腰椎脊椎炎における体幹安定化に対する胸椎モビリティエクササイズと股関節モビリティエクササイズの比較 (TME-HME)
2026年11月3日 更新者：YAHYA ABDU S KULAYBI、Cairo University
腰椎脊椎炎におけるコア安定化に対する胸部可動性エクササイズと股関節可動性エクササイズ
This study is conducted to determine the effect of thoracic mobility versus hip mobility exercises to core stabilization on pain severity (NPRS-Ar), functional disability (MODI-Ar), lumbar range of motion (BROM), spinal mobility (modified schober test), quality of life (SF-36-Ar) and fear of movement (Tampa-Ar) in treatment of patients with lumbar spondylitis.
調査の概要
状態
完了
詳細な説明
This study is conducted to determine the effect of thoracic mobility versus hip mobility exercises to core stabilization on pain severity
, functional disability , lumbar range of motion , spinal mobility , quality of life and fear of movement in treatment of patients with lumbar spondylitis.
研究の種類
介入
入学 (実際)
60
段階
- 適用できない
連絡先と場所
このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。
研究場所
-
-
-
Cairo、エジプト
- Faculity Og Physical Therapy in Cairo Univercity
-
-
参加基準
研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。
適格基準
就学可能な年齢
40年～60年 (大人)
健康ボランティアの受け入れ
いいえ
受講資格のある性別
全て
説明
Inclusion Criteria:
- lumbar spondylitis diagnosis (symptoms will be more than 3 months) ..
- Patients' age from 40-60 years .
- Localized back pain and pain radiating to lower extremities
Exclusion Criteria:
- Spinal or hip surgery .
- pregnancy .
- Neurological Disorders: .
- Inflammatory Conditions: .
- Cognitive Impairment .
研究計画
このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：処理
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：独身
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
|
実験的：Core stabilization exercises (control group)
In the Core stabilization exercises (control group)patients will receive Core stabilization exercises as Abdomen Curl ,Supine Bridging ,Bird Dog , Side Bridging , Plank , Curl Up and Sitting On Ball. In each session. The exercises will consist of 3 levels (from easy to difficult). In the advanced level exercises, resistance limb exercises will be added and the exercises will be completed gradually. Each exercise will be performed for 3 sets of 8-10 repetition. |
Core stabilization exercises include Abdomen Curl ,Supine Bridging ,Bird Dog , Side Bridging , Plank , Curl Up and Sitting On Ball In each session. The exercises will consist of 3 levels (from easy to difficult). In the advanced level exercises, patients will be asked to maintain the neutral curvature of the lumbar spine, resistance limb exercises will be added and the exercises will be completed gradually. Each exercise will be performed for 3 sets of 8-10 repetition. |
|
実験的：Thoracic Mobility Exercises (1st experimental group only)
In the thoracic Mobility Exercises group ( experimental group B) will receive core stabilization Exercises program(as Abdomen Curl ,Supine Bridging ,Bird Dog , Side Bridging , Plank , Curl Up and Sitting On Ball. In each session) in addition to thoracic Mobility Exercises as (Thoracic extension with foam roller ,Thoracic extension with chair ,Thoracic flexion in quadruped , Right Thoracic rotation in side lying ,Left Thoracic rotation in side lying , Right kneeling Thoracic rotation , Left kneeling Thoracic rotation , Right Thoracic sitting lateral flexion and Left Thoracic sitting lateral flexion .Each exercise will be performed for 3 sets of 10 repetitions in addition to core stabilization program |
receive thoracic Mobility Exercises as movements in all directions of thoracic spine as (Thoracic extension with foam roller ,Thoracic extension with chair ,Thoracic flexion in quadruped , Right Thoracic rotation in side lying ,Left Thoracic rotation in side lying , Right kneeling Thoracic rotation , Left kneeling Thoracic rotation , Right Thoracic sitting lateral flexion and Left Thoracic sitting lateral flexion) .Each exercise will be performed for 3 sets of 10 repetitions. will receive core stabilization Exercises program(as Abdomen Curl ,Supine Bridging ,Bird Dog , Side Bridging , Plank , Curl Up and Sitting On Ball. In each session) The exercises will consist of 3 levels (from easy to difficult). In the advanced level exercises, resistance limb exercises will be added and the exercises will be completed gradually. Each exercise will be performed for 3 sets of 8-10 repetition. |
|
実験的：Hip Mobility Exercises (2nd experimental group only)
will receive core stabilization Exercises program(as Abdomen Curl ,Supine Bridging ,Bird Dog , Side Bridging , Plank , Curl Up and Sitting On Ball. In each session) in addition to hip mobility exercises program The patients will perform 8 different hip mobility exercises; reverse v-ups, butterfly, frog, internal rotation with foot rise, pike, revolved crescent lunge, pigeon, lunge on the knee. Each exercise will be performed for 2 sets of 20 seconds. |
will receive core stabilization Exercises program(as Abdomen Curl ,Supine Bridging ,Bird Dog , Side Bridging , Plank , Curl Up and Sitting On Ball. In each session) in addition to hip Mobility Exercises (The patients will perform 8 different hip mobility exercises; reverse v-ups, butterfly, frog, internal rotation with foot rise, pike, revolved crescent lunge, pigeon, lunge on the knee. Each exercise will be performed for 2 sets of 20 seconds). will receive core stabilization Exercises program(as Abdomen Curl ,Supine Bridging ,Bird Dog , Side Bridging , Plank , Curl Up and Sitting On Ball. In each session) The exercises will consist of 3 levels (from easy to difficult). In the advanced level exercises, resistance limb exercises will be added and the exercises will be completed gradually. Each exercise will be performed for 3 sets of 8-10 repetition. |
この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Change in Functional Disability Measured by the Modified Oswestry Disability Index (MODI-Ar)
時間枠：Baseline and 6 weeks (post-treatment).
