Lumbopelvic Stabilization Versus Pilates Exercises On Gait Phases And Peak Pressure On Foot In Low Back Pain

Study Overview
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Brief Summary
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the purpose of this trial is to investigate and compare between lumbopelvic stabilization and pilates exercises on gait cycle phases and maximum peak pressure on the foot in chronic nonspecific low back pain?

Detailed Description
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LBP is the leading cause of activity limitation, results in significant losses in productivity at work, and incurs billions of dollars in medical expenditure annually So, the aim of physical therapy treatment in the patient with chronic nonspecific low back pain is more effective in improving gait cycle phases and maximum peak pressure on the foot and help LBP patients to walk normally as much as possible, also this will improve our body of knowledge about the best modalities for treating LBP. The finding of this study may help LBP patients avoid exposure to complications due to altered gait cycle phases and maximum peak pressure on the foot. Also, it will help physiotherapists to know which treatment will be effective in improving gait cycle phases and maximum peak pressure on the foot. one hundred patients with mechanical low back pain will be allocated randomly to three groups; group A will receive pilates, group B will receive lumbopelvic stabilization exercise and group C will receive strengthening exercises for the abdominals, back, and hip muscles

Official Title
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Lumbopelvic Stabilization Versus Pilates Exercises On Gait Cycle Phases And Maximum Peak Pressure On Foot In Chronic Nonspecific Low Back Pain: Randomized Controlled Trial

Conditions
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Low Back Pain

Intervention / Treatment
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* Other: lumbopelvic stabilization exercises
* Other: pilates exercise
* Other: conventional therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Their age between 20 and 40 years patients is required to have chronic nonspecific LBP (more than12 weeks), deﬁned as Pain in the lumbar and/or buttock region (defined as pain reported below the level of T12 and no lower than the buttock line). Patients will be excluded if they have signs of serious spinal pathology (red flags) including significant trauma, unexplained weight loss, and widespread neurologic changes Exclusion Criteria: subjects with specific back pain (fracture, osteoporosis or degenerative changes, prolapse intervertebral disc, bone disorders, arthritis, tumour), subjects with neurological involvement (radiculopathy, myelopathy), subjects with previous spinal surgery

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 40 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

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
Interventional Model Description: lumbopelvic stabilization and Pilates
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: lumbopelvic stabilization exercises<br>the patients will receive trunk stabilization exercise +strengthening exercises for the abdominal, back, and hip muscles three times/ week for three months | Other: lumbopelvic stabilization exercises<br>* the patients will receive lumbopelvic stabilization in the form of three parts: 1 Segmental control over primary stabilizers (mainly TrA, deep multifidus, pelvic floor and diaphragm) 2-Exercises in closed chain, with low velocity and low load 3-Exercises in open chain, with high velocity and load<br>Other: conventional therapy<br>* Patients will received strengthening exercises for the abdominal, back, and hip muscles. The patients performed an average of three series of ten repetitions of each exercise. Increases in the number of exercises performed in each session (or load progression) occurred according to individual tolerance<br>|
| Experimental: Pilates exercises<br>the patients will receive trunk pilates exercise +strengthening exercises for the abdominal, back, and hip muscles three times/ week for three months | Other: pilates exercise<br>* the patient will receive pilates exercise in the form of Breast stroke prep, Side leg lift series, One leg circle, Hundreds, Shoulder bridge, and Spine stretch forward<br>Other: conventional therapy<br>* Patients will received strengthening exercises for the abdominal, back, and hip muscles. The patients performed an average of three series of ten repetitions of each exercise. Increases in the number of exercises performed in each session (or load progression) occurred according to individual tolerance<br>|
| Active Comparator: conventional therapy<br>the patients will receive trunk stabilization exercise three times/ week for three months | Other: conventional therapy<br>* Patients will received strengthening exercises for the abdominal, back, and hip muscles. The patients performed an average of three series of ten repetitions of each exercise. Increases in the number of exercises performed in each session (or load progression) occurred according to individual tolerance<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| gait cycle phases and maximum peak pressure on foot | gait cycle phases and peak pressure will be measure by Tekscan walkway | up to twelve weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| pain intensity | visual analogue scale will be used for measuring pain level | up to twelve weeks | 
| disability | Functional disability of each patient was assessed by Modified Oswestry Disability Questionnaire | up to twelve weeks | 
| muscle endurance | Sorensen test (low back fatigue test) and Trunk flexion endurance test will be used for measuring the level of endurance | up to twelve weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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lumbopelvaic stabilization exercise, pilates exercise, gait cycle phases, peak pressure