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IRCT20210803052062N1 IRCT 2021-10-31 Yasouj University of Medical Sciences Resistance exercise for back pain Comparision of trunk muscle stabilization exercise and Williams exercise on choronic low back pain 2021-09-01 anticipated 90 Complete https://irct.ir/trial/57889 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, 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. N/A Chronic low back pain. Intervention 1: 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. Intervention 2: 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. No - There is not a plan to make this available Justification or reason for not sharing IPD is Because I do not have any experience in this field
public Hamdollah Delaviz
Unit 1, No 22, Bahonar 1 avenue
Yasuj Iran (Islamic Republic of) 7591951176 +98 74 3323 6302 delavizhamdi83@gmail.com Yasouj University of Medical Sciences scientific Hamdollah Delaviz
Unit 1, No 22, Bahonar 1 avenue
Yasuj Iran (Islamic Republic of) 7591951176 +98 74 3323 6302 delavizhamdi83@gmail.com Yasouj University of Medical Sciences Iran (Islamic Republic of) 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 35 years 56 years Both 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 M54.5 Low back pain Rehabilitation Rehabilitation 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. 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. Mean pain intensity. Timepoint: Before treatment and 4 weeks and 8 weeks after treatment. Method of measurement: Based on visual analog scale. Mean Disability Index. Timepoint: Before treatment and 4 weeks and 8 weeks after treatment. Method of measurement: Based on Oswestry disability index (ODI). Mean Lumbar functional index. Timepoint: Before treatment and 4 weeks and 8 weeks after treatment. Method of measurement: Base on Lumbar functional index. 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. Yasouj University of Medical Sciences Approved 2021-06-02 Ethics committee of Yasuj University of Medical Sciences Unit 1, No 22, Bahonar1 avenue Yasuj Kohgilouyeh-va-Boyrahmad Iran (Islamic Republic of)