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Kinetic Control Training Versus Core Stability Exercises on Proprioception and Spatiotemporal Gait Parameters in Chronic Non-specific Low Back Pain (CNSLBP)

1 juli 2026 bijgewerkt door: Ola Adel Abd Elrazik Ibrahem, Cairo University
This study will be conducted to comapre between kinetic control training versus core stability exercises on proprioception and spatiotemporal gait parameters in chronic non-specific low back pain.

Studie Overzicht

Toestand

Nog niet aan het werven

Conditie

Interventie / Behandeling

Gedetailleerde beschrijving

Chronic nonspecific low back pain (CNSLBP) represents a significant public health problem and an economic burden to employers. It has become one of the most common problems in industrialized societies; it can affect 80% of people and has become the most common cause of functional limitation in individuals younger than 35 years. Neuromuscular impairments and deficits are a primary contributor to the inception and chronicity of Low back pain with the psychological and social competes. Specific-oriented retraining has a major effect in modulating biopsychosocial competes severity and peculiarity and crucial for controlling chronic Low back pain. Interventions targeting neuromuscular impairments of the movement system are the most promising movement control concepts in these Low back pain treatment approaches.Kinetic Control Training (KCT), which focuses on movement control and muscle coordination, has emerged as a potential intervention for addressing the underlying motor control deficits associated with CNSLBP. Exercises in managing CNSLBP. For instance, a randomized controlled trial demonstrated that core stability training significantly improved back muscle strength and reduced pain intensity in young adults with chronic non-specific low back pain. To the best of authors' knowledge, the effect of kinetic control versus core stability training on the spatiotemporal parameters of the gait has not been investigated yet. So this study will be conducted to investigate this point.

Studietype

Ingrijpend

Inschrijving (Geschat)

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.

Studiecontact

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

  • Volwassen

Accepteert gezonde vrijwilligers

Nee

Beschrijving

Inclusion Criteria:

  • Subjects from both sexes diagnosed with chronic non-specific low back pain with uncontrolled movement related to kinetic control concept
  • aging range from 18-45 years
  • Pain provoked by movement.
  • Pain for at least 3 months
  • Pain with sufficient intensity (equal to or greater than 4 points on VAS).

Exclusion Criteria:

  • History of previous spinal surgery.
  • Patients with lumbar spine diseases (for example, disc prolapse or spondylolisthesis).
  • Patients with abnormal neurological signs in lower extremities, radicular pain in the lower limb, hip arthrosis, congenital musculoskeletal deformity, female patients with pelvic lesions, and pregnant females.
  • Red flag signs include unwanted weight loss, less than three months of symptom persistence, malignancies of the spine, spinal instability due to structural cause, for example: ligamentous sprain or spondylolisthesis.
  • Gynaecological problems in females that may cause low back pain include coccydynia and hysterotomy

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: Kinetic control group
Twenty patients will receive kinetic control training with conventional physical therapy three times a week for 8 weeks
Ander: Kinetic control exercises
Each patient in the group will be received kinetic control retraining with conventional physical therapy. For each movement direction, specific control tests will be conducted. The direction and site of the uncontrolled movement will be evaluated using special tests in accordance with the pain history of the patient.
Ander: conventional physical therapy
conventional physical therapy includes Trans-cutaneous electric Nerve Stimulation (TENS), Heat by hot packs
Experimenteel: Core stability exercises group
Twenty patients will receive core stability exercises with conventional physical therapy three times a week for 8 weeks
Ander: conventional physical therapy
conventional physical therapy includes Trans-cutaneous electric Nerve Stimulation (TENS), Heat by hot packs
Ander: Core stability exercises
Core stability exercises include curl up (head and shoulders lifting), bridging exercise with leg elevation, and quadruped with arm and leg lift will be performed with maintaining the lumbar spine neutral. each patient in that group will be received core stability exercises with conventional physical therapy,
Actieve vergelijker: Conventional physical therapy exercise
twenty patients will receive conventional physical therapy three times a week for 8 weeks
Ander: conventional physical therapy
conventional physical therapy includes Trans-cutaneous electric Nerve Stimulation (TENS), Heat by hot packs

Wat meet het onderzoek?

Primaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
lumber repositioning error (lumbar proprioception)
Tijdsspanne: up to 8 weeks
The iPhone® application will be used to assess lumbar repositioning error. It will be placed vertically, halfway between the anterior superior and PSIS, just above the iliac crest, and fastened with a belt. The initial location and the inclination of the inclinometer were both fixed at 0°. There was a 0 to 30° range of motion (ROM). The assessor gently guided the individual to a 30° flexion and instructed them to hold this posture for ten seconds. After then, the participant actively went back to their starting location and subsequently did it three times.
up to 8 weeks

Secundaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
pain intensity
Tijdsspanne: up to 8 weeks
visual analogue scale will be used to assess pain intensity.t consists of a 100-mm line with descriptive anchors representing extremes at each end, such as "no pain" and "worst pain imaginable.
up to 8 weeks
gait speed
Tijdsspanne: up to eight weeks
Using Kinovea (an open-source software) (version 0.9.5), a freeware motion analysis software will be used to retrieve all of the videos from the Sony Video camera. normal, healthy gait speed for adults is generally between 1.0 m/s to 1.5 m/s.
up to eight weeks
cadence
Tijdsspanne: up to eight weeks
Cadence in gait is the rate at which steps are taken during locomotion, measured as steps per minute.Using Kinovea (an open-source software) (version 0.9.5), a freeware motion analysis software will be used to retrieve all of the videos from the Sony Video camera. A healthy adult's normal walking cadence typically ranges between 100 to 120 steps per minute.
up to eight weeks
stride and step time
Tijdsspanne: up to eight weeks
Stride time is the total time taken to complete one full gait cycle. Step time is the time it takes to complete a single step.Using Kinovea (an open-source software) (version 0.9.5), a freeware motion analysis software will be used to retrieve all of the videos from the Sony Video camera. Normal walking gait for a healthy adult at a comfortable pace typically features a stride time of about 1.15 seconds and a step time of about 0.5 to 0.6 seconds
up to eight weeks
stride and step length
Tijdsspanne: up to eight weeks
Step length is the distance between the placement of one foot and the next placement of the opposite foot. Stride length, conversely, covers the distance of two consecutive steps. Using Kinovea (an open-source software) (version 0.9.5), a freeware motion analysis software will be used to retrieve all of the videos from the Sony Video camera. A normal walking step length 58 to 76 cm. A stride length averaging 52 to 60 inches.
up to eight weeks
COG vertical displacement
Tijdsspanne: up to eight weeks
Vertical displacement of the Center of Gravity (CoG) typically refers to the rhythmic, up-and-down movement of the body's mass center during the human gait cycle. In a normal walking step, this vertical movement ranges to about 5 cm, helping conserve overall energy and maintain smooth motion.Using Kinovea (an open-source software) (version 0.9.5), a freeware motion analysis software will be used to retrieve all of the videos from the Sony Video camera.
up to eight weeks
life disability
Tijdsspanne: up to eight weeks
The WHOQOL-BREF will be used to assess life disability. it is a 26-item survey evaluating Quality of Life (QoL) across four domains: Physical, Psychological, Social Relationships, and Environment. Higher scores in each domain indicate a better perception of QoL
up to eight weeks

Medewerkers en onderzoekers

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

Sponsor

Cairo University

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 (Geschat)

10 juli 2026

Primaire voltooiing (Geschat)

1 mei 2027

Studie voltooiing (Geschat)

1 mei 2027

Studieregistratiedata

Eerst ingediend

8 juni 2026

Eerst ingediend dat voldeed aan de QC-criteria

1 juli 2026

Eerst geplaatst (Werkelijk)

6 juli 2026

Updates van studierecords

Laatste update geplaatst (Werkelijk)

6 juli 2026

Laatste update ingediend die voldeed aan QC-criteria

1 juli 2026

Laatst geverifieerd

1 juli 2026

Meer informatie

Termen gerelateerd aan deze studie

Trefwoorden

Aanvullende relevante MeSH-voorwaarden

Andere studie-ID-nummers

  • P.T.REC/012/006359

Plan Individuele Deelnemersgegevens (IPD)

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NEE

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Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel

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Nee

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