The Effect of Motor Control Exercise Versus General Exercise on Lumbar Local Stabilizing Muscles Thickness

This study has been completed.
Sponsor:
Information provided by:
Zahedan University of Medical Sciences
ClinicalTrials.gov Identifier:
NCT00555802
First received: November 8, 2007
Last updated: January 25, 2008
Last verified: November 2007
  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: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Single Group Assignment
Masking: Double Blind (Subject, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: The Effect of Motor Control Exercise Versus General Exercise on Lumbar Local Stabilizing Muscles Thickness

Resource links provided by NLM:


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:
    Other: exercise
    exercise
    Other Name: training
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
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

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

Locations
Iran, Islamic Republic of
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:
Publications:
ClinicalTrials.gov Identifier: NCT00555802     History of Changes
Other Study ID Numbers: 86-1534
Study First Received: November 8, 2007
Last Updated: January 25, 2008
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.

Additional relevant MeSH terms:
Back Pain
Low Back Pain
Pain
Neurologic Manifestations
Nervous System Diseases
Signs and Symptoms

ClinicalTrials.gov processed this record on July 20, 2014