Bowen Therapy and McGill Stabilization Exercises in Chronic Low Back Pain
Comparison of Bowen Therapy and McGill Stabilization Exercises on Pain, Range of Motion, and Disability in Chronic Low Back Pain: A Randomized Controlled Trial
Aperçu de l'étude
Statut
Les conditions
Intervention / Traitement
Description détaillée
This is a single-center, parallel-group, randomized controlled trial conducted at Sehat Medical Complex. A total of 100 participants aged 25-55 years with chronic nonspecific low back pain of more than three months' duration will be randomly allocated to one of two treatment groups using a computer-generated randomization sequence.
Participants in the experimental group will receive Bowen Therapy combined with the McGill stabilization exercise program, while participants in the comparator group will receive Bowen Therapy alone. Both groups will receive standard physiotherapy modalities, including a 10-minute moist hot pack and transcutaneous electrical nerve stimulation (TENS) before each treatment session. The intervention period will last six weeks, with treatment sessions conducted three times per week.
Outcome assessments will be performed at baseline and at Weeks 2, 4, and 6. Pain intensity will be measured using the Numeric Pain Rating Scale (NPRS), lumbar range of motion will be assessed using a bubble inclinometer, and functional disability will be evaluated using the Modified Oswestry Disability Index (MODI). All assessments will be performed by the same trained physiotherapist to ensure measurement consistency.
The study has been approved by the Institutional Review Board of Sehat Medical Complex (Approval No. IREB-UOL-SMC/001-26/2024) and will be conducted in accordance with the Declaration of Helsinki. Written informed consent will be obtained from all participants before enrollment. Statistical analysis will be performed using SPSS version 25.0. Descriptive statistics will summarize baseline characteristics, the Shapiro-Wilk test will assess data normality, and repeated-measures analysis of variance (RM-ANOVA) will be used to evaluate changes between groups over time. Statistical significance will be set at p < 0.05.
Type d'étude
Inscription (Réel)
Phase
- N'est pas applicable
Contacts et emplacements
Lieux d'étude
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Lahore, Pakistan, 54590
- Sehat Medical Complex
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Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
- Adulte
Accepte les volontaires sains
La description
Inclusion Criteria:
- With chronic localized low back pain lasting over three months
- Without any signs of pain below the gluteal fold
- Fulfills the recommended diagnostic criteria of nonspecific chronic low back pain.
Exclusion Criteria:
- Lumbar disc herniation
- Lumbar canal stenosis
- Spondylolisthesis
- Spondylitis
- Radiculopathy
- Vertebral fracture
- Neurological deficits
- Pregnancy or radiating pain below the gluteal fold.
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Traitement
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Seul
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
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Expérimental: Bowen Therapy + McGill Stabilization Exercise
Participants received a combined intervention consisting of Bowen Therapy and McGill stabilization exercises for six weeks.
The McGill exercise program included curl-up, side-bridge, and bird-dog exercises performed three sessions per week on alternate days, with 30 repetitions and a 10-second isometric hold per repetition.
Conventional physiotherapy exercises, including single and double knee-to-chest stretches, prone lying, heel slides, supine bicycling, and bridging exercises, were also provided.
Before each treatment session, participants received a 10-minute moist hot pack and transcutaneous electrical nerve stimulation (TENS).
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Bowen Therapy is a manual therapy involving gentle rolling movements applied over muscles, tendons, ligaments, and fascia using the fingers or thumbs. Treatment consisted of standardized movement sequences with 2-5 minute intervals between sets to facilitate neuromuscular integration. Each session included two to three repetitions per set and four to five sets, administered three times per week for six weeks. The McGill stabilization exercise program consisted of evidence-based core stabilization exercises including the curl-up, side-bridge, and bird-dog. Exercises were performed three times per week on alternate days for six weeks, with 30 repetitions and a 10-second isometric hold during each repetition. Participants also performed conventional physiotherapy exercises, including single and double knee-to-chest stretches, prone lying, heel slides, supine bicycling, and bridging exercises. |
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Comparateur actif: Bowen Therapy Alone
Participants received Bowen Therapy alone for six weeks.
Bowen Therapy consisted of gentle rolling manual movements applied to muscles, tendons, ligaments, and fascia using the fingers or thumbs, with 2-5 minute intervals between movement sequences.
Each session included two to three repetitions per set and four to five sets following a standardized treatment protocol.
Participants also received standard physiotherapy modalities, including a 10-minute moist hot pack and transcutaneous electrical nerve stimulation (TENS) before each treatment session.
|
Bowen Therapy is a manual therapy involving gentle rolling movements applied over muscles, tendons, ligaments, and fascia using the fingers or thumbs.
Treatment consisted of standardized movement sequences with 2-5 minute intervals between sets to facilitate neuromuscular integration.
Each session included two to three repetitions per set and four to five sets, administered three times per week for six weeks.
Participants in both study groups received Bowen Therapy according to the same standardized protocol.
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Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
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Pain Intensity Measured by the Numeric Pain Rating Scale (NPRS)
Délai: Baseline, Week 2, Week 4, and Week 6
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Pain intensity will be assessed using the 11-point Numeric Pain Rating Scale (NPRS), where 0 indicates no pain and 10 indicates the worst imaginable pain.
Higher scores indicate greater pain intensity.
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Baseline, Week 2, Week 4, and Week 6
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Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
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Functional Disability Measured by the Modified Oswestry Disability Index (MODI)
Délai: Baseline, Week 2, Week 4, and Week 6
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Functional disability will be assessed using the Modified Oswestry Disability Index (MODI).
Scores range from 0% to 100%, with higher scores indicating greater disability.
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Baseline, Week 2, Week 4, and Week 6
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Collaborateurs et enquêteurs
Parrainer
Publications et liens utiles
Publications générales
- Fouladi N, Minoonejad H, Rajabi R. Comparing the effects of the postural restoration exercises with and without core stability exercises in patients with non-specific chronic low back pain. Journal of Modern Rehabilitation. 2023.
- Opara JA, Saulicz E, Szczygiel JW, Szczygiel K. Is the Central Sensitization in Chronic Nonspecific Low Back Pain Structural Phenomenon or Psychological Reaction? A Narrative Review. J Clin Med. 2025 Jan 17;14(2):577. doi: 10.3390/jcm14020577.
- Baek JE, Kim SH, Shin HJ, Cho HY. Effect of a Healing Program Using Marine Resources on Reducing Pain and Improving Physical Function in Patients with Non-Specific Chronic Low Back Pain: A Randomized Controlled Trial Study. Medicina (Kaunas). 2025 Jan 21;61(2):172. doi: 10.3390/medicina61020172.
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Réel)
Achèvement primaire (Réel)
Achèvement de l'étude (Réel)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Réel)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Mots clés
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- IRB-UOL-SMC/001-27/2024
Plan pour les données individuelles des participants (IPD)
Prévoyez-vous de partager les données individuelles des participants (DPI) ?
Informations sur les médicaments et les dispositifs, documents d'étude
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