NCT07448766

Core Muscle Training in Patients With Chronic Mechanical Low Back Pain

Effect of Suspension Core Muscle Training Versus Pressure Biofeedback Training in Treatment of Chronic Mechanical Low Back Pain

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 48 (actual)
• Sponsor: Cairo University · Academic / Other
• Sex: All
• Age: 20 Years – 35 Years
• Healthy volunteers: Not accepted

Summary

The goal of this study is to train core muscles in patients with chronic low back pain, the researchers will compar between the effect of suspension exercise core muscle training and pressure biofeed back core muscle training

Detailed description

Recently suspension training systems have become popular as a way to improve fitness. These systems create instability during workouts which challenges the body in new ways. As a result, suspension training can help increase muscle strength mass and power. Furthermore, it enhances functional performance by engaging the core muscles more intensely. This focus on the core is important for overall fitness and can lead to better results in various physical activities. (Angleri et al., 2020), Suspension training involves using straps to hang either the lower or upper limbs allowing them to move freely. This setup creates a unique environment for exercise as it engages multiple muscle groups at once. Many exercises focus on the core which is essential for stability and strength. The movement of the limbs can introduce different challenges making workouts more dynamic and effective. Overall suspension training is a versatile method that can enhance physical fitness in various ways (Behm and Drinkwater, 2010). Core stabilization training using pressure biofeedback has shown to be effective in reducing pain and improving function in individuals with mechanical low back pain. This type of training focuses on strengthening the muscles that support the spine. By using pressure biofeedback individuals can better understand their body's alignment and muscle engagement during exercises. As a result, many participants reported less pain both when resting and during activities. Overall, this method of training helps improve daily functioning and enhances quality of life for those suffering from low back pain. (Mahesh and Mrunmayee, 2019).

Conditions

• Chronic Low-back Pain (cLBP)

Interventions

Type	Name	Description
BEHAVIORAL	suspension execises	Participants were instructed to perform the exercises through the full range of motion using the correct technique, while maintaining a neutral alignment of the spine and pelvis throughout each movement. Each exercise was performed three times, with each repetition lasting six seconds. A three-minute rest interval was provided between exercises to ensure adequate recovery, all exercises were performed three times per week for a duration of four weeks The following exercises have been selected 1. Roll-out 2. Bodysaw 3. Pike 4. Knee-tuck
BEHAVIORAL	pressure biofeedback training	The patients were instructed to take a relaxed breath in and out, hold the breath out, and then draw in the lower abdomen without moving the spine. Independent contraction of the transversus abdominis muscle was achieved through the abdominal drawing-in maneuver(ADIM). * In the supine position, the pressure biofeedback unit was placed beneath the lumbar lordosis, and air was infused into the bulb to establish a baseline pressure of 40 mmHg. pressure increases of 0-2 mmHg g from a baseline of 40 mmHg * In the prone position, the pressure biofeedback unit was positioned between the navel and the anterior superior iliac spine (ASIS), and air was infused into the bulb to establish a baseline pressure of 70 mmHg. A decrease in pressure ranging from 4 to 10 mmHg during the performance of the active drawing-in maneuverwas considered to indicate a successful execution of the exercise. * After two weeks, lumbar stabilization exercises were progressively introduced
BEHAVIORAL	advices	1. Participants are instructed to walk as normally and flexibly as possible 2. Advise when lifting: * Participants are instructed to avoid twisting and bending. * When lifting heavy objects, they are instructed to use their thighs while keeping the back vertical. * At other times, they are instructed to use the back and flex it appropriately. 3. Participants were instructed to apply heat for 20 minutes, twice daily 4. Avoid sitting or standing for prolonged period and change position every 15 minutes. 5. Sitting: Sit with a back support 6. Driving: Use a back support (lumbar roll) at the curve of your back. 7. Participants were instructed to sleep and lie down on a firm mattress and box spring set that did not sag. If necessary, they were advised to place a board under the mattress or temporarily position the mattress on the floor.

Timeline

• Start date: 2024-09-01
• Primary completion: 2025-11-01
• Completion: 2025-12-25
• First posted: 2026-03-04
• Last updated: 2026-03-04

Locations

1 site across 1 country: Egypt