobility Versus Hip Mobility Exercises to Core Stabilization in Lumbar Spondylitis

Thoracic Mobility Versus Hip Mobility Exercises to Core Stabilization in Lumbar Spondylitis

This study is conducted to determine the effect of thoracic mobility versus hip mobility exercises to core stabilization on pain severity (NPRS-Ar), functional disability (MODI-Ar), lumbar range of motion (BROM), spinal mobility (modified schober test), quality of life (SF-36-Ar) and fear of movement (Tampa-Ar) in treatment of patients with lumbar spondylitis.

This study is conducted to determine the effect of thoracic mobility versus hip mobility exercises to core stabilization on pain severity

, functional disability , lumbar range of motion , spinal mobility , quality of life and fear of movement in treatment of patients with lumbar spondylitis.

Inclusion Criteria:

• 1. Patients will be referred from an orthopedic surgeon with confirmed diagnosis of lumbar spondylosis with imaging findings (MRI, CT or X-ray reports within the last 6 months) (Battié et al., 2014). 2.Duration of patient's symptoms will be more than 3 months (Oliveira et al., 2022). 3. Patients' age will range from 40-60 years (Kalichman & Hunter, 2008). 4.Localized back pain and pain radiating to lower extremities with no distal involvement below knee with an NPRS more than 3 (Thompson et al., 2021).

Exclusion Criteria:

1. Spinal or hip surgery history (Williams et al., 2022).
2. Red Flags: Cauda equina syndrome, fracture, infection, malignancy (Finucane et al., 2020).
3. Neurological Disorders: Parkinsonism, multiple sclerosis, or other neurological deficits (Odzimek et al., 2023).
4. Inflammatory Conditions: Rheumatoid arthritis, ankylosing spondylitis, or infectious spinal disorders (Lee et al., 2018).
5. Cognitive Impairment: Unable to understand or follow instructions (Martinez et al., 2024).
6. Pregnancy. -