Effect of Open Chain Versus Closed Chain Segmental Control Exercises on CSA of Lumbar Multifidus Muscle in Chronic MLBP (CSA)

May 15, 2026 updated by: Haytham M Elhafez, Cairo University

Effect of Open Chain Versus Closed Chain Segmental Control Exercises on Cross Sectional Area of Lumbar Multifidus Muscle in Chronic Mechanical Low Back Pain

To investigate the effect of adding open versus closed chain segmental control exercises to conventional treatment program on pain intensity, lumbar ROM, and CSA of multifidus muscle.

Study Overview

Status

Recruiting

Conditions

Intervention / Treatment

Detailed Description

  • To investigate the effect of adding open versus closed chain segmental control exercises to conventional treatment program on pain intensity.
  • To investigate the effect of adding open versus closed chain segmental control exercises to conventional treatment program on lumber ROM.
  • To investigate the effect of adding open versus closed chain segmental control exercises to conventional treatment program on CSA of multifidus muscle.
  • To investigate the effect of adding open versus closed chain segmental control exercises to conventional treatment program on lumber function.

Study Type

Interventional

Enrollment (Estimated)

60

Phase

  • Not Applicable

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 Locations

  • Egypt
    • Dokki
      • Giza, Dokki, Egypt, 12612
        • Recruiting
        • Faculty of Physical Therapy
        • Contact:
        • Sub-Investigator:
          • Mona E Hassan, Msc
        • Sub-Investigator:
          • Hend H Ahmed, PhD
        • Sub-Investigator:
          • Ghada A Abdallah, PhD

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

  • Adult

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  1. Patients with chronic low back pain from both genders their age will be ranged and divided into three groups from 25-55 years.
  2. Participants with chronic low back pain lasting for more than 6 Months.
  3. A patient who can follow the command.
  4. A patient who can do exercise.

Exclusion Criteria:

  1. Low back pain patients with a history of severe neurological disease or orthopedic disease.
  2. History of Psychological Disorder.
  3. Unhealthy Patient.
  4. Pregnant women.
  5. Patient with a spinal tumor.
  6. History of any operation related to spine. Ex. Vertebral fracture or dislocation.

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

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

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Sham Comparator: Control
The participants will receive conventional treatment in the form of TENS and Ultrasound.
Other: Conventional treatment
Application of ultrasound and transcutaneous electrical nerve stimulation "TENS" for mechanical low back pain.
Experimental: Intervention 1
The participants will receive "open chain segmental control exercises" plus conventional treatment in the form of TENS and Ultrasound.
Other: Open chain segmental control
Application of "open chain segmental control exercises" As well as, application of ultrasound and transcutaneous electrical nerve stimulation "TENS" for mechanical low back pain.
Experimental: Intervention 2
The participants will receive "closed chain segmental control exercises" plus conventional treatment in the form of TENS and Ultrasound.
Other: Closed chain segmental control
Application of "closed chain segmental control exercises" As well as, application of ultrasound and transcutaneous electrical nerve stimulation "TENS" for mechanical low back pain.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Cross sectional area of multifidus muscle
Time Frame: Pre and Post measurement (12 weeks)
Cross sectional area of multifidus muscle
Pre and Post measurement (12 weeks)
Pain intensity
Time Frame: Pre and Post measurement (12 weeks)
Measured by VAS (from 0 to 10; 0 means no pain and 10 means worst pain)
Pre and Post measurement (12 weeks)

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
ROM of lumbar spine
Time Frame: Pre and Post measurement (12 weeks)
Measuring ROM of lumbar spine
Pre and Post measurement (12 weeks)
Functional ability of lumbar spine
Time Frame: Pre and Post measurement (12 weeks)
Questionnaire for measuring lumbar activities (lower score means better and higher score means worse)
Pre and Post measurement (12 weeks)

Collaborators and Investigators

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

Sponsor

Cairo University

Investigators

  • Principal Investigator: Haytham M Elhafez, PhD, Cairo 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 2, 2023

Primary Completion (Estimated)

June 13, 2026

Study Completion (Estimated)

September 1, 2026

Study Registration Dates

First Submitted

August 13, 2023

First Submitted That Met QC Criteria

August 18, 2023

First Posted (Actual)

August 24, 2023

Study Record Updates

Last Update Posted (Actual)

May 18, 2026

Last Update Submitted That Met QC Criteria

May 15, 2026

Last Verified

September 1, 2025

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • REC/007/002763

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

product manufactured in and exported from the U.S.

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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