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Core Stability Training in Young Adults With Chronic Non-Specific Low Back Pain

30. června 2026 aktualizováno: Guangxi Normal University

Effects of Core Stability Training on Functional Recovery in Young Adults With Chronic Non-Specific Low Back Pain

Chronic non-specific low back pain is common among young adults and can lead to persistent pain, reduced physical function, decreased muscle strength, and impaired balance, affecting daily activities and quality of life. Core stability exercises are widely used in rehabilitation programs for low back pain, but the effectiveness of Swiss ball-based core stability training in young adults with chronic non-specific low back pain remains unclear.

The purpose of this study is to investigate whether Swiss ball-based core stability training can reduce pain and improve functional recovery in young men with chronic non-specific low back pain compared with conventional mat-based lumbar muscle exercises. Participants will be randomly assigned to either a Swiss ball core stability training group or a mat-based lumbar muscle training group and will complete a 6-week exercise intervention program.

The study will evaluate changes in pain intensity, disability related to low back pain, lumbar muscle strength, and dynamic balance ability. The study hypothesizes that Swiss ball-based core stability training will produce greater improvements in pain relief, physical function, muscle strength, and balance than conventional mat-based lumbar muscle exercises.

Přehled studie

Typ studie

Intervenční

Zápis (Aktuální)

30

Fáze

  • Nelze použít

Kontakty a umístění

Tato část poskytuje kontaktní údaje pro ty, kteří studii provádějí, a informace o tom, kde se tato studie provádí.

Studijní místa

    • Guangxi
      • Guilin, Guangxi, Čína, 541004
        • Guangxi Normal University

Kritéria účasti

Výzkumníci hledají lidi, kteří odpovídají určitému popisu, kterému se říká kritéria způsobilosti. Některé příklady těchto kritérií jsou celkový zdravotní stav osoby nebo předchozí léčba.

Kritéria způsobilosti

Věk způsobilý ke studiu

  • Dospělý

Přijímá zdravé dobrovolníky

Ne

Popis

Inclusion Criteria:

  • Male participants aged 18 to 25 years.
  • Diagnosis of chronic non-specific low back pain characterized by pain or discomfort located between the lower rib margin and the gluteal folds, with or without lower limb pain.
  • No signs of nerve root compression and a negative straight leg raise test.
  • No identifiable specific pathological or anatomical cause of low back pain.
  • Baseline pain intensity score greater than 2 and less than 9 on the Visual Analog Scale (VAS).
  • Duration of low back pain symptoms longer than 12 weeks.
  • No treatment for low back pain received within the previous month.
  • Willingness to participate in the study and provide written informed consent.

Exclusion Criteria:

  • Failure to meet the diagnostic criteria for chronic non-specific low back pain.
  • History of spinal trauma or spinal surgery.
  • Presence of severe cardiovascular diseases, such as uncontrolled hypertension.
  • Presence of severe metabolic diseases, such as gout.
  • Presence of severe infectious diseases, such as pneumonia.
  • Diagnosed structural spinal disorders, including lumbar disc herniation, spondylolisthesis, spinal stenosis, or other identifiable pathological anatomical abnormalities.
  • Any medical condition that would prevent safe participation in the exercise intervention as determined by the investigators.

Studijní plán

Tato část poskytuje podrobnosti o studijním plánu, včetně toho, jak je studie navržena a co studie měří.

Jak je studie koncipována?

Detaily designu

  • Primární účel: Léčba
  • Přidělení: Randomizované
  • Intervenční model: Paralelní přiřazení
  • Maskování: Dvojnásobek

