Workplace Exercises Versus Home-based Exercises on Pain and Function Among Office Workers With Non-specific Low Back Pain
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
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-
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Cairo, Egypt
- out-patient clinic, faculty of physical therapy, Cairo university
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Forty-eight patients with non-specific low back pain of both genders; their ages will range from 25 to 40 years old.
- Three years of experience at least
- Eight to ten hours of daily work, at least.
- Work for 5 days per week.
- Reported pain intensity from 3 to 7 on a visual analogue scale.
- Office Workers with body mass index (25 - 29.9 kg/m².
- Low physical activity levels according to the International Physical Activity Questionnaire (short form).
Exclusion Criteria:
- Spine pathology.
- Back surgical operations.
- Congenital anomalies.
- Cardiopulmonary and neurological diseases
- Pregnancy.
- Postural deformities.
- Inflammatory diseases.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: workplace exercise
Consists of 20 office workers with non-specific low back pain who will receive workplace exercise intervention, 5 times per week for 4 weeks
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The program's basic exercise equipment includes a stable chair (no wheels or armrests) that provides better lumbar spine support, adjustable for participant height to ensure flat feet on the floor with a 90° knee angle.
Additional portable equipment consists of a rhythmic gymnastics ball (16.5 cm diameter, 320 g weight), silicone hand therapy balls (5.6 cm length, 4.2 cm width, medium resistance), and an exercise band (1.5 m long, available in medium/light and heavy resistance).
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Active Comparator: home program exercises
Home program exercises will be provided three times a week for four weeks, comprising three sets of ten repetitions each.
Exercises will target the back, shoulders, and arms using elastic tubing, including reverse flys, shoulder raises, shoulder squeezes, shoulder rotations, wrist extensions, wood choppers, pelvic tilt, quadruped leg/arm raises, side planks, and lean and turns.
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An elastic exercise band will be used.
an exercise band (1.5 m long, available in medium/light and heavy resistance).
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Active Comparator: general education and counseling
Individuals will receive education and counseling on managing pain and function.
They should avoid prolonged sitting, moving every 20-30 minutes, and practicing good posture while seated, standing, and walking.
Key sitting posture includes keeping feet flat, knees at a 90-degree angle, and maintaining a straight back with proper lumbar support to prevent slouching.
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Will receive general education and counseling regarding pain and function.
They will be advised to avoid prolonged sitting.
Get up and move around every 20-30 minutes.
In addition, to practice good posture while sitting, standing, and walking.
When sitting, keep your feet flat on the floor, knees bent at a 90-degree angle, and your back straight with good lumbar support.
Furthermore, to avoid slouching or hunching over their desk
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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assessment of pain intensity
Time Frame: at baseline and after 4 weeks
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The researcher will ask the patient to express how potent he/she feels current pain or the last 24 hours' pain by choosing a point on a 100 mm line drawn between two ends one end refers to the absence of pain and the other refers to the worst intense pain
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at baseline and after 4 weeks
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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assessment of activity of daily living
Time Frame: at baseline and after 4 weeks
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The Arabic version of the Modified Oswestry Disability Index is a self-administered questionnaire consisting of ten sections, each with six items that evaluate the limitations in daily living activities.
Scores range from 0 to 5, with higher scores indicating greater disability.
The final index score is calculated by summing the scores, adjusting for unanswered questions, and expressing it as a percentage.
Completion takes approximately 3.5 to 5 minutes, with scoring taking about 1 minute.
Scores categorize disability levels: 0%-20% (minimal), 20%-40% (moderate), 40%-60% (severe), 60%-80% (crippled), and 80%-100% (bedbound or exaggerating).
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at baseline and after 4 weeks
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assessment of functional health and well-being
Time Frame: at baseline and after 4 weeks
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The Arabic Version of the 36-Item Short Form Health Survey is a generic tool to measure Quality of Life (QoL) through 36 questions, yielding an 8-scale profile of functional health: Physical Functioning, role limitations due to Physical Problems, Bodily Pain, General Health, Vitality, Social Functioning, role limitations due to emotional problems, and Mental Health.
It includes a single-item scale on health transition.
The first four subscales form the Physical Composite Scale, and the last four form the Mental Composite Scale, with scores ranging from 0 to 100; higher scores indicate better health and functional status.
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at baseline and after 4 weeks
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assessment of pelvic tilting
Time Frame: at baseline and after 4 weeks
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The Palpation Meter procedure involves subjects standing with feet shoulder-width apart and focusing on a fixed point to minimize posture sway.
With arms crossed, an examiner palpates the anterior and posterior superior iliac spines.
The caliper tips of the Palpation Meter device are then positioned on these landmarks to measure pelvic inclination, with the procedure repeated three times to calculate an average for statistical analysis.
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at baseline and after 4 weeks
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assessment of lumbar lordotic angle
Time Frame: at baseline and after 4 weeks
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using Baseline Inclinometer.
Participants will stand comfortably with arms at their sides while the T12 and S1 spinous processes are marked.
The iliac crest serves as a baseline for L4-L5 identification.
The investigator will palpate from L4-L5 to S1 and locate T12 using the 12th rib.
A bubble inclinometer, zeroed against a bubble level, will be used to measure lumbar lordosis at T12-L1 and S1-S2, with angles recorded and summed.
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at baseline and after 4 weeks
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assessment of physical Activity
Time Frame: at baseline and after 4 weeks
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The Arabic Version of The International Physical Activity Questionnaire (Short-Form) aims to assess physical activity by querying workers about their engagement in various activities over the past week.
Respondents will provide details on the type, frequency (in days per week), and duration (in hours and minutes per day) of these activities.
The questionnaire evaluates physical activities based on their intensity, classifying them as vigorous (like aerobic walking, running, and jogging), moderate (such as brisk walking, regular home workouts, and leisure swimming), and normal walking, which contributes to the comprehensive assessment of physical activity levels.
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at baseline and after 4 weeks
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Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- Heba-Msc
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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