|
Functional disability caused by low back pain will be assessed using the Arabic version of the Modified Oswestry Disability Index (MODI-Ar). |
Baseline and 6 weeks (post-treatment).
|
|
Change in Pain Intensity Measured by the Numerical Pain Rating Scale (NPRS-Ar)
時間枠：Baseline and 6 weeks (post-treatment).
|
Pain intensity will be assessed using the Arabic version of the 11-point Numerical Pain Rating Scale (NPRS-Ar), ranging from 0 (no pain) to 10 (worst possible pain). |
Baseline and 6 weeks (post-treatment).
|
|
Change in Active Lumbar Range of Motion Measured by the Back Range of Motion (BROM) Device.
時間枠：Baseline and 6 weeks (post-treatment).
|
Active lumbar range of motion will be measured using the Back Range of Motion (BROM) device, including flexion, extension, right and left lateral flexion, and right and left rotation. Each movement will be measured over three trials, and the average value will be used for analysis. |
Baseline and 6 weeks (post-treatment).
|
|
Change in Lumbar Flexion Mobility Measured by the Modified Schober Test.
時間枠：Baseline and 6 weeks (post-treatment).
|
Lumbar flexion mobility will be assessed using the Modified Schober Test. Skin markings will be placed 15 cm above and 5 cm below the lumbosacral junction (L5-S1). The change in distance during forward trunk flexion will be recorded in centimeters. |
Baseline and 6 weeks (post-treatment).
|
|
Change in Fear of Movement and Re-Injury Measured by the Tampa Scale for Kinesiophobia (TSK-Ar).
時間枠：Baseline and 6 weeks (post-treatment).
|
Fear of movement and re-injury will be assessed using the Arabic version of the Tampa Scale for Kinesiophobia (TSK-Ar), which evaluates fear of movement and physical activity using a 4-point Likert scale. |
Baseline and 6 weeks (post-treatment).
|
|
Change in Health-Related Quality of Life Measured by the RAND 36-Item Health Survey (RAND-36).
時間枠：Baseline and 6 weeks (post-treatment).
|
Health-related quality of life will be assessed using the RAND 36-Item Health Survey, which evaluates physical functioning, emotional well-being, social functioning, and other health-related domains. Each domain is scored from 0 to 100, with higher scores indicating better health status. |
Baseline and 6 weeks (post-treatment).
|
協力者と研究者
ここでは、この調査に関係する人々や組織を見つけることができます。
スポンサー
捜査官
- スタディディレクター：MOAAZ R EL SAKKA, PhD、CAIRO UNIVERCITY
出版物と役立つリンク
研究に関する情報を入力する責任者は、自発的にこれらの出版物を提供します。これらは、研究に関連するあらゆるものに関するものである可能性があります。
一般刊行物
- Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992 Jun;30(6):473-83.
- Alghadir AH, Anwer S, Iqbal A, Iqbal ZA. Test-retest reliability, validity, and minimum detectable change of visual analog, numerical rating, and verbal rating scales for measurement of osteoarthritic knee pain. J Pain Res. 2018 Apr 26;11:851-856. doi: 10.2147/JPR.S158847. eCollection 2018.
- Cook G, Burton L, Hoogenboom BJ, Voight M. Functional movement screening: the use of fundamental movements as an assessment of function - part 1. Int J Sports Phys Ther. 2014 May;9(3):396-409.
- Ferraz MB, Quaresma MR, Aquino LR, Atra E, Tugwell P, Goldsmith CH. Reliability of pain scales in the assessment of literate and illiterate patients with rheumatoid arthritis. J Rheumatol. 1990 Aug;17(8):1022-4.
- Fairbank JC, Pynsent PB. The Oswestry Disability Index. Spine (Phila Pa 1976). 2000 Nov 15;25(22):2940-52; discussion 2952. doi: 10.1097/00007632-200011150-00017.
