- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05877469
Effects of MAT Pilates Versus Functional Training on Mechanical Low Back Pain
Effects of Mat Pilates Versus Functional Training on Pain, Range of Motion and Disability in Mechanical Low Back Pain
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Mechanical low back pain refers to back pain that arises intrinsically from the spine, intervertebral disks, or surrounding soft tissues. This includes lumbosacral muscle strain, disk herniation, lumbar spondylosis, spondylolisthesis, spondylolysis, vertebral compression fractures, and acute or chronic traumatic injury. Repetitive trauma and overuse are common causes of chronic mechanical low back pain, which is often secondary to workplace injury. Pilates focus is improving the core strength, it trains the body as an integrated whole. Functional training involves the daily life activities that also targets on core stability and strength.
The aim of the study is to present the current state of knowledge concerning the application of pilates and functional training in terms of duration, frequency and specific exercises in the management of mechanical low back pain in terms of pain, ROM and disability improvement.
Effects of Mat Pilates and functional training on mechanical low back pain are checked individually before but their effects are not compared previously.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Muhammad Sanaullah, Ms
- Phone Number: 03224819253
- Email: muhammad.sanaullah@riphah.edu.pk
Study Locations
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Punjab
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Sahiwal, Punjab, Pakistan, 57000
- District Headquarter Hospital Sahiwal
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Both male and female
- Age group 25-40
- Patient having mechanical low back pain for more than 12 weeks
Exclusion Criteria:
- Pregnancy
- Previous spinal surgery
- Orthopedic and neurological diseases
- Patients with serious spinal pathologies( tumor, fracture and autoimmune conditions)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: mat pilates training group
Mat pilates training involve leg lifts, toe taps, Single leg stretch, one leg circle, side bend preparation, side kicks, side leg lifts, swan dive, hovers, roll down, crisscross and planks.
Treatments will be provided in 30 mins, three sessions per week for 8 consecutive weeks.
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In this group 22 patients will perform mat pilates training.
Patients will be asked to stay comfortable while performing mat pilates exercies that involve different types of movements of whole body like leg lifts, toe taps, Single leg stretch, one leg circle, side bend preparation, side kicks, side leg lifts, roll down and crisscross to improve the core strength.
Treatments will be provided in 30 mins, three sessions per week for 8 consecutive weeks.
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Experimental: Functional training group
Functional training involve glute bridge, squats, pushups, lateral lunge, step up to shoulder press, goblet squats and woodchop.
Treatments will be provided in 30 mins, three sessions per week for 8 consecutive weeks.
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In this group 22 patients will perform functional training.
Patients will be instructed to perform their daily living movements like squatting, reaching, or even carrying a heavy object.
These exercises typically use the whole body and emphasize core strength and stability.
Functional training typically uses weight-bearing activities that work the core muscles in the torso.
the functional movements include involve glute bridge, squats, pushups, lateral lunge, step up to shoulder press, goblet and squats.
Treatments will be provided in 30 mins, three sessions per week for 8 consecutive weeks.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Modified Oswestry LBP disability index
Time Frame: 3 weeks
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MODI consists of 10 items questioning daily life activities.
These are; pain severity, personal care, lifting, walking, sitting, standing, sleeping, social life, travel and pain.
There are 6 options between 0-5 points for each item.
Zero indicates mild case, 5 indicates worst case, 0-14 weak, 15-29 moderate, 30 above the functional limit
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3 weeks
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Numeric Pain Rating Scale
Time Frame: 3 weeks
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NPRS consists of a scale with 0-10 readings.
The zero denotes no pain while 1, 2, 3 denotes to mild pain, 4, 5, 6 denotes to moderate pain while 7-10 denotes to severe pain.
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3 weeks
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Inclinometer
Time Frame: 3 weeks
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Inclinometer is used to measure range of motion of lumber flexion, extension and left/Right side bending
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3 weeks
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Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Muhammad Sanaullah, MS, Riphah International University
Publications and helpful links
General Publications
- Urits I, Burshtein A, Sharma M, Testa L, Gold PA, Orhurhu V, Viswanath O, Jones MR, Sidransky MA, Spektor B, Kaye AD. Low Back Pain, a Comprehensive Review: Pathophysiology, Diagnosis, and Treatment. Curr Pain Headache Rep. 2019 Mar 11;23(3):23. doi: 10.1007/s11916-019-0757-1.
- O'Keeffe M, O'Sullivan P, Purtill H, Bargary N, O'Sullivan K. Cognitive functional therapy compared with a group-based exercise and education intervention for chronic low back pain: a multicentre randomised controlled trial (RCT). Br J Sports Med. 2020 Jul;54(13):782-789. doi: 10.1136/bjsports-2019-100780. Epub 2019 Oct 19.
