Effect of Segmental Control Program on Hamstring Peak Torque in Patients With Non-specific Low Back Pain
Condition: Chronic Low-back Pain
MeSH terms: Back Pain; Low Back Pain
Study type: Interventional

Summary: 
      The purpose of this study is to investigate the effect of segmental control exercises program
      on hamstring peak torque, pain, function, and ROM in patients with non-specific low back
      pain.
    

Detailed description: 
      Low back pain (LBP) is a significant health problem internationally characterized by various
      biophysical, psychological, and social dimensions affecting functioning, societal
      participation, and personal financial prosperity.The reported prevalence of LBP was high,
      especially for chronic non-specific low back pain, approximately 15.4%. of which chronic low
      back pain was about 2.5 times more prevalent in the working population compared to the
      non-working group. Recently, there has been a focus on lumbar stabilization exercises that
      prove to be effective and may be superior to general exercises for LBP management. The
      approach is aimed at improving the neuromuscular control, strength, and endurance of the
      active subsystem stabilizing the spine. Several groups of muscles are particularly targeted
      namely, the transverses abdominis and the multifidus muscles that are central to maintain
      spinal and trunk stability. But also other core muscles are involved. so this study will be
      conducted to investigate the effect of segmental stabilization exercise on low back pain.
      forty-five patients will be allocated to three groups. first experimental will receive
      segmental stabilization phase 1 and phase 2, second experimental will receive segmental
      stabilization phase 1 and 3, the third one is the control group and receives traditional
      treatment
    

Intervention name(s): local segmental control and closed kinetic chain; local segmental control and open kinetic chain; traditional therapy
Intervention type(s): Other; Other; Other
Intervention description(s): the patients will receive Lumbar multifidus activation and Transversus abdominis activation then closed kinetic chain exercise in the form of Stand-up position on unstable surface, Closed chain lunge exercises, with the addition of hand weights, Bridge in prone position, Bridge in supine position, Lateral Bridge; the patients will receive Lumbar multifidus activation and Transversus abdominis activation then open kinetic chain in the form of Lower limb abduction, Knee extension in a supine position on a roller, Open chain exercise of the upper limb after co-contraction of transversus abdominis and multifidus.; the patients will receive exercise in the form of Sitting knee raise on gym ball to maintain stability in the presence of hip movement on a reduced base of support, abdominal slide to control action of the rectus abdominis while moving, Lying trunk curl with leg lift to strengthen upper and lower abdominals (figure 1-6), Basic superman to strengthen the spinal and hip extensors
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: segmental stabilization exercises
Masking: Double (Investigator, Outcomes Assessor)
Primary purpose: Treatment
Keywords: segmental stabilization exercise; low back pain; peak torque