- Sueki DG, Cleland JA, Wainner RS. A regional interdependence model of musculoskeletal dysfunction: research, mechanisms, and clinical implications. J Man Manip Ther. 2013 May;21(2):90-102. doi: 10.1179/2042618612Y.0000000027.
- Wainner RS, Whitman JM, Cleland JA, Flynn TW. Regional interdependence: a musculoskeletal examination model whose time has come. J Orthop Sports Phys Ther. 2007 Nov;37(11):658-60. doi: 10.2519/jospt.2007.0110. No abstract available.
- Maher C, Underwood M, Buchbinder R. Non-specific low back pain. Lancet. 2017 Feb 18;389(10070):736-747. doi: 10.1016/S0140-6736(16)30970-9. Epub 2016 Oct 11.
- Oliveira CB, Maher CG, Pinto RZ, Traeger AC, Lin CC, Chenot JF, van Tulder M, Koes BW. Clinical practice guidelines for the management of non-specific low back pain in primary care: an updated overview. Eur Spine J. 2018 Nov;27(11):2791-2803. doi: 10.1007/s00586-018-5673-2. Epub 2018 Jul 3.
- Kim B, Yim J. Core Stability and Hip Exercises Improve Physical Function and Activity in Patients with Non-Specific Low Back Pain: A Randomized Controlled Trial. Tohoku J Exp Med. 2020 Jul;251(3):193-206. doi: 10.1620/tjem.251.193.
- Selkowitz DM, Beneck GJ, Powers CM. Which exercises target the gluteal muscles while minimizing activation of the tensor fascia lata? Electromyographic assessment using fine-wire electrodes. J Orthop Sports Phys Ther. 2013 Feb;43(2):54-64. doi: 10.2519/jospt.2013.4116. Epub 2012 Nov 16.
- Hartvigsen J, Hancock MJ, Kongsted A, Louw Q, Ferreira ML, Genevay S, Hoy D, Karppinen J, Pransky G, Sieper J, Smeets RJ, Underwood M; Lancet Low Back Pain Series Working Group. What low back pain is and why we need to pay attention. Lancet. 2018 Jun 9;391(10137):2356-2367. doi: 10.1016/S0140-6736(18)30480-X. Epub 2018 Mar 21.
- Kibler WB, Press J, Sciascia A. The role of core stability in athletic function. Sports Med. 2006;36(3):189-98. doi: 10.2165/00007256-200636030-00001.
- Cieza A, Causey K, Kamenov K, Hanson SW, Chatterji S, Vos T. Global estimates of the need for rehabilitation based on the Global Burden of Disease study 2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet. 2021 Dec 19;396(10267):2006-2017. doi: 10.1016/S0140-6736(20)32340-0. Epub 2020 Dec 1.
- Lurie J, Tomkins-Lane C. Management of lumbar spinal stenosis. BMJ. 2016 Jan 4;352:h6234. doi: 10.1136/bmj.h6234.
- Foster NE, Anema JR, Cherkin D, Chou R, Cohen SP, Gross DP, Ferreira PH, Fritz JM, Koes BW, Peul W, Turner JA, Maher CG; Lancet Low Back Pain Series Working Group. Prevention and treatment of low back pain: evidence, challenges, and promising directions. Lancet. 2018 Jun 9;391(10137):2368-2383. doi: 10.1016/S0140-6736(18)30489-6. Epub 2018 Mar 21.
- World Health Organization, (WHO). (2023). Global health estimates 2019: Deaths by cause, age, sex, by country and by region, 2000-2019.
- Wilson, A. & Clarke, S. (2023). Hip mobility interventions in chronic low back pain: A biomechanical analysis using 3D motion capture. Clin Biomech, 98: 105-112.
- Wilson, A., Thompson, M. & Kumar, S. (2023). Multi-regional approach to chronic low back pain: Combining thoracic and hip interventions. J Rehabil Med, 55(4): 245-253.
- Thompson, M., Reiman, M. P., Sylvain, J., Tenforde, A. S. & Davis, I. S. (2021). The role of hip abductor strength in people with patellofemoral pain: A systematic review and meta-analysis. Sports Health, 12(6): 552 558.
- Skundric, G., Vukicevic, V., & Lukic, N. (2021). Effects of Core Stability Exercises, Lumbar Lordosis and Low-Back Pain: A Systematic Review. Journal of Anthropology of Sport and Physical Education, 5(1), 17-23. https://doi.org/10.26773/jaspe.210104
- Sivakumar, R. & Hossain, S. (2025). Effects of thoracic mobility exercises combined with breathing techniques on pain, muscle strength, and self efficacy in undergraduate students with upper back pain. Int J Therap Rehabil, 32(1): 1-9. DOI:10.13140/RG.2.2.34909.01767
- Scholtes, S. A., Gombatto, S. P. & Van Dillen, L. R. (2009). The influence of hip motion on the lumbar spine and pelvis during gait in people with and without low back pain. Phys. Ther., 89(11): 1151-1160.
