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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)

2026年7月1日 更新者: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.

研究概览

详细说明

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.

研究类型

介入性

注册 (估计的)

60

阶段

  • 不适用

联系人和位置

本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。

学习联系方式

参与标准

研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

  • 成人

接受健康志愿者

不

描述

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

学习计划

本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。

研究是如何设计的?

设计细节

  • 主要用途:治疗
  • 分配:随机化
  • 介入模型:并行分配
  • 屏蔽:单身的

武器和干预

参与者组/臂
干预/治疗
实验性的:Kinetic control group
Twenty patients will receive kinetic control training with conventional physical therapy three times a week for 8 weeks
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.
conventional physical therapy includes Trans-cutaneous electric Nerve Stimulation (TENS), Heat by hot packs
实验性的:Core stability exercises group
Twenty patients will receive core stability exercises with conventional physical therapy three times a week for 8 weeks
conventional physical therapy includes Trans-cutaneous electric Nerve Stimulation (TENS), Heat by hot packs
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,
有源比较器:Conventional physical therapy exercise
twenty patients will receive conventional physical therapy three times a week for 8 weeks
conventional physical therapy includes Trans-cutaneous electric Nerve Stimulation (TENS), Heat by hot packs

研究衡量的是什么?

主要结果指标

结果测量
措施说明
大体时间
lumber repositioning error (lumbar proprioception)
大体时间: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

次要结果测量

结果测量
措施说明
大体时间
pain intensity
大体时间: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
大体时间: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
大体时间: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
大体时间: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
大体时间: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
大体时间: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
大体时间: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

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (估计的)

2026年7月10日

初级完成 (估计的)

2027年5月1日

研究完成 (估计的)

2027年5月1日

研究注册日期

首次提交

2026年6月8日

首先提交符合 QC 标准的

2026年7月1日

首次发布 (实际的)

2026年7月6日

研究记录更新

最后更新发布 (实际的)

2026年7月6日

上次提交的符合 QC 标准的更新

2026年7月1日

最后验证

2026年7月1日

更多信息

与本研究相关的术语

计划个人参与者数据 (IPD)

计划共享个人参与者数据 (IPD)?

不

药物和器械信息、研究文件

研究美国 FDA 监管的药品

不

研究美国 FDA 监管的设备产品

不

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