The Effect of Motor Control Exercise Versus General Exercise on Lumbar Local Stabilizing Muscles Thickness - Full Text View

Sponsored by:	Zahedan University of Medical Sciences
Information provided by:	Zahedan University of Medical Sciences
ClinicalTrials.gov Identifier:	NCT00555802

Purpose

The purpose of this study was to evaluate the efficacy of motor control exercises. For this, before and after motor control and general exercises, we determined transverses abdominis and multifidus thickness, activity limitation and pain. We hypothesized that the motor control exercises would increase transverses abdominis and multifidus muscles thickness. Activity limitation and pain would decrease following two protocols that it was more in motor control group than general one.

Condition	Intervention
Low Back Pain	Other: exercise

Study Type:	Interventional
Study Design:	Treatment, Randomized, Double Blind (Subject, Investigator, Outcomes Assessor), Active Control, Single Group Assignment, Efficacy Study
Official Title:	The Effect of Motor Control Exercise Versus General Exercise on Lumbar Local Stabilizing Muscles Thickness

Resource links provided by NLM:

MedlinePlus related topics: Back Pain Exercise and Physical Fitness Ultrasound

U.S. FDA Resources

Further study details as provided by Zahedan University of Medical Sciences:

Primary Outcome Measures:

Before and after intervention, we assessed the multifidus and abdominal muscles thickness (mm) using a 7.5 MHz B-mode transducer ultrasound, pain through visual analog scale and activity limitation through Back Performance Scale. [ Time Frame: Baseline, 16 weeks ]

Secondary Outcome Measures:

Weight, Age, height,BMI,Current duration of pain,Time since first onset [ Time Frame: baseline ]

Enrollment:	49
Study Start Date:	April 2006
Study Completion Date:	November 2007

Intervention Details:

exercise

Detailed Description:

Musculoskeletal disorders, of which back pain accounts for more than half the number of cases, are the most common cause of chronic incapacity in industrialized countries. Approximately 10-20 percent of patients with low back pain develop chronic pain, defined as low back pain persisting more than 3 months. Low back pain represents a particularly costly sociomedical problem because of the expenditure associated with repeated treatment and the long-term absence from work and need for social support. These patients use more than 80% of health care resources for back problems, and treatment has a low success rate. Thus, the development of effective interventions aimed at management of the chronic problems is urgently required.

Review of studies showed that the effectiveness of stabilization exercises in patients with nonspecific LBP is not yet fully established. In clinical trials that improvement reported after motor control exercise, other intervention accompanied with these exercises. Also, the results of motor control exercise studies are different. On the other hand, the evidence underpins the primary aim of motor control exercise, which is to re-establish normal control of the deep spinal muscles, reducing the activity of more superficial muscles that tend to stiffen the spine and have increased activity in low back pain, and then maintain normal control during progressively more demanding physical and functional tasks. For these reasons, we decided to identify the efficacy of motor control exercises, usually considered as specific trunk muscle stabilization exercises. A randomized controlled trial was only way for identifying the role of these exercises in treating chronic low back pain. Also, our choice coincides with the research agenda set by the 2004 European Guideline.

Eligibility

Ages Eligible for Study:	20 Years to 80 Years
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

nonspecific low back pain with or without leg pain of at least 3 months duration
currently seeking care for low back pain
aged greater than 18 and less than 80 years
suitable for motor control exercise based on clinical assessment
The patients must also have sufficient knowledge of the Persian language to understand instructions

Exclusion Criteria:

suspected or confirmed serious spinal pathology (fracture, metastatic, inflammatory or infective diseases of the spine, cauda equine syndrome, widespread neurological disorder)
suspected or confirmed pregnancy
nerve root compromise (2 of strength, reflex or sensation affected for same nerve root)
spinal surgery
any of the contraindications to exercise listed on page 42 of the ACSM guidelines

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00555802

Locations

Iran, Islamic Republic of, Sistan & Bladchestan
Dept. of physiotherapy, Zahedan university of medical scinces
Zahedan, Sistan & Bladchestan, Iran, Islamic Republic of

Sponsors and Collaborators

Zahedan University of Medical Sciences

Investigators

Principal Investigator:

Asghar Akbari

Deputy of research, Zahedan university of medical scinces

More Information

Additional Information:

Spine-health.com has organized its peer-reviewed articles and patient information into Health Hubs dedicated to specific conditions, treatments, and pain management topics. This link exits the ClinicalTrials.gov site

This link exits the ClinicalTrials.gov site

Publications:

Maher CG, Latimer J, Hodges PW, Refshauge KM, Moseley GL, Herbert RD, Costa LO, McAuley J. The effect of motor control exercise versus placebo in patients with chronic low back pain [ACTRN012605000262606]. BMC Musculoskelet Disord. 2005 Nov 4;6:54.

Study ID Numbers:	86-1534
Study First Received:	November 8, 2007
Last Updated:	January 25, 2008
ClinicalTrials.gov Identifier:	NCT00555802 History of Changes
Health Authority:	Iran: Ethics Committee

Keywords provided by Zahedan University of Medical Sciences:

Low Back Pain
Motor Control Exercise
General exercise

Ultrasonography, Multifidus
Transversus abdominis
Randomized Controlled trial.

Study placed in the following topic categories:

Signs and Symptoms
Neurologic Manifestations
Low Back Pain
Pain
Back Pain

Additional relevant MeSH terms:

Signs and Symptoms
Nervous System Diseases
Neurologic Manifestations

Low Back Pain
Pain
Back Pain

ClinicalTrials.gov processed this record on July 06, 2009