Effect of Shock Wave Therapy With Core Stability Exercises for Treatment of Chronic Non-Specific Back Pain (ESW)

December 20, 2025 updated by: Mohamed Abdel Moeim Abo EL Ros, New Ismailia National University

A Randomized Controlled Trial Investigating the Effect of Extracorporeal Shock Wave Therapy With Core Stability Exercises for Treatment of Chronic Non-Specific Back Pain in Jordanian University Students

To investigate the Effect of Combined Extracorporeal Shock Wave with core stability Exercise for the Treatment of Chronic Non-Specific Back Pain in Jordanian University Students

Study Overview

Status

Recruiting

Conditions

Intervention / Treatment

Detailed Description

Chronic non-specific back pain (CNSLBP) is a prevalent condition with multifactorial causes, often linked to muscular weakness, poor postural control, and soft tissue dysfunction. Extracorporeal Shock Wave Therapy (ESWT) and core stabilization exercises (CSEs) have emerged as effective, complementary, and non-invasive treatment modalities for managing this condition.

ESWT works by delivering high-energy acoustic waves to affected tissues, stimulating biological responses such as neovascularization, collagen synthesis, and reduction of inflammation and pain mediators. These effects help improve tissue healing, decrease muscle tension, and enhance local blood flow, ultimately reducing pain intensity and improving mobility.

On the other hand, CSEs target the deep stabilizing muscles of the spine-particularly the transversus abdominis, multifidus, and pelvic floor muscles-to restore spinal stability and improve posture, balance, and functional movement. Regular performance of these exercises strengthens the core, reduces mechanical stress on the lumbar structures, and prevents pain recurrence.

When combined, ESWT and CSEs provide synergistic benefits: ESWT offers rapid pain relief and tissue recovery, facilitating better participation in exercise programs, while CSEs ensure long-term spinal stability and functional improvement. Together, they form a comprehensive and evidence-based approach to reducing pain, enhancing physical function, and improving quality of life in individuals with chronic non-specific low back pain.

Study Type

Interventional

Enrollment (Estimated)

100

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 Contact Backup

  • Name: Kerolos I Kelini, Ph.D
  • Phone Number: 01229712126
  • Email: 3530@zuj.edu.jo

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

  • Child
  • Adult

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • chronic non- specific back pain for more than 3 months
  • teaching hours from 4 to 6 hours, 4 days per week\
  • female sufferers
  • Body Mass Index 20 - 22

Exclusion Criteria:

  • No History of previous back surgeries
  • no history of discogenic lesion
  • overweight

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: Other
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Experimental
will be subjected to extracorporeal shock wave therapy in addition to core stabilization exercise
Device: Extracorporeal Shock wave therapy
treatment of chronic non-specific back pain by shock wave therapy combined with core stabilization exercises
Other Names:
  • core stabilization exercise s
Sham Comparator: control group
Control group will be assigned core stabilization exercises, and therapeutic ultrasound
Device: Extracorporeal Shock wave therapy
treatment of chronic non-specific back pain by shock wave therapy combined with core stabilization exercises
Other Names:
  • core stabilization exercise s

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
back pain
Time Frame: 12 weeks
Measurement of pain intensity by visual analogue scale
12 weeks

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
physical function
Time Frame: 12 weeks
measuring of functional status by Oswestry Disability Questionnaire
12 weeks
Balance
Time Frame: 12 weeks
Measurement of changes in balance using the Biodex Balance system
12 weeks

Collaborators and Investigators

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

Sponsor

New Ismailia National University

Investigators

  • Principal Investigator: Mohamed AM Abo El Ros, Ph.D, Suez Canal 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)

December 1, 2025

Primary Completion (Estimated)

May 1, 2026

Study Completion (Estimated)

June 1, 2026

Study Registration Dates

First Submitted

December 20, 2025

First Submitted That Met QC Criteria

December 20, 2025

First Posted (Actual)

January 6, 2026

Study Record Updates

Last Update Posted (Actual)

January 6, 2026

Last Update Submitted That Met QC Criteria

December 20, 2025

Last Verified

December 1, 2025

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • IRB # 4/12/2024- 2025

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

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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