Directional Preference Exercises in Comparison to Motor Control Exercises in Mechanical Low Back Pain

Study Overview
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Brief Summary
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The purpose of this study is to determine the effects Of Directional Preference Exercises in Comparison to Motor Control Exercises in Patients With Mechanical Low Back Pain

Official Title
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Effects Of Directional Preference Exercises in Comparison to Motor Control Exercises in Patients With Mechanical Low Back Pain

Conditions
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Low Back Pain, Mechanical

Intervention / Treatment
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* Device: THE therapy
* Procedure: Directional Preference Exercises
* Procedure: Motor Control Exercises


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Both male & Female patients Age group 20-60 Years Diagnosed with mechanical low back pain having pain aggravation in flexion bias Exclusion Criteria: Lumbar stenosis Cauda Equina Spondylolisthesis Ankylosing Spondylitis Scoliosis Leg Length Discrepancy Muscular Dystrophy Low back pain from non-musculoskeletal causes Fracture or traumatic low back pain Any infection, tumor, spinal surgery, cognitive impairments, or any other rheumatologic disease would be excluded
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: Triple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Directional Preference Exercises<br>Directional Preference Exercises will be provided, also known as Mckenzie's extension exercises | Device: THE therapy<br>* THE therapy consisting of: Heating Pad Interferential Therapy<br>Procedure: Directional Preference Exercises<br>* Directional Preference Exercises consisting of Mckenzie's extension protocol<br>|
| Experimental: Motor Control Exercises<br>Motor Control Exercises consisting of extension bias external limb loading protocol. | Device: THE therapy<br>* THE therapy consisting of: Heating Pad Interferential Therapy<br>Procedure: Motor Control Exercises<br>* Motor Control Exercises consisting of External limb loading extension protocol<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Back Pain | Pain will be measured using Numeric Pain Rating Scale, on a scale of 1 to 10. higher scores represent poorer outcome. | 2 week | 
| Disability | Disability will be measured using Roland Morris Disability Questionnaire. Higher scores represent poorer outcome. | 2 week | 
| Range of Motion | Range of Motion will be measured using inclinometer. Higher scores represent better outcome. | 2 week | 
| Sleep Quality | Sleep Quality will be measured using Pittsburg Sleep Quality Index. Higher scores represent poorer outcome. | 2 week | 
| Postural Stability Index | Postural Stability Index will be measured using Biodex Balance System. Higher scores represent poorer outcome. | 2 week | 
| Real time Physical Activity | Real time Physical Activity will be measured using wearable sensor technology. Higher scores represent better outcome. | 2 week |