Bronkow Program and Lumbar Stabilization Exercises in Chronic Non Specific Low Back Pain

Study Overview
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Brief Summary
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The aim of this study is to compare the effects of brunkow exercise program and lumbar stabilization exercises on pain, range of motion and disability in patients with chronic non- specific low back pain

Detailed Description
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The majority of research studies have primarily focused on lumbar stabilization exercises used as a standard treatment with mobilization. To the best of our knowledge it has shown that lumbar stabilization exercises alone are less efficient than lumbar stabilization exercises in strengthening muscular strength and decreasing pain in female patients with persistent low back pain than lumbar stabilization exercises combined with pain neuroscience education. However, more extensive research on a range of educational and activity programs was required. Stabilization exercises with other modalities, manual techniques, mobilizations, or exercise therapy have been practiced in the treatment of chronic non specific low back pain were found effective individually, but there was a lack of comprehensive studies including randomized clinical trials directly comparing the brunkow exercises program with stabilization exercises in patients with chronic non- specific low back pain. This study investigates and adds up an effective and evolutionary treatment protocol in the world of physical therapy for the management of chronic non-specific low back pain rather than other conventional therapy providing to the patients with chronic low back pain now a days.

Official Title
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Comparative Effects of Brunkow Program and Lumbar Stabilization Exercises on Pain, Range of Motion and Disability in Chronic Nonspecific Low Back Pain

Conditions
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Chronic Low-back Pain, Non Specific Low Back Pain

Intervention / Treatment
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* Other: Brunkow Exercise Program
* Other: Lumbar Stabilization Exercises


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age 20 to 45 years Both male and female Low back pain > 6 months NPRS>3 The symptoms of pain are lessened or disappeared after bed rest, while pain symptoms are aggravated after bending over, sitting for a long time, or standing for a long time. Exclusion Criteria: Pelvic bone fracture Pregnancy Pelvic implants Lumbosacral disc herniation Sacroiliac joint inflammation Lumbar spine fracture Inflammatory bowel disease Malignancy Ankylosing spondylitis

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 45 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
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Brunkow exercise program<br>Brunkow program includes Push up and stabilization against the wrists and heels,brunkow- from plank to a standing position ,plank from lying on the stomach to a sitting in a tilted position, Turning from the back to the position on all four | Other: Brunkow Exercise Program<br>* The brunkow exercise program will be comprised of four exercise programs. Each exercise will be performed with two sets of 15 reps, 10 sec per rep 40 min per day, thrice per week for a total of four weeks.<br>|
| Experimental: Lumbar stabilization exercises<br>lumbar stabilization exercises protocol includes Diaphragmatic breathing and abdominal bracing, bridging, side plank on knees, bird dog | Other: Lumbar Stabilization Exercises<br>* The lumbar stabilization exercises will be comprised of four exercise programs. Each exercise will be performed with two sets of 15 reps, 10 sec per rep 40 min per day, thrice per week for a total of four weeks.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Numeric rating scale (NRS-11) | It is is an eleven-point scale in which the end points are the extremes of no pain at all (score of 0) and the worst pain the patient has ever experienced (score of 10). NRS-11 pain severity score of 4 is frequently given special significance in this regard, suggesting it as a potential threshold value for pain severity in clinical practice. (28). This scale has high reliability (0.95-0.96) and validity (0.86-0.96). | 4 weeks | 
| Modified oswestry disability index | The ODI is a disease-specific disability measure is used to establish a level of disability, stage a patient's acuity status and monitor change over time. The ODI is made up of 10 questions. Each question is scored from 0-5 (minimum to maximum). This tool is considered as a gold standard for back pain functional. Test-retest reliability has been shown to be high. Values range from r= 0.83 to 0.99 and vary according to the time interval between measurements. ODI = (Sum of items scored/Sum of sections answered) X 100 | 4 weeks | 
| Inclinometer | Inclinometers are portable, lightweight, and inexpensive pieces of equipment that are used to measure range of motion, like goniometry.1 Inclinometers are typically found in clinics and are used as a part of a physical examination. An intraclass correlation coefficient (ICC) was found to be between 0.87- 0.95. Range of motion is the measurement of movement around a specific joint or body part. | 4 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Brunkow exercise, Disability, non-specific low back pain, pain, range of motion