Efficacy of Vojta on Balance and Quality of Life in Subject With CNLBP

Study Overview
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Brief Summary
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. To investigate the effect of Vojta method on static balance ,dynamic balance, quality of life in patients with chronic non - specific low back pain

Detailed Description
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This randomized controlled trial is to investigate the effect of Vojta method on balance and quality of life in patients with chronic non-specific low back pain. Forty patients (male and female) complaining of chronic non -specific low back pain was recruited to share in this study . The recruited patients were randomly recruited into two groups; group A (control group) and group B (study group). Group A: received conventional treatment of back pain which included; TENS 20 min and hot packs 10 min .The total treatment session is 30 min three session per week for four weeks Group B: received conventional treatment of back pain in addition to Vojta method. The total treatment session is 40 min. Patient in both groups performed 10 sessions, 3 session per week

Official Title
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Effect of Vojta on Balance and Quality of Life in Subject With Chronic Non-spacific Low Back Pain

Conditions
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Chronic Non-Specific Low Back Pain

Intervention / Treatment
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* Other: conventional physical therapy
* Other: vojta therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients with chronic non -specific low back pain for more than 3 months. Their age ranged between 18-35 years old Both sexes were recruited in this study. Their BMI ranged between 18-25 kg/m2 Exclusion Criteria: 1- Patients with previous spinal surgery 2. Patients who have radiological diagnosis of spondylolysis or spondylolisthesis. 3. Patient with neurological disease . 4. Chest problems 5. Systematic disease

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 35 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: conventional treatment of back pain<br>Group A: received conventional treatment of back pain which included; TENS 20 min and hot packs 10 min .The total treatment session is 30 min three session per week for four weeks | Other: conventional physical therapy<br>* conventional physical therapy in the form of transcutaneous electrical stimulation (TENS) for 20 min and hot pack for 10 min Each patient received 12 sessions three session per week.<br>|
| Experimental: vojta therapy<br>received conventional treatment of back pain in addition to Vojta therapy . The total treatment session is 40 min. | Other: conventional physical therapy<br>* conventional physical therapy in the form of transcutaneous electrical stimulation (TENS) for 20 min and hot pack for 10 min Each patient received 12 sessions three session per week.<br>Other: vojta therapy<br>* Vojta Dynamic Neuromuscular Stabilization (DNS) is a therapy used to manage neurological and musculoskeletal conditions each patient in the study group (group B) was instructed to lie prone on an examination table with the participant's shoulders abducted, elbows flexed approximately 80-90°, and the forearms hanging off the edge of the table. Pressure-like stimulation of the calcaneus and ASIS were performed in the postural position named by Vojta as reflex creeping. Each patient received 12 sessions three session per week.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| static and dynamic balance | static and dynamic balance can assessed by using biodex balance system Each patient was instructed to maintain his/her balance for the period of the test. There was report gained after finishing every test includes information on medial lateral stability index(MLSI), overall stability index(OSI), and anterior posterior stability index (APSI) measurements will done twice before and after treatment for all patients in both group | one month | 
| Oswestry Low Back Pain Disability Questionnaire | The Oswestry Low Back Pain Disability Questionnaire is an extremely important tool that researchers and disability evaluators use to measure a patient's permanent functional disability and quality of life. The test is considered the 'gold standard' of low back functional outcome tools measurements will done twice before and after treatment for all patients in both group | one month |