- Salah Eldeen, A. A., Rehab, N. I., Fahmy, E., Shendy, W. S. & Alsaid, H. M. (2024). Effect of thoracic spine mobilization as an adjunct to conventional physical therapy on chronic lumbosacral radiculopathy: A randomized controlled trial. Benha Int J Phys Ther, 2(2): 35 - 42. DOI: 10.21608/bijpt.2024.303076.1034
- Rose, G., Wellman, S., Hughes, J. & DiBenedetto, M. (2020). Thoracic spine extension mobility in young adults and its relation to shoulder function. Phys. Ther. Sport, 42: 134-142.
- Ramzy, R. (2008). Validation of the Arabic Version of the Oswestry Disability Index Developed in Tunisia for low back pain patients in the UAE. Master Thesis, Physical Therapy, Stellenbosch University.
- Ramirez-Velez, R., Correa-Bautista, J. E., Sanders-Tordecilla, A., Ojeda Pardo, M. L., Cobo-Mejía, E. A., Castellanos-Vega, R. P., García Hermoso, A., González-Jiménez, E., Schmidt-RioValle, J. & González Ruíz, K. (2021). Yoga practice decreases levels of anxiety, depression, and perceived stress in women with breast cancer: A randomized controlled trial. J Clin Med, 8(10): 1645.
- Rahman, M. S., Islam, M. S., Alam, M. M., Haque, A., Rahman, A. & Choudhury, M. R. (2023). Effectiveness of thoracic spine mobilization with conventional physiotherapy versus conventional physiotherapy alone in patients with lumbar spondylolisthesis. J Phys Ther Sci, 35(2): 123-128.
- Patel, L. (2024). Effect of 4 weeks core stabilization exercise on muscle activity, range motion Fizjoterapiapolska.pl. and function in Lumbar Spondylosis. https://fizjoterapiapolska.pl/en/article/wplyw-4 tygodniowych-cwiczen-stabilizacji-centralnej-na-aktywnosc-miesni zakres-ruchu-i-funkcje-u-pacjentow-z-ledzwiowa-spondyloza/
- Park, K. N. & Kim, S. H. (2020). Effects of real-time ultrasound-guided core strengthening exercises on muscle thickness and pain in patients with chronic low back pain. Clin Rehabil, 34(1): 98-106.
- Park, D. & Lee, K. S. (2024). Effects of Thoracic Mobility Exercise Program on Pain, Proprioception, and Static Balance Ability in Patients with non Specific Chronic Low Back Pain. Phys Ther Rehabil Sci 2024;13:1-7. DOI: 10.14474/ptrs.2024.13.1.1
- Page, P., Frank, C. C. & Lardner, R. (2020). Assessment and treatment of muscle imbalance: The Janda approach. Human Kinetics.
- McGill, S. M. (2016). Low back disorders: Evidence-based prevention and rehabilitation (3rd ed.). Human Kinetics.
- Kumar, A. & Singh, R. (2021). Thoracic spine mobility interventions for chronic low back pain: A systematic review. Int J Sports Phys Ther, 16(2): 464-475.
- Kim, M. H., Yoo, W. G. & Lee, R. M. (2021). Effects of hip mobility training on lumbar stability in patients with chronic low back pain. Physiother Res Inter, 26(2): 85-91.
- Kahl, C. & Cleland, J. A. (2005). Visual analogue scale, numeric pain rating scale and the McGill pain Questionnaire: an overview of psychometric properties. Phys Ther 10.1179/108331905X55776
- Jones, I. & Johnson, M. I. (2009). Transcutaneous electrical nerve stimulation Continuing Education in Anaesthesia Critical Care & Pain, 9(4): 130-135. DOI: 10.1093/bjaceaccp/mkp021
- Jensen, T. S., Albert, H. B., Soerensen, J. S., Manniche, C. & Leboeuf-Yde, C. (2021). Antibiotic treatment for chronic low back pain with Modic changes: A double-blind, randomized, placebo-controlled study. Spine, 38(8): E971-E978.
- Ishtiaq, N., Riaz, H., Tahir, M., Asghar, Z., Rasool ,A. G. & Sial, W. H. (2023). Effects of trigger point dry needling in patients with patellofemoral pain syndrome; A randomized controlled trial. Heal J Physio Rehab Sci, 3(5): 505-517. DOI: https://doi.org/10.55735/hjprs.v3i5.148
- Hodges, P. W., Danneels, L., Cagnie, B., Hall, L., van Dillen, L. R., Guzik, A., Tsao, H., Macdonald, D., Moseley, G. L., Mullane, J., Pool Goudzwaard, A., Richardson, C., Sheeran, L., van Dieen, J. & Tucker, K. (2020). Intervertebral motion during functional movements in people with and without low back pain. Clinical Biomechanics, 22(1): 21-32.
