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

2026年6月30日 更新者: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.

調査の概要

研究の種類

介入

入学 (実際)

30

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

    • Guangxi
      • Guilin、Guangxi、中国、541004
        • Guangxi Normal University

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:

  • 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.

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:ダブル

武器と介入

参加者グループ / アーム
介入・治療
実験的: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.
アクティブコンパレータ: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.

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: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
時間枠: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

二次結果の測定

結果測定
メジャーの説明
時間枠
Lumbar muscle strength
時間枠: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
時間枠: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

協力者と研究者

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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)

2021年1月1日

一次修了 (実際)

2021年3月1日

研究の完了 (実際)

2021年3月1日

試験登録日

最初に提出

2026年6月30日

QC基準を満たした最初の提出物

2026年6月30日

最初の投稿 (実際)

2026年7月7日

学習記録の更新

投稿された最後の更新 (実際)

2026年7月7日

QC基準を満たした最後の更新が送信されました

2026年6月30日

最終確認日

2026年6月1日

詳しくは

本研究に関する用語

その他の研究ID番号

  • 2018010748

個々の参加者データ (IPD) の計画

個々の参加者データ (IPD) を共有する予定はありますか?

いいえ

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いいえ

米国FDA規制機器製品の研究

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