Effect of Posterior Pelvic Tilt on Balance and Sensory Integration in Patients With Non-specific Low Back Pain

March 26, 2021 updated by: Noha Abbas Abdelaziz Ali, MTI University

Effect of Posterior Pelvic Tilt on Balance, Sensory Integration and Risk of Fall in Patients With Non-specific Low Back Pain

There is a debate in the literature about the effect of NSLBP on pelvic tilt and its effect on balance, sensory integration and functional disability so we need this study to fill the aforementioned gap in literature in this field. So the purpose of the study is to evaluate posterior pelvic tilt effect on overall dynamic balance, sensory integration and functional disability in patients with non-specific low back pain.

Study Overview

Status

Recruiting

Conditions

Intervention / Treatment

Detailed Description

The LBP became one of the biggest problems for public health systems in the world during the second half of the 20th century. The lifetime prevalence of LBP is reported to be as high as 84%, and the prevalence of chronic LBP is about 23%, with 11-12% of the population being disabled by LBP. Prevalence of LBP was 53.2%. It was more among female patients (62.8%) than among male patients (38.3%) among attendants to a Family Health Center in Egypt.

Additionally, studies have observed relationships between chronic non-specific LBP and a posteriorly shifted center of gravity, impaired proprioception, and decreased muscular strength, activation and endurance of the trunk and hips. Balance is impaired in individuals with chronic low back pain when compared to healthy individuals.

Most of these studies supposed that postural mal-alignment involves deviations in only one direction which is toward lordosis and anterior pelvic tilt. However, clinical experience suggests that some patients with back pain have the opposite problem which is a much reduced lordotic curve and a posterior pelvic tilt. If the true relationship between posture and low back pain disability is curvilinear instead, this could explain why the studies so far have shown weak or no relationships.

Study Type

Observational

Enrollment (Anticipated)

50

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact Backup

Study Locations

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

20 years to 35 years (Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Sampling Method

Non-Probability Sample

Study Population

Fifty patients with chronic low back pain or repeated non-specific back pain for more than three months and referred from a physician with anterior or posterior pelvic tilt angles according to the groups.

Description

Inclusion Criteria:

  1. Fifty patients with chronic low back pain or repeated non-specific back pain for more than three months.
  2. Both sex with posterior pelvic tilt (-0.7 ± 6.5°)and decreased lumbar lordosis, for (Group A) and normal anterior pelvic tilt angle between 5° and 13° for (Group B)
  3. Their ages were ranged from 20-35 years.
  4. Body Mass Index from 18-25 Kg/m² .

Exclusion Criteria:

  1. Previous back surgery.
  2. Signs and symptoms of gross spinal instability.
  3. Radiological diagnosis of spondylolysis or spondylolisthesis.
  4. Acute low back pain.
  5. Disc prolapse or herniation.
  6. Any neurological, orthopedic, and vestibular disorders affecting the balance system.
  7. Flexion and extension restriction of the lumbar region.
  8. Other conditions that affected the normal functioning of the central and peripheral nervous system such as alcohol abuse, addiction, dementia, and cognitive disorders.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Observational Models: Case-Crossover
  • Time Perspectives: Cross-Sectional

Cohorts and Interventions

Group / Cohort
Intervention / Treatment
Posterior pelvic tilt group
  1. patients with chronic low back pain or repeated non-specific back pain for more than three months.
  2. Both sex with posterior pelvic tilt (-0.7 ± 6.5°) and decreased lumbar lordosis
  3. Their ages were ranged from 20-35 years
  4. Body Mass Index from 18-25 Kg/m²
Other: pelvic tilt effect on balance, sensory integration and risk of fall
BIODEX balance system, Limits of stability test, Risk of Fall test, m-CTSIB test
Normal anterior pelvic tilt group
  1. patients with chronic low back pain or repeated non-specific back pain for more than three months.
  2. Both sex with anterior pelvic tilt (5° and 13°) and normal lumbar lordosis
  3. Their ages were ranged from 20-35 years
  4. Body Mass Index from 18-25 Kg/m²
Other: pelvic tilt effect on balance, sensory integration and risk of fall
BIODEX balance system, Limits of stability test, Risk of Fall test, m-CTSIB test

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Biodex balance system Limits of stability test
Time Frame: 10 minuets
A test measures dynamic postural stability in percentage
10 minuets
Biodex balance system m-CTSIB test
Time Frame: 10 minuets
A test measures postural sway control to assess sensory integration.
10 minuets
Biodex balance system Fall risk test (FR)
Time Frame: 10 minuets
A test to assess risk of fall according to mean age
10 minuets
Oswestry Disability Index (ODI)
Time Frame: 10 minuets
An index to assess physical functioning in percentage.
10 minuets

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
The Global Posture System (GPS) 600
Time Frame: 10 minuets
A device to assess degree of pelvic tilt angle in degrees.
10 minuets
Body Mass Index (weight in kilograms, height in meters)
Time Frame: 10 minuets
kg/m^2
10 minuets

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

MTI University

Investigators

  • Study Chair: Noha Abbas, MSc, MTI University

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

September 1, 2020

Primary Completion (Anticipated)

April 1, 2021

Study Completion (Anticipated)

April 15, 2021

Study Registration Dates

First Submitted

March 20, 2021

First Submitted That Met QC Criteria

March 26, 2021

First Posted (Actual)

March 29, 2021

Study Record Updates

Last Update Posted (Actual)

March 29, 2021

Last Update Submitted That Met QC Criteria

March 26, 2021

Last Verified

March 1, 2021

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 012-003133

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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