Comparision of trunk muscle stabilization exercise and Williams exercise on choronic low back pain
Design
The clinical trial has a control group of 100 patients, after introduced by a specialist; they are randomly divided into two groups including trunk stability exercises and Williams exercises.
Settings and conduct
This study is performed in the physiotherapy center of Shahid Beheshti hospital in Yasuj. Study population is patients with chronic low back pain who are referred by specialist physicians and they are randomly divided into two groups but no blinding is performed.
Participants/Inclusion and exclusion criteria
Inclusion criteria: minimum age 35 and maximum 65 years; at least 3 months have passed since the person's back pain; the chronic back pain should be confirmed by an orthopedic specialist.
Non-inclusion criteria: fracture or surgery in the vertebral column; using walking aids; presence of movement restriction in the lower limbs; existence of severe cardiovascular disease or mental illness
Intervention groups
Intervention group: Trunk muscle stabilization exercise group that performs resistance exercises for eight weeks. Control group: Williams Exercise group, who performs Williams exercise for eight weeks.
Main outcome variables
The mean of visual analogue scale (VAS); The mean of Oswestry disability index (ODI); The mean of Lumbar functional index (LFI); The mean of Fingertip-to-Floor Test (FFT)
General information
Reason for update
Acronym
IRCT registration information
IRCT registration number:IRCT20210803052062N1
Registration date:2021-10-31, 1400/08/09
Registration timing:registered_while_recruiting
Last update:2021-10-31, 1400/08/09
Update count:0
Registration date
2021-10-31, 1400/08/09
Registrant information
Name
Hamdollah ِِDelaviz
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 74 3323 6302
Email address
delavizhamdi83@gmail.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2021-09-01, 1400/06/10
Expected recruitment end date
2023-09-01, 1402/06/10
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Comparision of trunk muscle stabilization exercise and Williams exercise on choronic low back pain
Public title
Resistance exercise for back pain
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Minimum age 35 and maximum 65 years old
At least 3 months have passed since the person had low back pain
Chronic back pain should be confirmed by an orthopedic specialist
Exclusion criteria:
History of surgery or fractures in the spine
Use walking aids
Movement restriction in the lower limbs
Pressure on nerve roots
Spinal canal stenosis,
Presence of intervertebral disc herniation
Presence of spondylolisthesis,
Presence of severe cardiovascular disease or metabolic disease
Suffering from mental illness
Use of anticonvulsant drugs
Age
From 35 years old to 56 years old
Gender
Both
Phase
N/A
Groups that have been masked
No information
Sample size
Target sample size:
90
Randomization (investigator's opinion)
Randomized
Randomization description
Patients are randomly divided into two groups. For this purpose, 90 pieces of paper with the same shape and color are prepared. The number one is written on 45 prepared papers and the number two is written on the other 45 papers. Number one is considered for patients who do trunk muscle stabilization exercise and number 2 is considered for patients who do Williams exercises. Then all the papers are placed in a box. After the patient's visit, the papers are taken out one by one until the sample size is complete.
Blinding (investigator's opinion)
Not blinded
Blinding description
Placebo
Not used
Assignment
Parallel
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Ethics committee of Yasuj University of Medical Sciences
Street address
Unit 1, No 22, Bahonar1 avenue
City
Yasuj
Province
Kohgilouyeh-va-Boyrahmad
Postal code
7591951176
Approval date
2021-06-02, 1400/03/12
Ethics committee reference number
IR.YUMS.REC.1400.092
Health conditions studied
1
Description of health condition studied
Chronic low back pain
ICD-10 code
M54.5
ICD-10 code description
Low back pain
Primary outcomes
1
Description
Mean pain intensity
Timepoint
Before treatment and 4 weeks and 8 weeks after treatment
Method of measurement
Based on visual analog scale
2
Description
Mean Disability Index
Timepoint
Before treatment and 4 weeks and 8 weeks after treatment
Method of measurement
Based on Oswestry disability index (ODI)
3
Description
Mean Lumbar functional index
Timepoint
Before treatment and 4 weeks and 8 weeks after treatment
Method of measurement
Base on Lumbar functional index
4
Description
Mean Fingertip-to-Floor distance
Timepoint
Before treatment and 4 weeks and 8 weeks after treatment
Method of measurement
Based on Fingertip-to-Floor Test
Secondary outcomes
empty
Intervention groups
1
Description
Intervention group: The patient is instructed to perform 5 exercises including elbow-toe, hand-knee, curl-up, side side, and back bridge as follows on the floor or a stable surface. For doing elbow-toe the subject was instructed to maintain a prone plank position on the floor, such that the elbows were beneath the shoulders and the upper arms were perpendicular to the floor. In this position, only the toes and forearms were touching the floor. Back Bridge The subject was supine on the floor, with feet flat on the ground, knees bent at 90°, toes facing forwards, and hands on the floor by the sides, palms facing down. The subject raised the pelvis to achieve and maintain a neutral hip flexion angle. Hand-Knee The subject assumed a quadruped position and was asked to hold a neutral pelvis position as well as to breathe normally. The subject then lifted the right upper extremity and held it straight, while simultaneously lifting the left lower extremity and holding it straight also. Side Bridge The subject was positioned in right sidelying, with the right elbow directly beneath the shoulder and upper arm perpendicular to the ground. The subject raised the pelvis so that the spine was straight, thereby achieving a position supported only by the right elbow and the side of the right foot. Curl-up the subject was supine, with hips at 45° and knees at 90° and hands behind the head. The subject tucked in chin and curled the upper trunk by lifting the thoracic spine off the floor. With the exercise performed optimally, the curl up was performed so that the scapulae were off the floor. Once in this position, the subject was asked to breathe deeply. After training, and ensuring that the exercises are done correctly, patients do these exercises three times a day, three days a week for eight weeks.
Category
Rehabilitation
2
Description
Control group: The patient is instructed to perform 5 exercises including pelvic tilt exercises, partial sit-ups, knee-to-chest, hamstring stretching, Standing lumbar flexion. To perform pelvic tilt exercises, patient lie on back with knees bent, feet flat on floor. Then flatten the back against the floor, without pushing down with the legs. To perform Partial sit-ups patient lies supine with knees bent and feet flat on floor. With hands behind his or her head, elevates the upper torso until the scapulae clear the resting surface and stress is placed on the rectus abdominus. To perform knee-to-chest lie on his back with knees bent and feet flat on the floor. Then slowly pull right knee toward your and hold 5 to 10 seconds, lower the knee and repeat with the other knee. To perform a hamstring stretch, patient sits with the knees extension and side by side. Then raises the upper limbs parallel to the lower limbs and pushes the trunk forward and toward the legs and holds for 5 seconds. To perform standing lumbar flexion patient Stand upright with feet spread shoulder width apart. Slowly bend forward, sliding hands down legs, until he/she feels tension in the back. After training, and ensuring that the exercises are done correctly, patients do these exercises three times a day, three days a week for eight weeks.