Effect of Open Chain Versus Closed Chain Segmental Control Exercises on CSA of Lumbar Multifidus Muscle in Chronic MLBP

Study Overview
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Brief Summary
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To investigate the effect of adding open versus closed chain segmental control exercises to conventional treatment program on pain intensity, lumbar ROM, and CSA of multifidus muscle.

Detailed Description
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To investigate the effect of adding open versus closed chain segmental control exercises to conventional treatment program on pain intensity. To investigate the effect of adding open versus closed chain segmental control exercises to conventional treatment program on lumber ROM. To investigate the effect of adding open versus closed chain segmental control exercises to conventional treatment program on CSA of multifidus muscle. To investigate the effect of adding open versus closed chain segmental control exercises to conventional treatment program on lumber function.

Official Title
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Effect of Open Chain Versus Closed Chain Segmental Control Exercises on Cross Sectional Area of Lumbar Multifidus Muscle in Chronic Mechanical Low Back Pain

Conditions
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Mechanical Low Back Pain

Intervention / Treatment
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* Other: Conventional treatment
* Other: Open chain segmental control
* Other: Closed chain segmental control


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients with chronic low back pain from both genders their age will be ranged and divided into three groups from 25-55 years. Participants with chronic low back pain lasting for more than 6 Months. A patient who can follow the command. A patient who can do exercise. Exclusion Criteria: Low back pain patients with a history of severe neurological disease or orthopedic disease. History of Psychological Disorder. Unhealthy Patient. Pregnant women. Patient with a spinal tumor. History of any operation related to spine. Ex. Vertebral fracture or dislocation.

Ages Eligible for Study
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Minimum Age: 25 Years
Maximum Age: 55 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: Group will receive ultrasound and TENS as conventional treatment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Sham Comparator: Control<br>The participants will receive conventional treatment in the form of TENS and Ultrasound. | Other: Conventional treatment<br>* Application of ultrasound and transcutaneous electrical nerve stimulation TENS for mechanical low back pain.<br>|
| Experimental: Intervention 1<br>The participants will receive open chain segmental control exercises plus conventional treatment in the form of TENS and Ultrasound. | Other: Open chain segmental control<br>* Application of open chain segmental control exercises As well as, application of ultrasound and transcutaneous electrical nerve stimulation TENS for mechanical low back pain.<br>|
| Experimental: Intervention 2<br>The participants will receive closed chain segmental control exercises plus conventional treatment in the form of TENS and Ultrasound. | Other: Closed chain segmental control<br>* Application of closed chain segmental control exercises As well as, application of ultrasound and transcutaneous electrical nerve stimulation TENS for mechanical low back pain.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Cross sectional area of multifidus muscle | Cross sectional area of multifidus muscle | Pre and Post measurement (12 weeks) | 
| Pain intensity | Measured by VAS (from 0 to 10; 0 means no pain and 10 means worst pain) | Pre and Post measurement (12 weeks) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| ROM of lumbar spine | Measuring ROM of lumbar spine | Pre and Post measurement (12 weeks) | 
| Functional ability of lumbar spine | Questionnaire for measuring lumbar activities (lower score means better and higher score means worse) | Pre and Post measurement (12 weeks) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Mechanical LBP, Cross Sectional Area, Multifidus muscle