Effectiveness of Balance Training in Chronic Low Back Pain Patients (CLB)

Effectiveness of Balance Training Over Routine Back Exercise in Improving Functional Outcomes of Chronic Low Back Pain Patients

Balance problems are addressed in low back pain patients. Dearth of literature available to prove core strengthening or any form of back exercises improving functional outcomes or balance in chronic back pain patients. No studies focus on balance training in improving balance of low back pain patients. The authors are conducting a randomised trial comparing balance exercises and routine back exercise program in improving pain, functional outcomes and balance of the patients

Study Overview

• Status: Unknown
• Conditions: Chronic Low Back Pain
• Intervention / Treatment: Behavioral: Balance Exercise Training; Behavioral: Routine Back exercise program

Detailed Description

Background: Balance deficits are common in low back pain. Current literature fail to prove the effectiveness of routine back exercises in improving balance of back pain patients. No study has concentrated on balance training in back pain patients.

Objective: Compare balance exercises and routine back exercises in improving balance and other functional outcomes.

Procedure: Back pain patients attending physiotherapy department of tertiary care teaching hospitals will be recruited voluntarily. Randomised to either balance and routine program based on simple lottery method. Balance training comprises of 5 exercises - single leg squats, dead lift, single leg raises, lateral step-ups and forward reach outs. Routine back exercises includes 5 sets - pelvic bridges, dynamic dead bug, prone planks, situps, lateral planks. 10Repetition Maximum, 2 Sets/ day, five days a week, 2 weeks. Baseline balance (star Edward, berg balance) and functional test (sit to stand) and pain (Visual analogue score) and post 2 weeks outcome scores will be analysed through paired and unpaired for between and within groups.

• Study Type: Interventional
• Enrollment (Actual): 48
• Phase: Early Phase 1

Contacts and Locations

Study Locations

• India
  • Tamilnadu
    • Coimbatore, Tamilnadu, India, 641004
      • PSG Hospitals, Department of Physical Medicine Rehabilitation

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 25 years to 45 years (Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• non specific low back pain diagnosed by orthopedical surgeon or physiatrist
• Both genders
• Age 25 - 45 years (to avoid age related balance deficit)
• Should have balance deficit percentage (> 20%) through balance assessment scale

Exclusion Criteria:

• H/O Benign Paroxysmal Positional Vertigo
• Neuromuscular disorders(Stroke, Polio, Potts spine, spinal stenosis) affecting balance
• any form of ear infection
• Recent ear, nose, throat surgery
• Recent surgery in abdomen, thorax, head (< 2 years)
• Recent lower limb surgeries, injuries (< 6 months)
• Any form of walking aids (cane, walker)

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Balance exercise training; Balance exercise training - thrice week, 2 weeks, 10 repetition Maximum/ set, 2 sets	Behavioral: Balance Exercise Training; Balance exercise - 5 type (single leg squat, dead lift, step ups, forward reaches), 10 Repetition Maximum, 2 sets, five times a week and 2 weeks
Active Comparator: Routine Back exercise Program; Routine Back exercise Program - 10 Repetition Maximum / set, 2 sets, three times weekly, 2 weeks	Behavioral: Routine Back exercise program; Back strengthening 5 exercises - pelvic bridges, prone plank, side plank, dead bug and prone lift ups, 10 Repetition Maximum, 2 sets, five times a week, 2 weeks

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
Starr Edward Balance Test	Baseline, 2 weeks

Secondary Outcome Measures

Outcome Measure	Time Frame
Berg Balance Scale	Baseline, 2 weeks
Visual Analogue score	Baseline, 2 weeks

Collaborators and Investigators

• Sponsor: Baskaran Chandrasekaran
• Investigators: Principal Investigator: Pavita Devi, BPT, Senior Physiotherapist; Study Chair: Baskaran Chandrasekaran, MPT, Senior Physiotherapist; Study Chair: Sumathi Muraleetharan, BPT, Senior Physiotherpist; Study Director: Ramamoorthy V Dr, MD PMR, Head of The Department, PMR

Study record dates

Study Major Dates

• Study Start: June 1, 2014
• Primary Completion (Anticipated): December 1, 2014
• Study Completion (Anticipated): December 1, 2014

Study Registration Dates

• First Submitted: August 20, 2014
• First Submitted That Met QC Criteria: August 21, 2014
• First Posted (Estimate): August 22, 2014

Study Record Updates

• Last Update Posted (Estimate): August 22, 2014
• Last Update Submitted That Met QC Criteria: August 21, 2014
• Last Verified: August 1, 2014

More Information

Terms related to this study

• Keywords: low back pain; Balance training; balance test; routine back exercise
• Additional Relevant MeSH Terms: Pain; Neurologic Manifestations; Back Pain; Low Back Pain
• Other Study ID Numbers: PSG02