Clinical trial NCT02895828: Effects of Core Stabilization and Strengthening Exercise on Quality of Life in Clinical Lumbar Instability
Official title: Clinical Practice Guideline With Core Stabilization and Strengthening Exercise Programs for Low Back Pain With Clinical Lumbar Instability
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Chronic Low Back Pain
Lead sponsor: Khon Kaen University
Sponsor class: OTHER
First posted: 2016-09-12
Enrollment: 30
Sex: ALL
Minimum age (years): 20
Maximum age (years): 60
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: This study will compare the effects of 2 exercise programs including core stabilization exercise and general trunk strengthening exercise programs on trunk muscle activity, physical dysfunction, quality of life and lumbar motion in low back pain patient with clinical lumbar instability.

Detailed description: Clinical lumbar instability is the one of causes of chronic low back pain, that affects to pain intensity and quality of life. For clinical studies using core stabilization exercise (CSE) as treatment have revealed conflicting findings on pain, functional disability and muscle responses in chronic low back pain. The CSE promotes local muscle system that to provide lumbar stability. However, the stability of spine related to global muscle system, that using in this study.

Eligibility criteria: Inclusion Criteria:

* Chronic low back pain due to clinical lumbar instability

Exclusion Criteria:

* Specific low back pain
* Cuada equine syndrome
* Neurological deficit

Primary outcomes:
measure: Effect of 2-exercise on quality of life
timeFrame: Change from baseline at 10-week after training session, and follow up session
Secondary outcomes:
measure: Effect of 2-exercise on physical disability
timeFrame: Change from baseline at 10-week after training session, and follow up session
measure: Effect of 2-exercise on trunk muscle activity
timeFrame: Change from baseline at 10-week after training session, and follow up session
measure: Effect of 2-exercise on lumbar segmental motion
timeFrame: Change from baseline at 10-week after training session, and follow up session
measure: Effect of 2-exercise on pain intensity
timeFrame: Change from baseline at 10-week after training session, and follow up session
Other outcomes:
Locations:
city: Khon Kaen
country: Thailand
facility: Research Center in Back, Neck, Other Joint Pain and Human Performance
Study officials:
affiliation: The Research Center in Back, Neck, Other Joint Pain and Human Performance (BNOJPH), Khon Kaen University, Thailand
name: Wantanee Yodchaisarn, M.Sc.
role: PRINCIPAL_INVESTIGATOR
References:
citation: Puntumetakul R, Areeudomwong P, Emasithi A, Yamauchi J. Effect of 10-week core stabilization exercise training and detraining on pain-related outcomes in patients with clinical lumbar instability. Patient Prefer Adherence. 2013 Nov 19;7:1189-99. doi: 10.2147/PPA.S50436. eCollection 2013.
citation: Javadian Y, Behtash H, Akbari M, Taghipour-Darzi M, Zekavat H. The effects of stabilizing exercises on pain and disability of patients with lumbar segmental instability. J Back Musculoskelet Rehabil. 2012;25(3):149-55. doi: 10.3233/BMR-2012-0321.