- García-López, H., Cotrina-Aliaga, J. C., Gómez-Álvarez, N., Fernández González, P., Rodríguez-Mansilla, J., González-López-Arza, M. V. & González-Sánchez, B. (2023). Effectiveness of the core stability exercises and motor control on chronic low back pain in women: A systematic review and meta-analysis. BMC Sports Sci Med Rehab, 15(1): 19.
- Ferraresi, G., Cavazzuti, L. & Pynsent, P. B. (2022). The effect of hip mobility and strength interventions on lumbar-pelvic alignment and low back pain: A systematic review. Man Ther, 28(3), 70-79.
- El-Kalla, R. E., Khalaf, M. M., Saad, M. A. & Othman, E. M. (2016). Reliability of the Arabic Egyptian Version of Short Form 36 Health Survey Questionnaire to Measure Quality of Life in Burned Patient. Med J Cairo Univ, 84(2): 311-316.
- Choi, S. H. & Kim, M. K. (2023). Effects of thoracic and hip joint mobility exercise with lumbar stabilization exercise on pain and balance in women with chronic low back pain. J Kor Orthop Manipul Phys Ther, 29(2): 1-10.
- Alagappan Thiyagarajan. (2024). Benefits of Exercise Therapy for Lumbar Spondylosis - A Narrative Review. International Journal of Physiotherapy Research and Clinical https://doi.org/10.54839/ijprcp.v3i1.24.3
- Yasuda T, Jaotawipart S, Kuruma H. Effects of Thoracic Spine Self-mobilization on Patients with Low Back Pain and Lumbar Hypermobility: A Randomized Controlled Trial. Prog Rehabil Med. 2023 Jul 22;8:20230022. doi: 10.2490/prm.20230022. eCollection 2023.
- Yamato TP, Maher CG, Saragiotto BT, Hancock MJ, Ostelo RW, Cabral CM, Menezes Costa LC, Costa LO. Pilates for low back pain. Cochrane Database Syst Rev. 2015 Jul 2;2015(7):CD010265. doi: 10.1002/14651858.CD010265.pub2.
- Williams FM, Popham M, Sambrook PN, Jones AF, Spector TD, MacGregor AJ. Progression of lumbar disc degeneration over a decade: a heritability study. Ann Rheum Dis. 2011 Jul;70(7):1203-7. doi: 10.1136/ard.2010.146001. Epub 2011 Mar 13.
- Weermeijer JD, Meulders A. Clinimetrics: Tampa Scale for Kinesiophobia. J Physiother. 2018 Apr;64(2):126. doi: 10.1016/j.jphys.2018.01.001. Epub 2018 Mar 19. No abstract available.
- Wang XQ, Zheng JJ, Yu ZW, Bi X, Lou SJ, Liu J, Cai B, Hua YH, Wu M, Wei ML, Shen HM, Chen Y, Pan YJ, Xu GH, Chen PJ. A meta-analysis of core stability exercise versus general exercise for chronic low back pain. PLoS One. 2012;7(12):e52082. doi: 10.1371/journal.pone.0052082. Epub 2012 Dec 17.
- Vad VB, Bhat AL, Basrai D, Gebeh A, Aspergren DD, Andrews JR. Low back pain in professional golfers: the role of associated hip and low back range-of-motion deficits. Am J Sports Med. 2004 Mar;32(2):494-7. doi: 10.1177/0363546503261729.
- Tousignant M, Poulin L, Marchand S, Viau A, Place C. The Modified-Modified Schober Test for range of motion assessment of lumbar flexion in patients with low back pain: a study of criterion validity, intra- and inter-rater reliability and minimum metrically detectable change. Disabil Rehabil. 2005 May 20;27(10):553-9. doi: 10.1080/09638280400018411.
- Sung PS. A kinematic analysis for shoulder and pelvis coordination during axial trunk rotation in subjects with and without recurrent low back pain. Gait Posture. 2014 Sep;40(4):493-8. doi: 10.1016/j.gaitpost.2014.06.001. Epub 2014 Jun 16.
- Shamsi M, Mirzaei M, Khabiri SS. Universal goniometer and electro-goniometer intra-examiner reliability in measuring the knee range of motion during active knee extension test in patients with chronic low back pain with short hamstring muscle. BMC Sports Sci Med Rehabil. 2019 Mar 22;11:4. doi: 10.1186/s13102-019-0116-x. eCollection 2019.
- Schmidt CO, Raspe H, Pfingsten M, Hasenbring M, Basler HD, Eich W, Kohlmann T. Back pain in the German adult population: prevalence, severity, and sociodemographic correlates in a multiregional survey. Spine (Phila Pa 1976). 2007 Aug 15;32(18):2005-11. doi: 10.1097/BRS.0b013e318133fad8.
