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IRCT20191030045287N1 IRCT 2019-12-01 Riphah International University Effects of two exercises in chronic nonspecific low back pain with gluteus medius weakness EGMMSLSECNLBP The effects of gluteus medius muscle strengthening and lumbar stabilization exercises in chronic nonspecific low back pain with gluteus medius weakness 2019-12-01 anticipated 18 Complete https://irct.ir/trial/43686 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Convenient sampling will be used for screening the population and then using simple random sampling subjects will be divided into two groups by lottery method. allocation concealment will be carried out, Blinding description: in our study participants and assessors of outcome are blinded as to make sure that no biasness at any level. N/A nonspecific low back pain with gluteus medius weakness. Intervention 1: Intervention group: The stabilization exercise protocol will be based on the protocols utilized by Hicks and colleagues and Rabin and colleagues. They used a series of four exercises designed to improve the stabilizing function of the abdominal musculature using the abdominal drawing-in maneuver (ADIM) in various activities. Exercise Progression Criterion Quadruped Progression ADIM in quadruped30 reps with 8 sec hold ADIM in quadruped, UE lifts30 reps with 8 sec hold, both sidesADIM in quadruped, LE lifts30 reps with 8 sec hold, both sidesADIM in quadruped, UE & LE lifts30 reps with 8 sec hold, both sidesADIM in quadruped, dynamic UE & LE liftsSupine ProgressionADIM in supine30 reps with 8 sec holdADIM in supine, heel slides20 reps with 4 sec hold, both sidesADIM in supine, LE lift20 reps with 4 sec hold, both sidesADIM in supine, bridge30 reps with 8 sec holdADIM in supine, SLS bridge30 reps with 8 sec hold, both sidesADIM in supine, curl up, elbows at sides30 reps with 8 sec holdADIM in supine, curl up, elbows elevated30 reps with 8 sec holdADIM in supine, curl up, hands at headSidelying ProgressionADIM in sidelying, side plank, knees bent30 reps with 8 sec hold, both sides ADIM in sidelying, side plank, knees extended30 reps with 8 sec hold, both sidesADIM in sidelying, side plank with tilt30 reps with 4 tilts A/P, both sidesADIM in sidelying, side plank with rollStanding ProgressionADIM in standing30 reps with 8 sec holdADIM in standing, row30 reps with 8 sec holdADIM in standing, walking. Intervention 2: Intervention group: gluteus medius strengthening protocol;The gluteus medius strengthening group will perform exercises targeting the gluteus medius muscle.Progression Criterion Supine ProgressionBridge30 reps with 8 sec hold Bridge with Arms Crossed 30 reps with 8 sec hold Bridge with Arms Crossed & Feet Together 30 reps with 8 sec holdSLS BridgeSidelying Progression Clam at 45 degrees30 reps with 8 sec hold Sidelying hip abduction, knees extended30 reps with 8 sec holdSide plank, knees bent 30 reps with 8 sec hold Side plank, knees extended Squat Progression Squat30 repsSLS mini squat30 repsSLS squat Standing Progression 1 Standing abduction30 reps Standing abduction, yellow band30 reps Standing abduction, red band 30 repsStanding abduction, green band 30 reps Standing abduction, blue band 30 reps Standing abduction, black bandStanding Progression 2 Standing abduction with extension 30 reps Standing abduction with extension, yellow band30 repsStanding abduction with extension, red band 30 repsStanding abduction with extension, green band30 repsStanding abduction with extension, blue band30 repsStanding abduction with extension, black band. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is There is no further information.
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Faisalabad Pakistan 38000 +92 41 8811692 nimraarshad70@yahoo.com The University of Faisalabad Pakistan Pakistan Females Age 18 to 35 years Having non-specific LBP, defined as pain anywhere from the inferior rib margin to the gluteal fold, for more than 3 months Less than four out of five gluteus medius muscle strength on manual muscle testing Numeric Pain Rating score 5 points or higher Low back pain disability indices 20% or higher 18 years 35 years Female A prior history of thoracolumbar or pelvis fracture Thoracic, abdominal or lumbar spine surgery Radiculopathy, neurogenic claudication Primary or secondary spinal tumors Pregnancy Any subject not willing to participate M54.5 Low back pain Rehabilitation Rehabilitation Intervention group: The stabilization exercise protocol will be based on the protocols utilized by Hicks and colleagues and Rabin and colleagues. They used a series of four exercises designed to improve the stabilizing function of the abdominal musculature using the abdominal drawing-in maneuver (ADIM) in various activities. Exercise Progression Criterion Quadruped Progression ADIM in quadruped30 reps with 8 sec hold ADIM in quadruped, UE lifts30 reps with 8 sec hold, both sidesADIM in quadruped, LE lifts30 reps with 8 sec hold, both sidesADIM in quadruped, UE & LE lifts30 reps with 8 sec hold, both sidesADIM in quadruped, dynamic UE & LE liftsSupine ProgressionADIM in supine30 reps with 8 sec holdADIM in supine, heel slides20 reps with 4 sec hold, both sidesADIM in supine, LE lift20 reps with 4 sec hold, both sidesADIM in supine, bridge30 reps with 8 sec holdADIM in supine, SLS bridge30 reps with 8 sec hold, both sidesADIM in supine, curl up, elbows at sides30 reps with 8 sec holdADIM in supine, curl up, elbows elevated30 reps with 8 sec holdADIM in supine, curl up, hands at headSidelying ProgressionADIM in sidelying, side plank, knees bent30 reps with 8 sec hold, both sides ADIM in sidelying, side plank, knees extended30 reps with 8 sec hold, both sidesADIM in sidelying, side plank with tilt30 reps with 4 tilts A/P, both sidesADIM in sidelying, side plank with rollStanding ProgressionADIM in standing30 reps with 8 sec holdADIM in standing, row30 reps with 8 sec holdADIM in standing, walking Intervention group: gluteus medius strengthening protocol;The gluteus medius strengthening group will perform exercises targeting the gluteus medius muscle.Progression Criterion Supine ProgressionBridge30 reps with 8 sec hold Bridge with Arms Crossed 30 reps with 8 sec hold Bridge with Arms Crossed & Feet Together 30 reps with 8 sec holdSLS BridgeSidelying Progression Clam at 45 degrees30 reps with 8 sec hold Sidelying hip abduction, knees extended30 reps with 8 sec holdSide plank, knees bent 30 reps with 8 sec hold Side plank, knees extended Squat Progression Squat30 repsSLS mini squat30 repsSLS squat Standing Progression 1 Standing abduction30 reps Standing abduction, yellow band30 reps Standing abduction, red band 30 repsStanding abduction, green band 30 reps Standing abduction, blue band 30 reps Standing abduction, black bandStanding Progression 2 Standing abduction with extension 30 reps Standing abduction with extension, yellow band30 repsStanding abduction with extension, red band 30 repsStanding abduction with extension, green band30 repsStanding abduction with extension, blue band30 repsStanding abduction with extension, black band Pain. Timepoint: before intervention, 4 and 8 weeks after intervention. Method of measurement: Numeric pain rated scale(NPRS). Low back pain- related disability. Timepoint: before intervention, 4 and 8 weeks after intervention. Method of measurement: Oswestry disability index (ODI). Riphah International University Approved 2019-07-19 Ethics committee of RIPHAH INTERNATIONAL UNIVERSITY LAHORE – PAKISTAN 13-14-C-Civic Center, Near Hamdard Chowk, Township, Lahore Lahore Punjab Pakistan