Is Hip Range of Motion Relevant in the Treatment of Chronic Low Back Pain?
Condition: Chronic Low-back Pain
MeSH terms: Back Pain; Low Back Pain
Study type: Interventional

Summary: 
      The study will be carried out at the Faculty of Nursing and Physiotherapy of the University
      of Alcalá. The study has been approved by the Animal Research and Experimentation Ethics
      Committee of the University of Alcalá. A total of 60 subjects aged between 18 and 35 with
      non.specific low back pain will be selected and randomized in two interventions.

      The control group will carry out a specific strengthening program for the gluteus maximus and
      the experimental group will carry out the same strengthening program in addition to receiving
      a specific manual therapy program for both hips.

      The total duration of the treatments will be 8 weeks, with on-treatment evaluations at 4 and
      8 weeks, with a follow-up after 1 month.

      The objective will be to determine the efficacy of manual therapy on the coxofemoral joint
      together with a protocol of gluteus maximus strengthening exercises in patients with
      non-specific chronic low back pain, in comparison with the same protocol of gluteus maximus
      strengthening exercises performed in isolation, in patients with non-specific chronic low
      back pain.
    

Detailed description: 
      Detailed Description has not been entered.
    

Intervention name(s): Control group; Intervention group
Intervention type(s): Other; Other
Intervention description(s): All subjects will carry out a gluteus maximus strengthening work out. The exercises should be performed at a frequency of 3 times/week and with a dosage of 3 sets of 8 repetitions.
1-4 Weeks: 1. Bilateral gluteal bridge: Supine decubitus with knees and hips bent and feet supported. To raise the pelvis until the knees are flexed to 90° and then returns to the starting position. 2.Clam shell: Lateral decubitus with knees and hips bent to 45º, working leg placed on top of the other. Separate this knee while feet remain in contact using a medium density Theraband on the distal thighs. Bilateral work. 3. Side-Step: Bipedestation with Knees and hips bent. The exercise then consists of two steps taken in one direction followed by two steps in the opposite direction to return to the starting position. The elastic band shall be placed above the knees.
4-8 Weeks: 1.Unilateral gluteal bridge. 2 Clam shell: hips bents to 60º. 3. Side-Step: placing the elastic band over the ankles; All subjects will receive a specific program of manual therapy on the hip joint. 10 sessions of manual therapy will be applied during 8 weeks, 1 session per week, except the first week when two sessions will be applied.
The protocol consists of passive manual joint therapy at low speed on the hip, applying each mobilization in 3 series of 10 repetitions. It also includes muscle stretching, performing 3 series and holding the stretch for 25 seconds.
Manual therapy includes: 1. Anteroposterior (AP) and posteroanterior (PA) displacement of the hip. 2. Lateromedial and mediolateral displacement of the hip. 3. Distraction of the long axis/traction of the hip. 4. Lower slip in internal rotation (IR) and external rotation (ER) of the hip. 5. Iliopsoas stretch. 6. Piriformis stretch.To perform the protocol, the patient shall be placed in the supine decubitus position.
In addition to the same gluteus maximus strengthening programme used for the control group.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Participant)
Primary purpose: Treatment
Keywords: Hip Joint; Gluteus Maximus; Manual Therapy