Clinical trial NCT05770986: Effect of Power's Program of Gluteus Maximus on LBP
Official title: Gluteus Maximus Training Using Power's Program in Chronic Mechanical Low Back Pain
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Low Back Pain
Keywords: Disability
Gluteus maximus
Low back pain
Power's program
Lead sponsor: Cairo University
Sponsor class: OTHER
First posted: 2023-03-16
Enrollment: 52
Sex: ALL
Minimum age (years): 21
Maximum age (years): 45
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Eligible patients will be randomly allocated to an experimental and a control group as follow: Group A (n= 26) will receive the eight phases of the Powers program plus a conventional treatment of flexibility exercises, hot pack, transcutaneous electrical stimulation (TENS), prone resisted hip extension for 12 sessions (3 sessions per week for 4 weeks). Group B (n= 26) will receive the same conventional treatment only.
Primary purpose: TREATMENT

Brief summary: Low back pain (LBP) is highly prevalent that causes significant pain and disability. Core muscles are important for LBP. One of them is gluteus maximus, but effect of power's program for this muscle and its role in LBP is lacking in literature, so this study aims to study the effect of power's program of gluteus maximus on LBP.

Detailed description: Chronic mechanical low back pain (CMLBP) is a common musculoskeletal dysfunction affecting 53% of Egyptian population and 1.4 to 20.0% worldwide.

which is a major social and economic burden. Patients with CMLBP experience time loss of work and recently became a workforce burden. Giving the fact that back pain is widely prevalent across Egyptian population and by addressing the functional deficits in those patients, Proper physical therapy intervention can help reducing such burden and improve over all work performance. The 'Powers Program' is a recent concept and it had been proven to be effective in improving lower extremity function and biomechanics. Up to the knowledge of the primary investigator, GMax strengthening using this program has not been conducted in patients with CMLBP. Studying this approach may benefit physical therapists by providing an evidence-based approach in treating patients with CMLBP through exercise therapy and improve functional performance of these patients therefore they can return to normal activities faster. Moreover, this study may benefit researchers interested in Gluteus maximus (GMax) muscle strength. We believe that this study may open up more rooms for future research to address such an important issue.

Eligibility criteria: Inclusion criteria

* Both sex.
* Age 21-45 years.
* Chronic mechanical liw back pain for more than 3 years.
* Body mass index 18.4-29.9 kg/m\^2.

Exclusion criteria

* Back pain due to specific pathology.
* postoperative
* Trauma to lower quadrant with past 6 months.
* Radicular pain. Lumbar instability.

Primary outcomes:
measure: Severity of low back Pain
timeFrame: 1 year
Secondary outcomes:
measure: Severity of low back disability
timeFrame: 1 year
measure: Gluteus maximus strength
timeFrame: 1year
measure: Single limb triple hop test for distnace:
timeFrame: One year
measure: Single-Limb Crossover Hop Test for Distance
timeFrame: One year
Other outcomes:
Locations:
city: Cairo
country: Egypt
facility: Central hospital of Alkhanka
Study officials:
affiliation: professor, department of physical Therapy for musculoskeletal disorders
name: Enas Fawzy
role: PRINCIPAL_INVESTIGATOR
References: