Effect of Core Stability Exercises on Pain and Quality of Life in Non Specific Low Back Pain

Study Overview
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Brief Summary
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Most publications state that core stability exercises (transverse abdominis and multifidus training) can relieve chronic low back pain with or without radiculopathy and improve function, although only temporarily, and may have the same impact as active general exercise so The goal of this study is to detect the effect of retraining the deep core muscles, on pain, disability, and quality of life in patients with chronic Non specific low back pain.

Detailed Description
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The goal of this study is to detect the effect of retraining the deep core muscles, on pain, disability, and quality of life in patients with chronic Non specific low back pain This study is delimited to the following aspects: Fifty, patients of only females with chronic non specific low back pain more than 3 months. The age will range from 22 to 45 years. The treatment will conduct to three session per week for four weeks . The selected patients will assigned randomly to two equal groups: 1- Group1 (intervention), will do the selected treatment that include electrical stimulation in addition to Core stability exercises program. 2- Group2(control), will do the conventional treatment only.

Official Title
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Effect of Core Stability Exercises on Pain and Quality of Life in Non Specific Low Back Pain

Conditions
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Non Specific Low Back Pain

Intervention / Treatment
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* Other: core stability exersises


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: gender is women age ranges from 22 to45 years old chronic non specific low back pain for at least 3 month pain score will between 3 to 6 on visual analogue scale Exclusion Criteria: Any deformity of the spine Red flags including serious pathology Systemic or inflammatory disease sever osteoporosis history of tumor or cancer spine infection history of spine or pelvis surgery or fracture cauda equina syndrome progressive neurological deficit severe instability sever cardio vascular or metabolic disease history of psychological disease anatomical and congenital disturbance continuous pain more than 8 on (visual analogue scale)

Ages Eligible for Study
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Minimum Age: 22 Years
Maximum Age: 45 Years

Sexes Eligible for Study
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Female

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: intervention study
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: treatment group<br>The treatment group will engage in transcutaneous electrical stimulation (TENS) and core stability exercises for three sessions each week for four weeks. | Other: core stability exersises<br>* core stability exercises and transcutaneous electrical nerve stimulation for four week three session per week<br>* Other names: transcutaneous electrical nerve stimulation;|
| No Intervention: control group<br>The transcutaneous electrical stimulation nerve stimulation will be administered to the control group just for three sessions each week for four weeks. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| quality of life for each participants | We will use the Arabic version of world health organization's quality of life (Arabic_WHOQOL-BREF) questionnaire and higher score means better outcome | baseline | 
| pain levels for each participants | visual analogue scale will be used to assess the level of pain and higher score means worse outcome | baseline | 
| pressure lumber biofeedback for each participants | pressure lumber biofeedback for asses transverse abdominis contraction | baseline |