- Seo J, Song C, Shin D. A Single-Center Study Comparing the Effects of Thoracic Spine Manipulation vs Mobility Exercises in 26 Office Workers with Chronic Neck Pain: A Randomized Controlled Clinical Study. Med Sci Monit. 2022 Jul 8;28:e937316. doi: 10.12659/MSM.937316.
- Saragiotto BT, Maher CG, Yamato TP, Costa LO, Menezes Costa LC, Ostelo RW, Macedo LG. Motor control exercise for chronic non-specific low-back pain. Cochrane Database Syst Rev. 2016 Jan 8;2016(1):CD012004. doi: 10.1002/14651858.CD012004.
- Rezvani A, Ergin O, Karacan I, Oncu M. Validity and reliability of the metric measurements in the assessment of lumbar spine motion in patients with ankylosing spondylitis. Spine (Phila Pa 1976). 2012 Sep 1;37(19):E1189-96. doi: 10.1097/BRS.0b013e31825ef954.
- Ravindra VM, Senglaub SS, Rattani A, Dewan MC, Hartl R, Bisson E, Park KB, Shrime MG. Degenerative Lumbar Spine Disease: Estimating Global Incidence and Worldwide Volume. Global Spine J. 2018 Dec;8(8):784-794. doi: 10.1177/2192568218770769. Epub 2018 Apr 24.
- Paolucci T, Pezzi L, Coraci D, Tognolo L, Pantalone A, Attanasi C, Graziani G, Dalla Costa D, Arippa F, Cichelli A, Monticone M. Reliability, Concurrent Validity, and Clinical Performances of the Shorter Version of the Roland Morris Disability Questionnaire in a Sample of Italian People with Non-Specific Low Back Pain. J Pers Med. 2024 Jul 11;14(7):740. doi: 10.3390/jpm14070740.
- Nijs J, George SZ, Clauw DJ, Fernandez-de-Las-Penas C, Kosek E, Ickmans K, Fernandez-Carnero J, Polli A, Kapreli E, Huysmans E, Cuesta-Vargas AI, Mani R, Lundberg M, Leysen L, Rice D, Sterling M, Curatolo M. Central sensitisation in chronic pain conditions: latest discoveries and their potential for precision medicine. Lancet Rheumatol. 2021 May;3(5):e383-e392. doi: 10.1016/S2665-9913(21)00032-1. Epub 2021 Mar 30.
- Madson TJ, Youdas JW, Suman VJ. Reproducibility of lumbar spine range of motion measurements using the back range of motion device. J Orthop Sports Phys Ther. 1999 Aug;29(8):470-7. doi: 10.2519/jospt.1999.29.8.470.
- Liu J, Yeung A, Xiao T, Tian X, Kong Z, Zou L, Wang X. Chen-Style Tai Chi for Individuals (Aged 50 Years Old or Above) with Chronic Non-Specific Low Back Pain: A Randomized Controlled Trial. Int J Environ Res Public Health. 2019 Feb 12;16(3):517. doi: 10.3390/ijerph16030517.
- Lin I, Wiles L, Waller R, Goucke R, Nagree Y, Gibberd M, Straker L, Maher CG, O'Sullivan PPB. What does best practice care for musculoskeletal pain look like? Eleven consistent recommendations from high-quality clinical practice guidelines: systematic review. Br J Sports Med. 2020 Jan;54(2):79-86. doi: 10.1136/bjsports-2018-099878. Epub 2019 Mar 2.
- Liebenson C, Karpowicz AM, Brown SH, Howarth SJ, McGill SM. The active straight leg raise test and lumbar spine stability. PM R. 2009 Jun;1(6):530-5. doi: 10.1016/j.pmrj.2009.03.007.
- Liebano RE, Sluka KA, Roy J, Savinelli M, Dailey DL, Riley SP. Effects of transcutaneous electrical nerve stimulation on pain, function, and descending inhibition in people with non-specific chronic low-back pain: a study protocol for a randomized crossover trial. Trials. 2024 Apr 6;25(1):242. doi: 10.1186/s13063-024-08089-7.
- Lewis CL, Sahrmann SA, Moran DW. Anterior hip joint force increases with hip extension, decreased gluteal force, or decreased iliopsoas force. J Biomech. 2007;40(16):3725-31. doi: 10.1016/j.jbiomech.2007.06.024. Epub 2007 Aug 17.
- Lee JL, Sinnathurai P, Buchbinder R, Hill C, Lassere M, March L. Biologics and cardiovascular events in inflammatory arthritis: a prospective national cohort study. Arthritis Res Ther. 2018 Aug 7;20(1):171. doi: 10.1186/s13075-018-1669-x.
- Kuzu S, Canli M, Valamur I, Ozudogru A, Alkan H, Hartavi A. Effects of aerobic exercise in addition to core stabilization exercises on functional capacity, physical performance and fall risk in geriatric individuals with chronic non-specific low back pain. BMC Sports Sci Med Rehabil. 2025 Jul 29;17(1):218. doi: 10.1186/s13102-025-01271-7.
