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Egoscue and Core Stabilization for Chronic Low Back Pain

2026年7月14日 更新者: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).

調査の概要

詳細な説明

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.

研究の種類

介入

入学 (推定)

64

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

    • Punjab Province
      • Lahore、Punjab Province、パキスタン、54782
        • The University of Lahore Teaching Hospital

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

  • 大人

健康ボランティアの受け入れ

いいえ

説明

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

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: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
アクティブコンパレータ: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.

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
Pain Intensity
時間枠: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

二次結果の測定

結果測定
メジャーの説明
時間枠
Lumbar Range of Motion (ROM)
時間枠: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
時間枠: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
時間枠: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

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

  • スタディチェア:Sahreen Anwar, PhD、University of Lahore

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)

2025年11月15日

一次修了 (推定)

2026年8月15日

研究の完了 (推定)

2026年9月15日

試験登録日

最初に提出

2026年6月28日

QC基準を満たした最初の提出物

2026年6月28日

最初の投稿 (実際)

2026年7月6日

学習記録の更新

投稿された最後の更新 (実際)

2026年7月16日

QC基準を満たした最後の更新が送信されました

2026年7月14日

最終確認日

2025年9月1日

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