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Thoracale mobiliteit versus heupmobiliteitsoefeningen voor kernstabilisatie bij lumbale spondylitis (TME-HME)

3 november 2026 bijgewerkt door: YAHYA ABDU S KULAYBI, Cairo University

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.

Studie Overzicht

Toestand

Voltooid

Conditie

Interventie / Behandeling

Gedetailleerde beschrijving

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.

Studietype

Ingrijpend

Inschrijving (Werkelijk)

60

Fase

  • Niet toepasbaar

Contacten en locaties

In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.

Studie Locaties

  • Egypte
      • Cairo, Egypte
        • Faculity Og Physical Therapy in Cairo Univercity

Deelname Criteria

Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.

Geschiktheidscriteria

Leeftijden die in aanmerking komen voor studie

40 jaar tot 60 jaar (Volwassen)

Accepteert gezonde vrijwilligers

Nee

Geslachten die in aanmerking komen voor studie

Allemaal

Beschrijving

Inclusion Criteria:

  1. lumbar spondylitis diagnosis (symptoms will be more than 3 months) ..
  2. Patients' age from 40-60 years .
  3. Localized back pain and pain radiating to lower extremities

Exclusion Criteria:

  1. Spinal or hip surgery .
  2. pregnancy .
  3. Neurological Disorders: .
  4. Inflammatory Conditions: .
  5. Cognitive Impairment .

Studie plan

Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.

Hoe is de studie opgezet?

Ontwerpdetails

  • Primair doel: Behandeling
  • Toewijzing: Gerandomiseerd
  • Interventioneel model: Parallelle opdracht
  • Masker: Enkel

Wapens en interventies

Deelnemersgroep / Arm
Interventie / Behandeling
Experimenteel: 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.
Gedragsmatig: Group A : Core stabilization exercises (control group)

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.
Experimenteel: 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
Gedragsmatig: Group B: Thoracic Mobility Exercises (1st experimental group only)

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.

Gedragsmatig: GROUP B CORE STABILIZATION PROGRAM

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.
Experimenteel: 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.
Gedragsmatig: Group C: 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 (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).

Gedragsmatig: GROUP C CORE STABILIZATION PROGRAM

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.

Wat meet het onderzoek?

Primaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Change in Functional Disability Measured by the Modified Oswestry Disability Index (MODI-Ar)
Tijdsspanne: 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)
Tijdsspanne: 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.
Tijdsspanne: 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.
Tijdsspanne: 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).
Tijdsspanne: 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).
Tijdsspanne: 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).

Medewerkers en onderzoekers

Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.

Sponsor

Cairo University

Onderzoekers

  • Studie directeur: MOAAZ R EL SAKKA, PhD, CAIRO UNIVERCITY

Publicaties en nuttige links

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Algemene publicaties

Studie record data

Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.

Bestudeer belangrijke data

Studie start (Werkelijk)

25 maart 2026

Primaire voltooiing (Werkelijk)

29 juni 2026

Studie voltooiing (Werkelijk)

30 juli 2026

Studieregistratiedata

Eerst ingediend

16 maart 2026

Eerst ingediend dat voldeed aan de QC-criteria

16 maart 2026

Eerst geplaatst (Werkelijk)

19 maart 2026

Updates van studierecords

Laatste update geplaatst (Werkelijk)

5 november 2026

Laatste update ingediend die voldeed aan QC-criteria

3 november 2026

Laatst geverifieerd

1 november 2026

Meer informatie

Termen gerelateerd aan deze studie

Aanvullende relevante MeSH-voorwaarden

Andere studie-ID-nummers

  • P.T.REC/012/006229

Plan Individuele Deelnemersgegevens (IPD)

Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?

NEE

Informatie over medicijnen en apparaten, studiedocumenten

Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel

Nee

Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct

Nee

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