Comparative Effect of Sahrmann's Exercises and Core Stabilization Exercises on Low Back Pain in Individuals With Lumbar Lordosis

May 6, 2026 updated by: Fatima Zainab, Rashid Latif Medical College
Comparative effect of Sahrmann's exercises and core stabilization exercises on low back pain in individuals with lumbar lordosis

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

Low Back pain is the most usual cause of disability and is worsening on a global scale. The prevalence of Low back pain is reported to be about 80%. Lumbar lordosis has significance because of its distinctive position and its direct contact with the pelvis. Increased lordosis leads to excessive compression of apophyseal joint. Sahrmann's exercises refers to address the muscular component by shortening long muscles, reducing the load on weak or long muscles, supporting weakened using specific muscles to train the patient to activate specific muscles in a precise manner, and emphasize correct use of muscles in postural positioning activity and functional activity. The commonly used core stability training programs is the McGill Big 3 core stability exercise which was introduced by McGill and Karpowicz. Core stability has an impressive effect even on prevention of low back and lumbar lordosis. Core stability training has been widely used in physical therapy as treatment of low back pain.

Study Type

Interventional

Enrollment (Actual)

72

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 Locations

  • Pakistan
    • Punjab Province
      • Lahore, Punjab Province, Pakistan, 54000
        • Arif Memorial Teaching Hospital

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:

  • Male and Female patients
  • Age 20-60
  • Low back pain
  • Functional disability

Exclusion Criteria:

  • Pathological signs, Ankle injury, pregnant females, previous surgery
  • History of any specific medication
  • Regular high intensity exercise

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
Experimental: Sahrmann's Exercises
Sahrmann's exercises refers to address the muscular component by shortening long muscles, reducing the load on weak or long muscles, supporting weakened using specific muscles to train the patient to activate specific muscles in a precise manner, and emphasize correct use of muscles in postural positioning activity and functional activity. Sahrmann's approach is based on biomechanical view and contains stretching and strengthening exercises.
Other: Sahrmann's Exercises
Sahrmann's Exercises include exercises like Pelvic Clock which strengthen transverse abdominis and improve pelvic alignment. Its positions includes; Pelvic tilt (12 o'clock), Lateral pelvic shift (3 o'clock and 9 o'clock), Posterior pelvic tilt (6 o'clock) with 3 sets of 10-15 repetitions. Lumbar Extensions which enhance lumbar lordosis and strengthen erector spinae. Bridging which strengthen gluteus maximus and improve hip-pelvic alignment. Knee to Chest stretch which improves lumbar flexibility, mobility, enhances strength of hip and pelvic muscles.
Other Names:
  • Exercise
Active Comparator: Core Stabilization Exercises
The point of core stability exercises is to provide normal muscle function to increase spinal stability. The commonly used core stability training programs is the McGill Big 3 core stability exercise which was introduced by McGill and Karpowicz. Its main focus is on the influence of trunk stability on low back pain and lordosis. Core stability training re-educates the postural core muscles to stabilize the lumbopelvic region.
Other: Core Stabilization Exercises
Core Stabilization Exercises includes; Curl-Up which strengthen the rectus abdominis and transverse abdominis muscles with 3 sets of 10-15 repetitions. Bird Dog which strengthen the extensor muscles, including the erector spinae and latissimus dorsi. Side Plank (Modified Plank) which strengthen the transverse abdominis and oblique muscles.
Other Names:
  • Exercise

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Pain Intensity
Time Frame: Baseline and 4th week
The intensity of pain was measured by a numerical pain rating scale is an accurate and reliable tool for measuring pain intensity. It is a scale rating from 0 to 10 (no pain to moderate pain and to severe pain).
Baseline and 4th week

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Disability
Time Frame: Baseline and 4th week
Disability was measured by Oswestry disability index is a questionnaire includes total 10 sections and each section has 5 further statements related daily routine activities e.g. lifting, washing, walking, traveling, sitting etc. The possible score is 5 for each section. The score ranges from 0 (minimum disability) to 50 (maximum disability) indicating disability index.
Baseline and 4th week

Collaborators and Investigators

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

Sponsor

Rashid Latif Medical College

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

  • LAURIN, E., MINERBI, A., BESEMANN, L. M., COURCHESNE, C. I. & GUPTA, G. 2022. The McGill Approach to Core Stabilization in the Treatment of Chronic Low Back Pain: A Review. medRxiv, 2022.01. 21.22269311.
  • NIROOMAND, T., RABIEI, M. & MOHAMMADI, B. 2023. Investigating the Effects Janda's and Sahrmann's Correcting Exercise Approaches on Trunk Muscles Function in Young Girls with Lower Crossed Syndrome. Journal of Advanced Sport Technology, 7, 48-58.

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)

August 10, 2024

Primary Completion (Actual)

January 20, 2025

Study Completion (Actual)

January 20, 2025

Study Registration Dates

First Submitted

April 27, 2026

First Submitted That Met QC Criteria

April 27, 2026

First Posted (Actual)

May 4, 2026

Study Record Updates

Last Update Posted (Actual)

May 11, 2026

Last Update Submitted That Met QC Criteria

May 6, 2026

Last Verified

April 1, 2026

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • IRB/2024/160

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

IPD Plan Description

The data will be shared on request.

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.

Clinical Trials on Low Back Pain

Clinical Trials on Sahrmann's Exercises

Search Similar Trials

Sponsors and Collaborators

Medical Conditions

Drug Interventions

CROs by country

CROs in Hungary

Conditions

Rare Diseases

Drug Interventions

Dietary Supplements

Sponsor/Collaborators

Locations

Subscribe