- Hartvigsen J, Hancock MJ, Kongsted A, Louw Q, Ferreira ML, Genevay S, Hoy D, Karppinen J, Pransky G, Sieper J, Smeets RJ, Underwood M; Lancet Low Back Pain Series Working Group. What low back pain is and why we need to pay attention. Lancet. 2018 Jun 9;391(10137):2356-2367. doi: 10.1016/S0140-6736(18)30480-X. Epub 2018 Mar 21.
- Paolucci T, Attanasi C, Cecchini W, Marazzi A, Capobianco SV, Santilli V. Chronic low back pain and postural rehabilitation exercise: a literature review. J Pain Res. 2018 Dec 20;12:95-107. doi: 10.2147/JPR.S171729. eCollection 2019.
- Stevans JM, Delitto A, Khoja SS, Patterson CG, Smith CN, Schneider MJ, Freburger JK, Greco CM, Freel JA, Sowa GA, Wasan AD, Brennan GP, Hunter SJ, Minick KI, Wegener ST, Ephraim PL, Friedman M, Beneciuk JM, George SZ, Saper RB. Risk Factors Associated With Transition From Acute to Chronic Low Back Pain in US Patients Seeking Primary Care. JAMA Netw Open. 2021 Feb 1;4(2):e2037371. doi: 10.1001/jamanetworkopen.2020.37371.
- Yalfani A, Raeisi Z, Koumasian Z. Effects of eight-week water versus mat pilates on female patients with chronic nonspecific low back pain: Double-blind randomized clinical trial. J Bodyw Mov Ther. 2020 Oct;24(4):70-75. doi: 10.1016/j.jbmt.2020.06.002. Epub 2020 Jun 27.
- Will JS, Bury DC, Miller JA. Mechanical Low Back Pain. Am Fam Physician. 2018 Oct 1;98(7):421-428.
- Eliks M, Zgorzalewicz-Stachowiak M, Zenczak-Praga K. Application of Pilates-based exercises in the treatment of chronic non-specific low back pain: state of the art. Postgrad Med J. 2019 Jan;95(1119):41-45. doi: 10.1136/postgradmedj-2018-135920. Epub 2019 Jan 12.
- Amjad F, Mohseni-Bandpei MA, Gilani SA, Ahmad A, Waqas M, Hanif A. Urdu version of Oswestry disability index; a reliability and validity study. BMC Musculoskelet Disord. 2021 Mar 29;22(1):311. doi: 10.1186/s12891-021-04173-0.
- Cortell-Tormo JM, Sanchez PT, Chulvi-Medrano I, Tortosa-Martinez J, Manchado-Lopez C, Llana-Belloch S, Perez-Soriano P. Effects of functional resistance training on fitness and quality of life in females with chronic nonspecific low-back pain. J Back Musculoskelet Rehabil. 2018 Feb 6;31(1):95-105. doi: 10.3233/BMR-169684.
- Batibay S, Kulcu DG, Kaleoglu O, Mesci N. Effect of Pilates mat exercise and home exercise programs on pain, functional level, and core muscle thickness in women with chronic low back pain. J Orthop Sci. 2021 Nov;26(6):979-985. doi: 10.1016/j.jos.2020.10.026. Epub 2020 Dec 29.
- Tsauo JY, Chen WH, Liang HW, Jang Y. The effectiveness of a functional training programme for patients with chronic low back pain--a pilot study. Disabil Rehabil. 2009;31(13):1100-6. doi: 10.1080/09638280802511047.
- Amaral DDV, Miyamoto GC, Franco KFM, Dos Santos Franco YR, Bastos De Oliveira NT, Hancock MJ, Van Tulder MW, Nunes Cabral CM. Examination of a Subgroup of Patients With Chronic Low Back Pain Likely to Benefit More From Pilates-Based Exercises Compared to an Educational Booklet. J Orthop Sports Phys Ther. 2020 Apr;50(4):189-197. doi: 10.2519/jospt.2019.8839. Epub 2019 Aug 23.
- Neeley DK, George SZ, Minick K, Snow G, Brennan G. Four Variables Were Sufficient for Low Back Pain: Determining Which Patient-Reported Tools Pain and Disability Improvements. J Orthop Sports Phys Ther. 2022 Oct;52(10):685-693. doi: 10.2519/jospt.2022.11018. Epub 2022 Aug 12.
- Sedrez JA, Furlanetto TS, Gelain GM, Candotti CT. Validity and Reliability of Smartphones in Assessing Spinal Kinematics: A Systematic Review and Meta-analysis. J Manipulative Physiol Ther. 2020 Jul-Aug;43(6):635-645. doi: 10.1016/j.jmpt.2019.10.012. Epub 2020 Sep 6.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- REC//23/0107/Wasifa Haider
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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