Clinical trial NCT06660472: Relationship Between Core Muscles Endurance and Saliba's Postural Classification System in Patients With Chronic Mechanical Low Back Pain
Official title: Relationship Between Core Muscles Endurance and Saliba's Postural Classification System in Patients With Chronic Mechanical Low Back Pain
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Core Muscles
Endurance
Saliba's Postural Classification System
Low Back Pain, Mechanical
Lead sponsor: Cairo University
Sponsor class: OTHER
First posted: 2024-10-28
Enrollment: 60
Sex: ALL
Minimum age (years): 20
Maximum age (years): 50
Standard ages: ADULT
Accepts healthy volunteers: no
Observational model: OTHER
Time perspective: CROSS_SECTIONAL
Sampling method: PROBABILITY_SAMPLE
Study population: This study was a cross sectional, Observational, and correlation analysis

Brief summary: The aim of the study is to investigate the relationship between core muscles endurance and Saliba Postural Classification System in patients with chronic mechanical low back pain.

Detailed description: chronic mechanical low back pain (CMLBP) is a significant health issue affecting 85-90% of the general and athletic population, causing a significant socioeconomic burden. This study aims to address functional deficits in patients with CMLBP, reducing the burden and improving care delivery and work performance. Core muscle dysfunction, particularly multifidus and transversus abdominus muscles, is found in patients with CMLBP. However, the relationship between posture, function, and pain is not established due to the absence of a standardized postural classification system. The proposed tests can help infer the stability and function of core muscles in patients with CMLBP, enabling researchers to develop effective treatment programs. This study may also benefit physical therapists by providing an evidence-based approach in assessment using a valid and reliable postural classification system. Future research may address the relationship between core muscle endurance and Saliba Postural Classification System in patients with CMLBP.

Eligibility criteria: Inclusion Criteria:

1. Sixty male and female patients with CMLBP of more than 3 months duration
2. Patients with body mass between 18-25
3. Patients aged between 20-50 years old
4. Moderate level of pain (4-6 on visual analogue scale)
5. Minimal level of disability (0% to 20%) on Oswestry disability index as defined as "the patient can cope with most living activities. Usually, no treatment is indicated apart from advice on lifting, sitting, and exercise.

Exclusion Criteria:

Participants will be excluded if they did not meet the inclusion criteria mentioned above.

Primary outcomes:
measure: assessment of pain intensity using visual analogue scale
timeFrame: at baseline
Secondary outcomes:
measure: assessment of functional disability using cross-culturally adapted Arabic version of the Oswestry disability questionnaire
timeFrame: at baseline
measure: assessment of mechanical stress points using vertical stress test to confirm the Saliba Postural Classification System
timeFrame: at baseline
measure: assessment of proper timing of core and global muscles in response to an external load using Elbow flexion test
timeFrame: at baseline
measure: assessment of trunk endurance using Trunk flexion test
timeFrame: at baseline
measure: assessment of back extensors (the erector spinae and the multifidus) endurance using trunk extension test
timeFrame: at baseline
measure: assessment of trunk side flexor endurance using side blank test
timeFrame: at baseline
measure: assessment of trunk endurance using Prone plank test
timeFrame: at baseline
Other outcomes:
Locations:
city: Giza
country: Egypt
facility: out-patient clinic, faculty of physical therapy, Cairo university
Study officials:
References: