Effects of Lumbar Repositioning Feedback and Transversus Abdominis Training on Lumbar Propricption in Patients With Chronic Mechanical Low Back Pain

This study is conducted to answer the following question: What is the effect of lumbar repositioning feedback and transverses abdominis training on lumbar proprioception in patients with chronic mechanical low back pain?

Study Overview

• Status: Recruiting
• Conditions: Orthopedic Disorder
• Intervention / Treatment: Device: including sham

Detailed Description

Chronic low back pain is a chronic pain syndrome in the lower back region, lasting for at least twelve weeks. Chronic low back pain represents the leading cause of disability worldwide and is a major welfare and economic problem. Low back pain represents a major social and economic problem. The prevalence of chronic low back pain is estimated to range from fifteen to forty-five percent in French healthcare workers. Low back pain symptoms can derive from many potential anatomic sources, such as nerve roots, muscle, fascial structures, bones, joints, intervertebral discs, and organs within the abdominal cavity. Moreover, symptoms can also spawn from aberrant neurological pain processing causing neuropathic low back pain. Low back pain has been associated with motor control dysfunction. Indicators of this dysfunction include decreased contraction of the transversus abdominis and multifidus muscles, the reduced cross-sectional area of the multifidus, and fat infiltration. An association of chronic low back pain with altered muscle recruitment patterns and transversus abdominis activation delay was also found, as well as increased back muscle fatigue and altered kinematic patterns in the hips and lumbar area.

This was further supported in two recent systematic reviews that reported that proprioception deficits were found in patients with chronic low back pain compared to healthy controls

• Study Type: Interventional
• Enrollment (Anticipated): 48
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: MAI HASSAN, Doctoral; Phone Number: 01019461836; Email: Mai.Hassan.ph@o6u.edu.eg
• Study Contact Backup: Name: Hossam Magdy, Doctoral; Phone Number: 01112730605; Email: Hosam.Magdy.PT@o6u.edu.eg

Study Locations

• Egypt
  • Giza, Egypt, 12511
    • Recruiting
    • October 6 University
    • Contact: Hossam Magdy, Doctoral; Phone Number: 01112730605; Email: Hosam.Magdy.PT@o6u.edu.eg
    • Contact: Mai Hassan, Doctoral; Phone Number: o1019461836; Email: Mai.Hassan.ph@o6u.edu.eg
    • Principal Investigator: Mai Hasssan, Doctoral

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 35 years to 45 years (Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: Female

Description

Inclusion Criteria:

• Patients with CMLBP referred from orthopedic surgeon with no radicular pain
• Their age is ranged between 35-55 years old (Martim etal.,2008)
• BMI 24-28 kg/m2

Exclusion Criteria:

• Patients who have a history of diabetic peripheral neuropathies
• Patients who have a history of sciatica
• Spinal or lower limb deformity or any pathology within the spine.
• Patients who have neurological disorders
• Patients who have a history of previous lumbar surgery
• Patients who have visual problems

Study Plan

How is the study designed?

Design Details

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

Number of Arms

4

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Study 1; Twelve patients in study group 1 receiving lumbar repositioning feedback training	Device: including sham; Repositiong feedback training and biofeedback pressure training unit
Experimental: Study 2; Twelve patients in study group 2 receiving transverses abdominis training	Device: including sham; Repositiong feedback training and biofeedback pressure training unit
Experimental: Study 3; Twelve patients in study group 3 receiving both lumbar repositioning feedback training and tranversus abdominis training	Device: including sham; Repositiong feedback training and biofeedback pressure training unit
Experimental: Control; Twelve patients in control group receiving conventional lumbar propriception physical therapy program .	Device: including sham; Repositiong feedback training and biofeedback pressure training unit

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Pressure biofeedback unit	Assessment of transversus abdominis activation	up to 45 days
feedback laser tracker	Assessment of lumbar repositioning error	up to 45 days

Collaborators and Investigators

• Sponsor: October 6 University

Study record dates

Study Major Dates

• Study Start (Actual): April 19, 2020
• Primary Completion (Anticipated): May 2, 2022
• Study Completion (Anticipated): August 15, 2022

Study Registration Dates

• First Submitted: July 22, 2020
• First Submitted That Met QC Criteria: September 13, 2021
• First Posted (Actual): September 17, 2021

Study Record Updates

• Last Update Posted (Actual): September 17, 2021
• Last Update Submitted That Met QC Criteria: September 13, 2021
• Last Verified: September 1, 2021

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Pain; Neurologic Manifestations; Back Pain; Low Back Pain; Musculoskeletal Diseases
• Other Study ID Numbers: 153145

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No