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IRCT138711151637N1 IRCT 2010-12-11 Vice-Deen for Research of Faculty of Basic of Medical Science of Tarbiat Modares University (TMU) Effect of stabilization Exercise on Low Back Pain (LBP) patients The short-term effects of of stabilization Exercise on the stability index of Biodex system, abdominal and back muscle electromyography (EMG) and lumbar curvature in men with non-specific low back pain (NS.CLBP) 2009-01-20 anticipated 30 Complete https://irct.ir/trial/1095 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Crossover, Purpose: Treatment. N/A Non- Specific Chronic Low Back Pain. Intervention 1: First Intervention: Abdominal Hollowing exercise "Drawing in" or "Abdominal Hollowing" training: The subject was placed in crock lying position and was taught special and isolate contraction of Transversus Abdominis muscle based on Richardson concepts. Training will continue until the patient was quite remembering the correct contraction. The subject was instructed to pull him navel in (toward spinal column) and up (less than 10 percent maximum voluntary contraction MVC). When ideal contraction of Transversus Abdominus was obtained (best activation with minimal other muscle activation), was asked them to hold contraction with breathing and Imprisonment not their breath. Pressure BoiFeedback Unit was used for control of muscle contraction. 3 set each one with10 repetitions while 2 minutes as a rest period between each set and keeping contraction of muscle for 10 seconds was the ultimate goal. Time of training, depends on correct learning of Abdominal Hallowing and was different between patients. Intervention 2: Second intervention: "Abdominal Bracing exercise "Co-contraction" or "Abdominal Bracing training. ّFirst, a natural waist position (slight lordosis) was investigated ,then subject must contract all muscles as 360º around the trunk(area of lumbar spine), such as someone pressure to his waist but he can resist while he had normal breathing , at beginning of this maneuvers ,therapist would give touch feedback with her hands to the patient and after learning, patients would do it himself Pressure Bio Feedback Unit Was used to control of correct contraction of abdominal wall muscle. Patient must reach a stage that can do this maneuvers simultaneously with normal breathing and maintain this state about 10 seconds. This exercise in supine crook lying mode is done. Llike the first intervention, achieving to 3 set each one with10 repetitions while 2 minutes as a rest period between each set and keeping contraction of muscle for 10 seconds was the ultimate goal. Intervention 3: Control group: For subjects of this group was not performed any intervention and the mean duration of time equivalent to the intervention training group, were given to them instead of intervention period between data recording because for the real effects of the intervention in the treatment group is determined .
public Dr Sedighe Kahrizi
Physical Therapy Department, Medical Sciences Faculty, Tarbiat Modares University
Tehran Iran (Islamic Republic of) 14117113116 +98 21 8288 4511 kahrizis@modares.ac.ir Tarbiat Modares University (T.M.U) scientific Dr Sedighe Kahrizi
Physical Therapy Department, Medical Sciences faculty, Tarbiat Modares University.
Tehran Iran (Islamic Republic of) 1411713116 +98 21 8288 4511 kahrizis@modares.ac.ir Tarbiat Modares University (T.M.U) Iran (Islamic Republic of) Inclusion criteria: age 25- 35 years, no history of exercise therapy (especially in the abdominal area) or professional exercise.; abdominal skin fold thickness no greater than 25 mm. Exclusion criteria: having history of major heart problem, cardiovascular, respiratory or neuorological problems, having radicular pain in single or both feet, pain exacerbation during the intervention process, history of major spinal surgery, using depression drug in the month prior to the study, addiction to drugs and alcohol 25 years 35 years Male M40.4 ,M40 Kyphosis and lordosis, Other deforming dorsopathies, Other intervertebral disc disorders, Other dorsopathies, not elsewhere classified, Dorsalgia Rehabilitation Rehabilitation Rehabilitation First Intervention: Abdominal Hollowing exercise "Drawing in" or "Abdominal Hollowing" training: The subject was placed in crock lying position and was taught special and isolate contraction of Transversus Abdominis muscle based on Richardson concepts. Training will continue until the patient was quite remembering the correct contraction. The subject was instructed to pull him navel in (toward spinal column) and up (less than 10 percent maximum voluntary contraction MVC). When ideal contraction of Transversus Abdominus was obtained (best activation with minimal other muscle activation), was asked them to hold contraction with breathing and Imprisonment not their breath. Pressure BoiFeedback Unit was used for control of muscle contraction. 3 set each one with10 repetitions while 2 minutes as a rest period between each set and keeping contraction of muscle for 10 seconds was the ultimate goal. Time of training, depends on correct learning of Abdominal Hallowing and was different between patients. Second intervention: "Abdominal Bracing exercise "Co-contraction" or "Abdominal Bracing training. ّFirst, a natural waist position (slight lordosis) was investigated ,then subject must contract all muscles as 360º around the trunk(area of lumbar spine), such as someone pressure to his waist but he can resist while he had normal breathing , at beginning of this maneuvers ,therapist would give touch feedback with her hands to the patient and after learning, patients would do it himself Pressure Bio Feedback Unit Was used to control of correct contraction of abdominal wall muscle. Patient must reach a stage that can do this maneuvers simultaneously with normal breathing and maintain this state about 10 seconds. This exercise in supine crook lying mode is done. Llike the first intervention, achieving to 3 set each one with10 repetitions while 2 minutes as a rest period between each set and keeping contraction of muscle for 10 seconds was the ultimate goal. Control group: For subjects of this group was not performed any intervention and the mean duration of time equivalent to the intervention training group, were given to them instead of intervention period between data recording because for the real effects of the intervention in the treatment group is determined . EMG of abdomen and back muscles. Timepoint: Before and immediatly after interventions. Method of measurement: EMG muscle activity with electromyography system as Root Mean Square value or RMS and Intensity of muscle activity as microvolt value. Lumbar Curve. Timepoint: Before and immediatly after interventions. Method of measurement: by Inclinometer system as degree value. Biodex stability Indexes. Timepoint: Before and immediatly after interventions. Method of measurement: By Biodex Stability System, as Anterior-posterior , Lateral stability and Limit of Stability indexes. Vice-Deen for Research of Faculty of Basic of Medical Science of Tarbiat Modares University (TMU) Approved 2008-04-11 Tarbiat Modares University (T.M.U) Medical Ethics Committee, Faculty of Medical Sciences,Tarbiat Modares University, Jalal Al Ahmad Highway Tehran Iran (Islamic Republic of)