The Effect of Core Stability Training on Deep Stabilizing Muscles.

Study Overview
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Brief Summary
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Non-specific low back pain is the most cause of adult disability throughout life. Its prevalence widens in young adults. Background of this pathology can be multifactorial. One of the most common is poor core stability and overloading of the local tissues as a result. Among treatment methods stabilizing training is commonly used with good effects. This form of therapy affects the transverse abdomen and multifidus muscles. To assess these structures several methods can be applied, e.g. sonofeedback. Our hypothesis claims that the core muscles morphology will change over the training process duration, in result, the analgesic effect will be achieved.

Detailed Description
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Non-specific low back pain is the most cause of adult disability throughout life. Its prevalence widens in young adults. Background of this pathology can be multifactorial. One of the most common is poor core stability and overloading of the local tissues as a result. Among treatment methods stabilizing training is commonly used with good effects. This form of therapy affects the transverse abdomen (TrA) and multifidus (MF) muscles. To assess these structures several methods can be applied, e.g. sonofeedback. All participants will be randomly divided into two groups: Training group (TG) Control group (CG) Outcome measure: Pre- and post-therapy outcome measure will be done. It will include: ultrasound (sonofeedback) of the TrA and MF Oswestry Disability Index questionnaire (ODI) subjective pain scale - Numeric Rating Scale (NRS) Intervention: Core stability training including 4 exercise positions, each of 15 repetitions, 4 sets. Once a day, 5 times a week, 20 sessions in total (4 weeks). Our hypothesis claims that the core muscles morphology will change over the training process duration, in result, the analgesic effect will be achieved.

Official Title
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The Effect of Core Stability Training on the Transverse Abdomen and Multifidus Muscles Morphology in Young Non-specific Low Back Pain Individuals.

Conditions
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Low Back Pain, Mechanical, Low Back Pain, Low Back Pain, Postural

Intervention / Treatment
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* Other: Core stability training


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: low back pain age from 18 to 30 years old written consent of the participants Exclusion Criteria: injuries of the spine fractures of the spine surgery interventions in the spine region prior to the study psychiatric disorders neurologic disorders

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 30 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: Randomized clinical trial
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Training group<br>4-week core stability training | Other: Core stability training<br>* 20 sessions of specific core stability exercise with no external loading.<br>|
| No Intervention: Control group<br>Standard physical therapy | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Ultrasound | Non-invasive measure of the TrA and MF muscles | 5 minutes | 
| Pain level | Numeric Rating Scale. Picking the number on a scale from 0 to 10. | 1 minute | 
| Questionnaire | Oswestry Disability Index questionnaire - subjective disability measure throughout daily living activities. | 5 minutes | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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low back pain, ultrasound, sonofeedback, core stability, lumbar spine, transverse abdomen, multifidus