Effects of Core Exercise in Low Back Pain
Condition: Low Back Pain
MeSH terms: Back Pain; Low Back Pain
Study type: Interventional

Summary: 
      Non-specific low back pain in one of the main causes of disability for health care worldwide.
      The effectiveness of therapeutic exercise, of kinesio tape and of manual therapy in the
      treatment of low back pain is evaluated, but not a comparison of these techniques. Moreover,
      can these techniques be combined?
    

Detailed description: 
      Non-specific low back pain is one of the main causes of disability for health care worldwide.
      Nowadays, the mostly used technique to research low back muscular activity in
      electromyography.

      Among the published studies, the effectiveness of therapeutic exercise, of kinesio tape and
      of manual therapy in the treatment of low back pain is evaluated, but not a comparison of
      these techniques.

      Therefore, the purpose of this study was to investigate the effects of core stability
      exercise alone or in combination with manual therapy or kinesiotape on pain, dysfunction,
      psychosocial factors and pressure pain threshold (PPTs) in patients with low back pain in ODI
      stage 2. The investigators hypothesized that exercise combined with manual therapy would
      provide greater changes and benefits than exercise alone.

      This study's population will be composed by at least 15 individuals per group, both the male
      and female, with ages among 20 and 60.

      Participants will be randomly and blindly divided in three groups of intervention. The three
      groups will be: Exercise group or ET (realize therapeutic exercise alone), manual therapy
      group o ETmanualtherapy (realize manual therapy prior therapeutic exercise), and kinesiotape
      group or ETkinesiotape (realize therapeutic exercise plus kinesiotape).
    

Intervention name(s): Exercise; Manual Therapy; Kinesiotape
Intervention type(s): Procedure; Procedure; Procedure
Intervention description(s): All patients will start learning how to activate the transversus abdominal muscle in the first training session. The exercises will be made in 1 to 3 series of among 8 and 15 repetitions and the isometric contractions for 5 to 10 seconds. The rest between series will be of 30 seconds, and between exercise of 2-3 minutes.
Other Names:
- Therapeutic exercise; All patients will start learning how to activate the transversus abdominal muscle in the first training session. The exercises will be made in 1 to 3 series of among 8 and 15 repetitions and the isometric contractions for 5 to 10 seconds. The rest between series will be of 30 seconds, and between exercise of 2-3 minutes.
Other Names:
- Manipulation; All patients will start learning how to activate the transversus abdominal muscle in the first training session. The exercises will be made in 1 to 3 series of among 8 and 15 repetitions and the isometric contractions for 5 to 10 seconds. The rest between series will be of 30 seconds, and between exercise of 2-3 minutes.
Other Names:
- Kinesiotaping
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Double (Participant, Care Provider)
Primary purpose: Treatment
Keywords: Chronic pain; Muskuloskeletal manipulation; Complementary therapies; Catastrophization; Kinesiophobia