Clinical trial NCT06769230: The Effect of Sensory Motor Training on Postural Stability in Post-menopausal Women With Non-specific Low Back Pain
Official title: The Effect of Sensory Motor Training on Postural Stability in Post-menopausal Women With Non-specific Low Back Pain
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: Low Back Pain
Lead sponsor: Cairo University
Sponsor class: OTHER
First posted: 2025-01-10
Enrollment: 50
Sex: FEMALE
Minimum age (years): 50
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The study will be conducted to determine the effect of sensory-motor training on postural stability in post-menopausal women with non-specific low back pain.

Detailed description: Low back pain (LBP) primarily affects postmenopausal women between the ages of 45-60, and it causes distress on social and economic levels Postmenopausal women with non-specific low back pain (NSLBP) and decreased function often feel anxious and sad, which affects their work, sexual and social lives Neuromuscular rehabilitation techniques addressing sensory deficiencies have emerged in recent years and have received increasing therapeutic attention. These techniques could broadly be summarized as sensorimotor training (SMT) methods aiming at increased proprioceptive input to improve motor response in dynamic environments. This might lead to improved quality of postural control, which in turn may alleviate postural specific musculoskeletal pain.

As it promotes proximal stability and distal mobility, Core muscles Stabilization Exercises (CSE) are becoming a more significant part of the treatments. The use of CSE is promoted as a general physical therapy approach for NSLBP. Overtime, CES have improved, focusing more and more on maintaining spinal stability. Theoretical ideas for the treatment of spinal ailments that aid in reducing pain and enhancing function in patients with LBP significantly support the use of CSE. CSE trains muscle activity patterns without unnecessarily overloading the tissue, enhances aerobic fitness, spinal mobility, muscle strength, motor co-ordination and can help to stabilize the spine at a quite cost affordable price and reduce low back pain.

Eligibility criteria: Inclusion Criteria:

* All women suffering from non-specific low back pain for at least 3 months.
* Their ages will be ranged from 50-65 years.
* They will be at least 3 years post menopause.
* Their body mass index (BMI) will be less than 30 kg/m2.

Exclusion Criteria:

* Musculoskeletal injuries.
* Cardiovascular, respiratory or neurological disorders or psychiatric problem.
* Spinal deformity, bone fracture.
* Back surgery experience.
* Hormone replacement therapy and females with cancer.
* Sensory neuropathy and nervous system problems.
* Middle ear or vestibular problems.

Primary outcomes:
measure: Anterior posterior stability index (APSI)
timeFrame: 8 weeks
measure: Mediolateral stability index (MLSI)
timeFrame: 8 weeks
measure: Overall stability index (OASI)
timeFrame: 8 weeks
measure: Pain intensity level
timeFrame: 8 weeks
measure: Pain pressure threshold (PPT)
timeFrame: 8 weeks
Secondary outcomes:
measure: Assessment of function disability
timeFrame: 8 weeks
Other outcomes:
Locations:
city: Cairo
country: Egypt
facility: Mohamed Khalaf Sayed
Study officials:
affiliation: Cairo University
name: Mohamed Awad, professor
role: STUDY_DIRECTOR
affiliation: Cairo University
name: Dalia Kamel, Professor
role: STUDY_CHAIR
References: