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Egoscue and Core Stabilization for Chronic Low Back Pain

14. Juli 2026 aktualisiert von: University of Lahore

Egoscue Based Postural Correction Combined With Core Stabilization Exercises in Patients With Chronic Low Back Pain

Chronic low back pain is a widespread musculoskeletal condition that limits mobility and affects quality of life. It is often caused due to the poor posture, hyperlordosis and weak core muscles. This randomized clinical trial aims to evaluate the effectiveness of egoscue based postural correction combined with core stabilization exercises compared to core stabilization exercises alone in managing chronic low back pain. The primary outcomes measures includes numeric pain rating scale (NPRS), disability (Oswestry Disability Index), while secondary outcomes includes range of motion (Inclinometer), and posture (flexicurve Ruler).

Studienübersicht

Detaillierte Beschreibung

Chronic low back pain (CLBP) is a highly prevalent musculoskeletal condition characterized by pain and discomfort in the lumbar region. It significantly affects functional activities, posture, mobility, and quality of life. Persistent low back pain may lead to muscle weakness, reduced spinal stability, limited range of motion, and increased disability in daily activities. Poor posture, especially lumbar hyperlordosis, is considered one of the contributing biomechanical factors associated with chronic low back pain. Core stabilization exercises are widely used in physiotherapy rehabilitation for chronic low back pain. Improvement in core muscle activation helps enhance spinal stability, reduce mechanical stress on the lumbar spine, improve functional performance, and decrease pain intensity.

Egoscue-based postural correction exercises are designed to improve body alignment, muscle balance, and postural symmetry through a sequence of therapeutic exercises. These exercises focus on correcting abnormal posture, restoring muscular balance, and improving movement patterns.

Although both core stabilization exercises and Egoscue-based postural correction exercises have individually shown beneficial effects in musculoskeletal rehabilitation, there is limited evidence regarding their combined effectiveness in patients with chronic low back pain associated with lumbar hyperlordosis.

Therefore, this randomized clinical trial aims to compare Egoscue-based postural correction combined with core stabilization exercises versus core stabilization exercises alone in patients with chronic low back pain.

Pain intensity will be measured using the numeric pain rating scale (NPRS), and functional disability Urdu Version of the Oswestry Disability Index (ODI). Secondary outcomes will include lumbar range of motion measured by inclinometer and posture/lumbar lordosis assessed by the Flexicurve ruler. The findings of this study may provide evidence regarding the effectiveness of combining Egoscue-based postural correction with core stabilization exercises for improving pain, disability, posture, and spinal mobility in patients with chronic low back pain.

Studientyp

Interventionell

Einschreibung (Geschätzt)

64

Phase

  • Unzutreffend

Kontakte und Standorte

Dieser Abschnitt enthält die Kontaktdaten derjenigen, die die Studie durchführen, und Informationen darüber, wo diese Studie durchgeführt wird.

Studienorte

    • Punjab Province
      • Lahore, Punjab Province, Pakistan, 54782
        • The University of Lahore Teaching Hospital

Teilnahmekriterien

Forscher suchen nach Personen, die einer bestimmten Beschreibung entsprechen, die als Auswahlkriterien bezeichnet werden. Einige Beispiele für diese Kriterien sind der allgemeine Gesundheitszustand einer Person oder frühere Behandlungen.

Zulassungskriterien

Studienberechtigtes Alter

  • Erwachsene

Akzeptiert gesunde Freiwillige

Nein

Beschreibung

Inclusion Criteria:

  • Patients aged 25-55 years , both genders
  • Pain 4-7/10 (NPRS)
  • Patients with chronic low back pain
  • Hyperlumbar lordosis

Exclusion Criteria:

  • Patients with lumbar radiculopathy
  • Patients taking painkiller medications, patients with other spinal pathologies
  • Patients with neurological conditions (e.g., stroke, multiple sclerosis), patients with any cardiac or psychological disorders

Studienplan

Dieser Abschnitt enthält Einzelheiten zum Studienplan, einschließlich des Studiendesigns und der Messung der Studieninhalte.

Wie ist die Studie aufgebaut?

Designdetails

  • Hauptzweck: Behandlung
  • Zuteilung: Zufällig
  • Interventionsmodell: Parallele Zuordnung
  • Maskierung: Single