- Lin CF, Jankaew A, Tsai MC, Liao JC. Immediate effects of thoracic mobilization versus soft tissue release on trunk motion, pain, and lumbar muscle activity in patients with chronic low back pain. J Bodyw Mov Ther. 2024 Oct;40:1664-1671. doi: 10.1016/j.jbmt.2024.09.004. Epub 2024 Sep 26.
- Kostadinovic S, Milovanovic N, Jovanovic J, Tomasevic-Todorovic S. Efficacy of the lumbar stabilization and thoracic mobilization exercise program on pain intensity and functional disability reduction in chronic low back pain patients with lumbar radiculopathy: A randomized controlled trial. J Back Musculoskelet Rehabil. 2020;33(6):897-907. doi: 10.3233/BMR-201843.
- Koes BW, van Tulder M, Lin CW, Macedo LG, McAuley J, Maher C. An updated overview of clinical guidelines for the management of non-specific low back pain in primary care. Eur Spine J. 2010 Dec;19(12):2075-94. doi: 10.1007/s00586-010-1502-y. Epub 2010 Jul 3.
- Kalichman L, Hunter DJ. Diagnosis and conservative management of degenerative lumbar spondylolisthesis. Eur Spine J. 2008 Mar;17(3):327-335. doi: 10.1007/s00586-007-0543-3. Epub 2007 Nov 17.
- Kamper SJ, Apeldoorn AT, Chiarotto A, Smeets RJ, Ostelo RW, Guzman J, van Tulder MW. Multidisciplinary biopsychosocial rehabilitation for chronic low back pain: Cochrane systematic review and meta-analysis. BMJ. 2015 Feb 18;350:h444. doi: 10.1136/bmj.h444.
- Kamper SJ, Ostelo RW, Rubinstein SM, Nellensteijn JM, Peul WC, Arts MP, van Tulder MW. Minimally invasive surgery for lumbar disc herniation: a systematic review and meta-analysis. Eur Spine J. 2014 May;23(5):1021-43. doi: 10.1007/s00586-013-3161-2. Epub 2014 Jan 18.
- Johnson KD, Kim KM, Yu BK, Saliba SA, Grindstaff TL. Reliability of thoracic spine rotation range-of-motion measurements in healthy adults. J Athl Train. 2012 Jan-Feb;47(1):52-60. doi: 10.4085/1062-6050-47.1.52.
- Hayden JA, Ellis J, Ogilvie R, Stewart SA, Bagg MK, Stanojevic S, Yamato TP, Saragiotto BT. Some types of exercise are more effective than others in people with chronic low back pain: a network meta-analysis. J Physiother. 2021 Oct;67(4):252-262. doi: 10.1016/j.jphys.2021.09.004. Epub 2021 Sep 16.
- George SZ, Fritz JM, Silfies SP, Schneider MJ, Beneciuk JM, Lentz TA, Gilliam JR, Hendren S, Norman KS. Interventions for the Management of Acute and Chronic Low Back Pain: Revision 2021. J Orthop Sports Phys Ther. 2021 Nov;51(11):CPG1-CPG60. doi: 10.2519/jospt.2021.0304.
- Geisser ME, Wiggert EA, Haig AJ, Colwell MO. A randomized, controlled trial of manual therapy and specific adjuvant exercise for chronic low back pain. Clin J Pain. 2005 Nov-Dec;21(6):463-70. doi: 10.1097/01.ajp.0000135237.89834.23.
- Finucane LM, Downie A, Mercer C, Greenhalgh SM, Boissonnault WG, Pool-Goudzwaard AL, Beneciuk JM, Leech RL, Selfe J. International Framework for Red Flags for Potential Serious Spinal Pathologies. J Orthop Sports Phys Ther. 2020 Jul;50(7):350-372. doi: 10.2519/jospt.2020.9971. Epub 2020 May 21.
- De Stefano FA, Warner T, Reardon T, Jarrah R, Mayo T, Ezeudu CS, Fiani B. A Bibliometric and Visual Analysis of the Most Cited Articles on Disc Arthroplasty. Global Spine J. 2023 Oct;13(8):2516-2525. doi: 10.1177/21925682231154857. Epub 2023 Feb 3.
- Cook C, Learman K, Showalter C, Kabbaz V, O'Halloran B. Early use of thrust manipulation versus non-thrust manipulation: a randomized clinical trial. Man Ther. 2013 Jun;18(3):191-8. doi: 10.1016/j.math.2012.08.005. Epub 2012 Oct 2.
- Chen S, Chen M, Wu X, Lin S, Tao C, Cao H, Shao Z, Xiao G. Global, regional and national burden of low back pain 1990-2019: A systematic analysis of the Global Burden of Disease study 2019. J Orthop Translat. 2021 Sep 10;32:49-58. doi: 10.1016/j.jot.2021.07.005. eCollection 2022 Jan.