Zbraně a zásahy

Skupina účastníků / Arm
Intervence / Léčba
Experimentální: Swiss ball-based core stability training
Participants in this arm will perform core stability training using a Swiss ball as the primary exercise equipment. Before the formal training session, participants will complete a 5-minute supervised warm-up consisting of dynamic stretching exercises focusing on the spine, shoulders, and hips, together with light running and jumping activities for the lower extremities. The core stability program consists of six exercise components performed in a progressive sequence from easier to more difficult tasks, with gradual reductions in the base of support to increase instability and challenge trunk control. As participants adapt to the intervention over time, the training load will be periodically increased to optimize therapeutic effects. Following each training session, participants will complete 5 minutes of static stretching exercises as a cool-down activity.
Participants in this arm will perform core stability training using a Swiss ball as the primary exercise equipment. Before the formal training session, participants will complete a 5-minute supervised warm-up consisting of dynamic stretching exercises focusing on the spine, shoulders, and hips, together with light running and jumping activities for the lower extremities. The core stability program consists of six exercise components performed in a progressive sequence from easier to more difficult tasks, with gradual reductions in the base of support to increase instability and challenge trunk control. As participants adapt to the intervention over time, the training load will be periodically increased to optimize therapeutic effects. Following each training session, participants will complete 5 minutes of static stretching exercises as a cool-down activity.
Aktivní komparátor: Mat-based lumbar muscle exercises
Participants in this arm will perform lumbar muscle exercises using a mat as the primary exercise surface. Apart from the exercise equipment used, the overall training protocol will be identical to that of the Swiss ball-based core stability training group. Before the formal training session, participants will complete the same 5-minute supervised warm-up program consisting of dynamic stretching exercises and light running and jumping activities. After each training session, participants will also perform 5 minutes of static stretching exercises as a cool-down activity.
Participants in this arm will perform lumbar muscle exercises using a mat as the primary exercise surface. Apart from the exercise equipment used, the overall training protocol will be identical to that of the Swiss ball-based core stability training group. Before the formal training session, participants will complete the same 5-minute supervised warm-up program consisting of dynamic stretching exercises and light running and jumping activities. After each training session, participants will also perform 5 minutes of static stretching exercises as a cool-down activity.

Co je měření studie?

Primární výstupní opatření

Měření výsledku
Popis opatření
Časové okno
Pain intensity
Časové okno: From enrollment to the end of treatment at 6 weeks
Pain intensity will be assessed using the Visual Analog Scale (VAS). Participants will rate their current level of low back pain on a 10-cm scale ranging from 0 to 10, where 0 represents "no pain" and 10 represents "the worst pain imaginable." Higher scores indicate greater pain intensity.
From enrollment to the end of treatment at 6 weeks
Low back disability
Časové okno: From enrollment to the end of treatment at 6 weeks
Low back-related disability will be assessed using the Oswestry Disability Index (ODI), a widely used measure of functional impairment associated with low back pain. The questionnaire consists of 10 items evaluating the impact of low back pain on activities of daily living. Each item is scored from 0 to 5, and the total score is converted into a percentage, with higher scores indicating greater disability.
From enrollment to the end of treatment at 6 weeks

Sekundární výstupní opatření

Měření výsledku
Popis opatření
Časové okno
Lumbar muscle strength
Časové okno: From enrollment to the end of treatment at 6 weeks
Lumbar flexor and extensor muscle strength will be measured using a Hoggan MicroFET 2 handheld dynamometer. Lumbar flexion strength will be assessed in the supine position, and lumbar extension strength will be assessed in the prone position. Participants will perform maximal isometric contractions against the dynamometer for approximately 3 seconds. Each test will be repeated five times, and the highest recorded value will be used for analysis. Muscle strength values will be recorded in pounds (lb).
From enrollment to the end of treatment at 6 weeks
Dynamic balance ability
Časové okno: From enrollment to the end of treatment at 6 weeks
Dynamic balance ability will be assessed using the Y-Balance Test (YBT). Participants will perform reach tasks in the anterior, posteromedial, and posterolateral directions while maintaining single-leg stance. Reach distances will be normalized to lower limb length and expressed as a composite score percentage. Higher scores indicate better dynamic balance performance.
From enrollment to the end of treatment at 6 weeks

Spolupracovníci a vyšetřovatelé

Zde najdete lidi a organizace zapojené do této studie.

Termíny studijních záznamů

Tato data sledují průběh záznamů studie a předkládání souhrnných výsledků na ClinicalTrials.gov. Záznamy ze studií a hlášené výsledky jsou před zveřejněním na veřejné webové stránce přezkoumány Národní lékařskou knihovnou (NLM), aby se ujistily, že splňují specifické standardy kontroly kvality.

Hlavní termíny studia

Začátek studia (Aktuální)

1. ledna 2021

Primární dokončení (Aktuální)

1. března 2021

Dokončení studie (Aktuální)

1. března 2021

Termíny zápisu do studia

První předloženo

30. června 2026

První předloženo, které splnilo kritéria kontroly kvality

30. června 2026

První zveřejněno (Aktuální)

7. července 2026

Aktualizace studijních záznamů

Poslední zveřejněná aktualizace (Aktuální)

7. července 2026

Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality

30. června 2026

Naposledy ověřeno

1. června 2026

Více informací

Termíny související s touto studií

Další identifikační čísla studie

  • 2018010748

Plán pro data jednotlivých účastníků (IPD)

Plánujete sdílet data jednotlivých účastníků (IPD)?

NE

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Studuje lékový produkt regulovaný americkým FDA

Ne

Studuje produkt zařízení regulovaný americkým úřadem FDA

Ne

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