Waffen und Interventionen

Teilnehmergruppe / Arm
Intervention / Behandlung
Experimental: Egoscue Exercises Combined with Core Stabilization Exercises
These patients will receive Egoscue-based postural correction exercises combined with core stabilization exercises alongside physiotherapy care for the management of chronic low back pain.
  • Physiotherapy care: 10 minutes of hot pack therapy combined with TENS (Transcutaneous Electrical Nerve Stimulation) for pain relief, reduction of muscle spasm, and muscle relaxation before exercise intervention.
  • Core stabilization exercises:15 minutes core stabilization exercises including Crook Lying Position(20sec),Crook Lying with One Leg Extended,Quadruped with Neutral Head(3X5reps),Plank Position(10sec),prone lying arm at side(15sec),Sitting Erect on Chair,trunk muscle activation,and postural control.
  • Treatment schedule: Total treatment session will consist of 45 minutes including 10 minutes of hot pack with TENS and 35 minutes of core stabilization exercises. Treatment will be provided 3 sessions per week for 8 weeks.
  • Physiotherapy care:10 minutes hot pack therapy combined with TENS for pain relief, reduce muscle spasm,and muscle relaxation before exercise
  • Egoscue exercises:20 minutes Egoscue-based postural correction exercises including Static Back Exercise,Static Back with Breathing,Abdominal Contraction,Abductor Press(3sets 5reps)hold10sec,Overhead Extension,Elbow Curls on Wall,Static Wall, Upper Spinal Twist,Pelvic Tilts,Supine Groin Progression,Air Bench.(3sets 5reps)
  • Core stabilization exercises:15 minutes core stabilization exercises including Crook Lying Position(20sec),Crook Lying with One Leg Extended,Quadruped with Neutral Head(3X5reps),Plank Position(10sec),prone lying arm at side(15sec),Sitting Erect on Chair,trunk muscle activation,and postural control.
  • Treatment schedule:Session will consist 45 minutes including 10 minutes hot pack with TENS,20 minutes Egoscue exercises, and 15 minutes core stabilization exercises.Treatment will be provided 3 sessions per week for 8 weeks
Aktiver Komparator: Core Stabilization Exercises
These patients will receive core stabilization exercises alongside physiotherapy care for the management of chronic low back pain with hyperlumbar lordosis.
  • Physiotherapy care: 10 minutes of hot pack therapy combined with TENS (Transcutaneous Electrical Nerve Stimulation) for pain relief, reduction of muscle spasm, and muscle relaxation before exercise intervention.
  • Core stabilization exercises:15 minutes core stabilization exercises including Crook Lying Position(20sec),Crook Lying with One Leg Extended,Quadruped with Neutral Head(3X5reps),Plank Position(10sec),prone lying arm at side(15sec),Sitting Erect on Chair,trunk muscle activation,and postural control.
  • Treatment schedule: Total treatment session will consist of 45 minutes including 10 minutes of hot pack with TENS and 35 minutes of core stabilization exercises. Treatment will be provided 3 sessions per week for 8 weeks.

Was misst die Studie?

Primäre Ergebnismessungen

Ergebnis Maßnahme
Maßnahmenbeschreibung
Zeitfenster
Pain Intensity
Zeitfenster: Baseline, 4th week and at 8 weeks of intervention
Pain intensity will be assessed using the Numeric Pain Rating Scale (NPRS), an 11-point self-reported pain scale ranging from 0 to 10, where 0 = no pain and 10 = worst pain imaginable. Higher scores indicate greater pain intensity (worse outcome)
Baseline, 4th week and at 8 weeks of intervention

Sekundäre Ergebnismessungen

Ergebnis Maßnahme
Maßnahmenbeschreibung
Zeitfenster
Lumbar Range of Motion (ROM)
Zeitfenster: Baseline, 4th week and at 8 weeks of intervention
Lumbar spine range of motion measured using an Inclinometer, a reliable tool for assessing joint angle movement.
Baseline, 4th week and at 8 weeks of intervention
Postural Alignment
Zeitfenster: Baseline, 4 weeks and at 8th week of intervention
Lumbar lordosis and postural changes assessed using a Flexicurve Ruler, which measures spinal curvature by tracing the contour of the lumbar spine
Baseline, 4 weeks and at 8th week of intervention
Functional Disability
Zeitfenster: Baseline, 4th week and at 8 weeks of intervention
Functional disability will be assessed using the Urdu version of the Oswestry Disability Index (ODI). The ODI consists of 10 items, each scored from 0 to 5, with a total score ranging from 0 to 50, which is commonly expressed as a percentage (0% to 100%). Higher scores indicate greater disability and poorer functional status (worse outcome)
Baseline, 4th week and at 8 weeks of intervention

Mitarbeiter und Ermittler

Hier finden Sie Personen und Organisationen, die an dieser Studie beteiligt sind.

Ermittler

  • Studienstuhl: Sahreen Anwar, PhD, University of Lahore

Studienaufzeichnungsdaten

Diese Daten verfolgen den Fortschritt der Übermittlung von Studienaufzeichnungen und zusammenfassenden Ergebnissen an ClinicalTrials.gov. Studienaufzeichnungen und gemeldete Ergebnisse werden von der National Library of Medicine (NLM) überprüft, um sicherzustellen, dass sie bestimmten Qualitätskontrollstandards entsprechen, bevor sie auf der öffentlichen Website veröffentlicht werden.

Haupttermine studieren

Studienbeginn (Tatsächlich)

15. November 2025

Primärer Abschluss (Geschätzt)

15. August 2026

Studienabschluss (Geschätzt)

15. September 2026

Studienanmeldedaten

Zuerst eingereicht

28. Juni 2026

Zuerst eingereicht, das die QC-Kriterien erfüllt hat

28. Juni 2026

Zuerst gepostet (Tatsächlich)

6. Juli 2026

Studienaufzeichnungsaktualisierungen

Letztes Update gepostet (Tatsächlich)

16. Juli 2026

Letztes eingereichtes Update, das die QC-Kriterien erfüllt

14. Juli 2026

Zuletzt verifiziert

1. September 2025

Mehr Informationen

Begriffe im Zusammenhang mit dieser Studie

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NEIN

Arzneimittel- und Geräteinformationen, Studienunterlagen

Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt

Nein

Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt

Nein

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