- Ceballos-Laita L, Estebanez-de-Miguel E, Jimenez-Rejano JJ, Bueno-Gracia E, Jimenez-Del-Barrio S. The effectiveness of hip interventions in patients with low-back pain: A systematic review and meta-analysis. Braz J Phys Ther. 2023 Mar-Apr;27(2):100502. doi: 10.1016/j.bjpt.2023.100502. Epub 2023 Apr 5.
- Betzler BK, Ng FYC, Huang Y, Hr BAR. The Prevalence of Coexisting Lumbar Spondylosis and Knee Osteoarthritis: A Systematic Review and Meta-Analysis. Asian Spine J. 2022 Dec;16(6):839-847. doi: 10.31616/asj.2021.0405. Epub 2022 Apr 18.
- Bordoni B, Zanier E. Anatomic connections of the diaphragm: influence of respiration on the body system. J Multidiscip Healthc. 2013 Jul 25;6:281-91. doi: 10.2147/JMDH.S45443. Print 2013.
- Battie MC, Videman T, Parent E. Lumbar disc degeneration: epidemiology and genetic influences. Spine (Phila Pa 1976). 2004 Dec 1;29(23):2679-90. doi: 10.1097/01.brs.0000146457.83240.eb.
- Al-Shudifat A, Farah K, Hawamdeh ZM, Alqudah A, Juweid ME. Psychometric testing of a short form, 11-item Tampa Scale of Kinesiophobia-Arabic version: TSK-AV-11. Medicine (Baltimore). 2020 Jun 12;99(24):e20292. doi: 10.1097/MD.0000000000020292.
- Alnahdi AH. The Arabic Oswestry Disability Index as a Unidimensional Measure: Confirmatory Factor Analysis. Spine (Phila Pa 1976). 2025 Mar 15;50(6):E103-E109. doi: 10.1097/BRS.0000000000005223. Epub 2024 Nov 27.
- Alghadir AH, Anwer S, Iqbal ZA. The psychometric properties of an Arabic numeric pain rating scale for measuring osteoarthritis knee pain. Disabil Rehabil. 2016 Dec;38(24):2392-7. doi: 10.3109/09638288.2015.1129441. Epub 2016 Jan 6.
- Adams MA, Freeman BJ, Morrison HP, Nelson IW, Dolan P. Mechanical initiation of intervertebral disc degeneration. Spine (Phila Pa 1976). 2000 Jul 1;25(13):1625-36. doi: 10.1097/00007632-200007010-00005.
- Odzimek M, Brola W, Opara J. Lumbar Pain in Patients with Multiple Sclerosis and Knowledge about Physiotherapeutic Methods for Combating Pain. Healthcare (Basel). 2023 Nov 29;11(23):3062. doi: 10.3390/healthcare11233062.
- Shalamzari MH, Henteh MA, Shamsoddini A, Ghanjal A. Comparison of the effects of core stability and whole-body electromyostimulation exercises on lumbar lordosis angle and dynamic balance of sedentary people with hyperlordosis: a randomized controlled trial. BMC Sports Sci Med Rehabil. 2024 Apr 23;16(1):91. doi: 10.1186/s13102-024-00879-5.
- Arevalo-Martinez A, Barbosa-Torres C, Moreno-Manso JM, Garcia-Baamonde ME, Diaz-Munoz CL. Assessing cognitive impairment in chronic pain: a cross-sectional study with healthy controls. Disabil Rehabil. 2025 Jun;47(13):3394-3401. doi: 10.1080/09638288.2024.2425057. Epub 2024 Nov 9.
- Kumar S, Negi MP, Sharma VP, Shukla R, Dev R, Mishra UK. Efficacy of two multimodal treatments on physical strength of occupationally subgrouped male with low back pain. J Back Musculoskelet Rehabil. 2009;22(3):179-88. doi: 10.3233/BMR-2009-0234.
- Hershkovich O, Grevitt MP, Lotan R. Schober Test and Its Modifications Revisited-What Are We Actually Measuring? Computerized Tomography-Based Analysis. J Clin Med. 2022 Nov 22;11(23):6895. doi: 10.3390/jcm11236895.
研究記録日
これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。
主要日程の研究
研究開始 (実際)
2026年3月25日
一次修了 (実際)
2026年6月29日
研究の完了 (実際)
2026年7月30日
試験登録日
最初に提出
2026年3月16日
QC基準を満たした最初の提出物
2026年3月16日
最初の投稿 (実際)
2026年3月19日
学習記録の更新
投稿された最後の更新 (実際)
2026年11月5日
QC基準を満たした最後の更新が送信されました
2026年11月3日
最終確認日
2026年11月1日
詳しくは
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。