Comparing the Effects of Pilates and McKenzie in Power Looms Workers Having Nonspecific Chronic Low Back Pain

Study Overview
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Brief Summary
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to check the effects of Mckenzie intervention & Pilates intervention on power looms workers having nonspecific chronic low back pain

Detailed Description
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The purpose of this study is to check and compare the effects of McKenzie back extension exercise and Pilates pelvic tilt exercise on power looms workers having nonspecific chronic low back pain. To check the effects of these interventions on pain, disability, and anterior pelvic tilt angle. In this study pain intensity of the subjects will be noted via a numeric pain rating scale. Pain will be measured at baseline, after 2 weeks and 4 weeks of intervention. In this study disability of the patients will be measured via Quebec back pain disability scale. Disability will be measured at baseline, after 2 weeks and 4 weeks of intervention. In this study, a goniometer will be used to measure the anterior pelvic tilt angle. Anterior pelvic tilt angle will be measured at baseline, after 2 weeks and 4 weeks of intervention.

Official Title
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Comparing the Effects of Pilates (Pelvic Tilt) and McKenzie Back Extension Exercises in Power Loom Workers Having Non-specific Chronic Low Back Pain

Conditions
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Nonspecific Chronic Low Back Pain, Pain, Disability Physical

Intervention / Treatment
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* Other: McKenzie back extension exercise
* Other: Pilates pelvic tilt exercise
* Other: Baseline treatment


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age of the participants between 35-45 years. Only male workers diagnosed with nonspecific chronic low back pain. Power looms workers; Operator of power looms, working 12 hours per day. Low back pain for more than three months. Power looms workers with pain intensity on NPRS ranges from mild to moderate. Anterior pelvic tilt angle more than normal 13º±4.9º, anteriorly tilt to 18º to 25º. Exclusion Criteria: Serious spinal pathology like tumors. Any inflammatory diseases. History of spinal surgery. Neurological disorder. Pain due to any systemic diseases.

Ages Eligible for Study
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Minimum Age: 35 Years
Maximum Age: 45 Years

Sexes Eligible for Study
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Male

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: The study was based on the research design of a randomized clinical trial. The single-blind study, in which participants were blind. The sample size of this study was 46. Patient was divided into 2 groups, 23 in each group.
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: 1- McKenzie (Group A)<br>Back extension exercise. Total 10 repetitions in 1 set. Total 3 sets in a session. Total 3 sessions in a week. Total 12 sessions in a month. | Other: McKenzie back extension exercise<br>* McKenzie's back extension exercise consists; start with your belly facing down on the mat. Angle your legs in line with your hips, point your toes, and breathe into the next movement. Gently bending your elbows, push yourself up off the floor, until you feel the extension in your back. Be mindful not to lock your elbows as you support your weight with your hands and wrists for 10 seconds. Take deep inhales and exhales as you move in and out of the pose. Patients will be performed these activities under the supervision of physiotherapist.<br>Other: Baseline treatment<br>* Postural guidelines + proper lifting technique + stretch break Rest<br>* Other names: Postural guidelines + stretch break + rest;|
| Experimental: 2- Pilates (Group B)<br>Pelvic tilt exercise Total 10 repetitions in 1 set. Total 3 sets in a session. Total 3 sessions in a week. Total 12 sessions in a month. | Other: Pilates pelvic tilt exercise<br>* Pilates pelvic tilt exercise consists; lie with your back on the floor in a neutral position with your legs bent and toes facing forward. Pull your belly button in toward your spine, pushing your pelvis up toward the ceiling. Tighten your gluteus and hip muscles as you tilt your pelvis forward. Hold for 10 seconds.<br>Other: Baseline treatment<br>* Postural guidelines + proper lifting technique + stretch break Rest<br>* Other names: Postural guidelines + stretch break + rest;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pain intensity | In this study pain intensity of the subjects will be noted via numeric pain rating scale. The reading of NPRS is in number from 0 to 10 where 0 mean no pain, 10 means worst pain, 1-3 indicate mild pain, 4-6 present moderate pain, and 7-10 means severe pain. Patient tell us in numeric form how much he feels pain for example patient tell us he has 4 pain; its mean patient has moderate pain. | one month | 
| Disability index | In this study disability of the patients will be measured via Quebec back pain disability scale. The 20-item Quebec back pain Disability Scale for Back Pain was created to measure degree of functional disability in people who have low back pain. The scale is a dependable and valid measurement used to evaluate each patient's improvement during treatment or rehabilitation programmers. | one month | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Anterior pelvic tilt angle abnormailty | In this study goniometer was used to measure the anterior pelvic tilt angle of the power loom workers. Goniometer has three parts the body, stationary arm, and the mobile arm. To check the anterior pelvic tilt angle in subjects the body of the goniometer was placed on the anterior superior iliac spine horizontally, mobile arm was moved to the posterior superior iliac spine and noted the reading displayed on the goniometer. | one month | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Pilates pelvic tilt exercise & McKenzie back exercise