Clinical trial NCT06461494: Comparison of Egoscue Versus Pilates Exercises in Patient With Mechanical Low Back Pain
Official title: Comparative Effect of Egoscue Versus Pilates Exercises on Pain, Range of Motion, Flexibility and Muscles Endurance in Patients With Mechanical Low Back Pain
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Low Back Pain
Keywords: muscle endurance
pain
range of motion
muscle flexibility
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2024-06-17
Enrollment: 34
Sex: ALL
Minimum age (years): 18
Maximum age (years): 40
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Mechanical low back pain arises intrinsically from the spine, intervertebral disc,or surrounding soft tissues.It is causes by muscular spasm, and other soft tissue injuries. The aim of the study will be to compare the effect of Egoscue versus Pilates exercises on pain, range of motion and muscle endurance in patient with mechanical low back pain.

Detailed description: A Randomized Clinical Trial will be conducted at Riphah Clinic Lahore through consecutive sampling technique on 30 patients which will be allocated using simple random sampling through sealed opaque enveloped into Group A and Group B. Group A will be treated with Pilates exercises at frequency 2 sets 5 repetitions 5 days a week and Group B will be treated with Egoscue exercises at the frequency of 2 sets with 5 repetitions 5 days a week. Outcome measures will be conducted through pain, disability,lumber range of motion, Muscle flexibility, Extensor muscle endurance, Lateral muscle endurance, Flexors muscle endurance questionnaires after 4 weeks. Data will be analyzed during SPSS software version 21. After assessing normality of data by ANOVA test, it will be decided either parametric or non-parametric test will be used within a group or between two groups.

Eligibility criteria: Inclusion Criteria:

* Age 18 to 40 years
* Both gender
* Patient with non-radiating pain
* Pain NPRS \<7
* Positive McGill Extensor Endurance Test ( \<101 seconds)
* Positive McGill lateral flexor endurance test (\<54 sec Right side, \<55sec left side)
* Positive McGill flexor endurance test \< 120 seconds
* Positive Finger to Floor Test : \> 48cm in males, \>50cm for females
* Patient with Oswestry disability index (ODI) \< 40 ODI score
* Decrease lumbar ROM; Lateral flexion, Extension, Flexion

Exclusion Criteria:

* Sacroiliac Joint Dysfunction (SIJD)
* Coccydynia
* Lumber disc pathology
* Malignancy
* Recent fractures

Primary outcomes:
measure: Numeric pain rating scale (NPRS)
timeFrame: upto 4 weeks
measure: Muscle flexibility (Finger to floor test)
timeFrame: upto 4 weeks
measure: Trunk Flexor Endurance Test
timeFrame: upto 4 weeks
measure: Trunk Lateral Endurance Test
timeFrame: upto 4 weeks
measure: Trunk Extensor Endurance Test
timeFrame: upto 4 weeks
measure: universal goniometer
timeFrame: upt0 4 weeks
Secondary outcomes:
Other outcomes:
Locations:
city: Lahore
country: Pakistan
facility: Med care hospital
state: Punjab
Study officials:
affiliation: Riphah International University,Lahore
name: Ghazala Arshad, MSPT*
role: PRINCIPAL_INVESTIGATOR
References:
citation: Kudchadkar GS, Gurudut P, Welling AJIJoPT, Research. Comparative effect of mat pilates and egoscue exercises in asymptomatic individuals with lumbar hyperlordosis: A randomized controlled trial. 2019;1(2):79-88.
citation: Baillie L, Bacon CJ, Hewitt CM, Moran RW. Predictors of functional improvement in people with chronic low back pain following a graded Pilates-based exercise programme. J Bodyw Mov Ther. 2019 Jan;23(1):211-218. doi: 10.1016/j.jbmt.2018.06.007. Epub 2018 Jun 30.
citation: Altinbilek T, Murat S. A comparison of application frequency of physical therapy modalities in patients with chronic mechanical low back pain. Turk J Phys Med Rehabil. 2020 May 18;66(2):201-209. doi: 10.5606/tftrd.2020.4192. eCollection 2020 Jun.
citation: Jerome EJIJoP. Effects of core stabilization program and conventional exercises in the management of patients with chronic mechanical low back pain. 2015:441-7.
citation: Caglayan M, Tacar O, Demirant A, Oktayoglu P, Karakoc M, Cetin A, et al. Effects of lumbosacral angles on development of low back pain. 2014;22(3):251-5.
citation: Kumar SP. Efficacy of segmental stabilization exercise for lumbar segmental instability in patients with mechanical low back pain: A randomized placebo controlled crossover study. N Am J Med Sci. 2011 Oct;3(10):456-61. doi: 10.4297/najms.2011.3456.
citation: Russo M, Deckers K, Eldabe S, Kiesel K, Gilligan C, Vieceli J, Crosby P. Muscle Control and Non-specific Chronic Low Back Pain. Neuromodulation. 2018 Jan;21(1):1-9. doi: 10.1111/ner.12738. Epub 2017 Dec 12.
citation: Vining R, Potocki E, Seidman M, Morgenthal AP. An evidence-based diagnostic classification system for low back pain. J Can Chiropr Assoc. 2013 Sep;57(3):189-204.