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Effect of Global Postural Reeducation (GPR) Program With Hamstring Stretch for Patients With Low Back Pain (GPR)

Primary Purpose

Back Pain

Status

Completed

Phase

Not Applicable

Locations

Pakistan

Study Type

Interventional

Intervention

Global Postural Reeducation Program

Hamstring Stretch Program

About this trial

This is an interventional treatment trial for Back Pain focused on measuring Low Back Pain, Oswestry Disability Index, Numeric Pain Rating Scale, Stretch

Eligibility Criteria

18 Years - 35 Years (Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

Females
18-35 years
Low back pain > 3 month
no exercise for last 6 months

Exclusion Criteria:

Any diagnosed pathology (disc herniation, lumbar stenosis, spinal deformity, fracture, spondylolisthesis)
Any lower limb abnormality
Congenital deformities
Central or peripheral neurologic signs
Systemic illness (tumor and rheumatologic diseases),
Psychiatric and mental deficits
Diabetic neuropathy

Sites / Locations

Helping hand institute of rehabilitation sciences

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Global Postural Reeducation Program

Hamstring Stretch Program

Arm Description

Global Postural Reeducation Program with hamstring stretch

Hamstring Stretch Program and Knee -flexor eccentric training

Outcomes

Primary Outcome Measures

Oswestry Disability Index (ODI)

The Oswestry Disability Index (also known as the Oswestry Low Back Pain Disability Questionnaire) is an extremely important tool that researchers and disability evaluators use to measure a patient's permanent functional disability. The test is considered the 'gold standard' of low back functional outcome tools. For each section the total possible score is 5: if the first statement is marked the section score = 0; if the last statement is marked, it = 5. 0% to 20%: minimal disability 81%-100% exaggerating symptoms.

Numeric Pain Rating Scale

A numerical rating scale (NRS) requires the patient to rate their pain on a defined scale. For example, 0-10 where 0 is no pain and 10 is the worst pai

Goniometry

A goniometer is an instrument which measures the available range of motion at a joint. A large Universal Goniometer having 12-inch arms and full-circle plastic body will be used for measuring Assisted Range of Motion (AROM) for hamstring length, it is a useful measurement tool that can be used to do the Active knee extension test. An active knee-extension test has been shown to be a reliable method of assessing hamstring tightness and has good intra-tester reliability [intraclass correlation coefficient (ICC): 0.97-0.98]

Secondary Outcome Measures

Full Information

NCT ID

NCT04555668

First Posted

September 16, 2020

Last Updated

September 16, 2020

Sponsor

Riphah International University

1. Study Identification

Unique Protocol Identification Number

NCT04555668

Brief Title

Effect of Global Postural Reeducation (GPR) Program With Hamstring Stretch for Patients With Low Back Pain

Acronym

GPR

Official Title

Effect of Global Postural Reeducation Program With Hamstring Stretch for Patients With Low Back Pain

Study Type

Interventional

2. Study Status

Record Verification Date

September 2020

Overall Recruitment Status

Completed

Study Start Date

January 15, 2020 (Actual)

Primary Completion Date

August 15, 2020 (Actual)

Study Completion Date

September 1, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title

Sponsor

Name of the Sponsor

Riphah International University

4. Oversight

Studies a U.S. FDA-regulated Drug Product

Studies a U.S. FDA-regulated Device Product

Data Monitoring Committee

5. Study Description

Brief Summary

The purpose of this study is to find out the additional effect of global re-education program with hamstring stretching in patients with low back pain.

Detailed Description

Low back pain (LBP) is a very common health problem worldwide and a major cause of disability which affecting performance at work and general well-being. LBP is a complicated condition which affects the physiological and psychosocial aspects of the patient. The muscles of the low back provide the strength and mobility for all activities of daily living. The purpose of this study is to find out the additional effect of global re-education program with hamstring stretching in patients with low back pain.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study

Back Pain

Keywords

Low Back Pain, Oswestry Disability Index, Numeric Pain Rating Scale, Stretch

7. Study Design

Primary Purpose

Treatment

Study Phase

Not Applicable

Interventional Study Model

Parallel Assignment

Masking

ParticipantInvestigator

Allocation

Randomized

Enrollment

78 (Actual)

8. Arms, Groups, and Interventions

Arm Title

Global Postural Reeducation Program

Arm Type

Experimental

Arm Description

Global Postural Reeducation Program with hamstring stretch

Arm Title

Hamstring Stretch Program

Arm Type

Active Comparator

Arm Description

Hamstring Stretch Program and Knee -flexor eccentric training

Intervention Type

Other

Intervention Name(s)

Global Postural Reeducation Program

Intervention Description

Global Postural Reeducation Program with hamstring stretch The lying posture with flexion of the legs aimed to stretch the posterior chain (upper trapezius, levator scapulae, sub occipital, erector spinae, gluteus maximus, ischio-tibial, triceps surae, and foot intrinsic muscles). The initial position will lying with the hip flexed and progression consisted of increasing hip flexion, knee extension, and dorsiflexion of the ankle All above exercises will be given and to be held for 15 minutes each. 40 min/session, 3 times/week for 6 weeks

Intervention Type

Other

Intervention Name(s)

Hamstring Stretch Program

Intervention Description

Hamstring Stretch Program 3 times for 30 seconds hold, subjects rested for 15 seconds between stretches. Knee -flexor eccentric training to prevent hamstring muscle strain 10-15 rep 40 min/session, 3 times/week for 6 weeks

Primary Outcome Measure Information:

Title

Oswestry Disability Index (ODI)

Description

Time Frame

6th week

Title

Numeric Pain Rating Scale

Description

A numerical rating scale (NRS) requires the patient to rate their pain on a defined scale. For example, 0-10 where 0 is no pain and 10 is the worst pai

Time Frame

6th week

Title

Goniometry

Description

Time Frame

6th week

10. Eligibility

Sex

Female

Gender Based

Yes

Minimum Age & Unit of Time

18 Years

Maximum Age & Unit of Time

35 Years

Accepts Healthy Volunteers

Eligibility Criteria

Inclusion Criteria: Females 18-35 years Low back pain > 3 month no exercise for last 6 months Exclusion Criteria: Any diagnosed pathology (disc herniation, lumbar stenosis, spinal deformity, fracture, spondylolisthesis) Any lower limb abnormality Congenital deformities Central or peripheral neurologic signs Systemic illness (tumor and rheumatologic diseases), Psychiatric and mental deficits Diabetic neuropathy

Overall Study Officials:

First Name & Middle Initial & Last Name & Degree

Nazish Rafique, MSPT

Organizational Affiliation

Riphah International University

Official's Role

Principal Investigator

Facility Information:

Facility Name

Helping hand institute of rehabilitation sciences

City

Mānsehra

State/Province

Khyber Pakhtunkhwa

Country

Pakistan

12. IPD Sharing Statement

Plan to Share IPD

Citations:

PubMed Identifier

30050749

Citation

Cuenca-Martinez F, Cortes-Amador S, Espi-Lopez GV. Effectiveness of classic physical therapy proposals for chronic non-specific low back pain: a literature review. Phys Ther Res. 2018 Mar 20;21(1):16-22. doi: 10.1298/ptr.E9937. eCollection 2018.

Results Reference

background

Citation

da Silva DA, de Carvalho MEIM, de Andrade Mesquita LS. Effects of a protocol with manual therapy and postural techniques for non-specific low back pain. Manual Therapy, Posturology & Rehabilitation Journal. 2019;17:0-.

Results Reference

background

PubMed Identifier

19103627

Citation

Cohen SP, Argoff CE, Carragee EJ. Management of low back pain. BMJ. 2008 Dec 22;337:a2718. doi: 10.1136/bmj.a2718. No abstract available.

Results Reference

background

PubMed Identifier

29792997

Citation

Parreira P, Maher CG, Steffens D, Hancock MJ, Ferreira ML. Risk factors for low back pain and sciatica: an umbrella review. Spine J. 2018 Sep;18(9):1715-1721. doi: 10.1016/j.spinee.2018.05.018. Epub 2018 May 21.

Results Reference

background

PubMed Identifier

30782429

Citation

Bento TPF, Genebra CVDS, Maciel NM, Cornelio GP, Simeao SFAP, Vitta A. Low back pain and some associated factors: is there any difference between genders? Braz J Phys Ther. 2020 Jan-Feb;24(1):79-87. doi: 10.1016/j.bjpt.2019.01.012. Epub 2019 Feb 13.

Results Reference

background

Citation

Abu-Naser SS, ALDAHDOOH R. Lower back pain expert system diagnosis and treatment. 2016.

Results Reference

background

PubMed Identifier

17350545

Citation

Krismer M, van Tulder M; Low Back Pain Group of the Bone and Joint Health Strategies for Europe Project. Strategies for prevention and management of musculoskeletal conditions. Low back pain (non-specific). Best Pract Res Clin Rheumatol. 2007 Feb;21(1):77-91. doi: 10.1016/j.berh.2006.08.004.

Results Reference

background

Citation

Abdullah IB, Al-Mutairi MM, Alghubayan MA, Alamir AA, Bu-Jubarah AY, Almajed N, et al. Literature Review on Prevalence, Risk Factors and, Evaluation of Acute Lower Back Pain. International Journal of Pharmaceutical Research & Allied Sciences. 2020;9(1).

Results Reference

background

PubMed Identifier

16906196

Citation

Manchikanti L. Epidemiology of low back pain. Pain Physician. 2000 Apr;3(2):167-92.

Results Reference

background

Citation

Brighton SW. The management of acute low back pain in adults: a guide for the primary care physician, Part II. South African Family Practice. 2013;55(1):26-32.

Results Reference

background

PubMed Identifier

30588084

Citation

Paolucci T, Attanasi C, Cecchini W, Marazzi A, Capobianco SV, Santilli V. Chronic low back pain and postural rehabilitation exercise: a literature review. J Pain Res. 2018 Dec 20;12:95-107. doi: 10.2147/JPR.S171729. eCollection 2019.

Results Reference

background

PubMed Identifier

10796344

Citation

van Tulder MW, Malmivaara A, Esmail R, Koes BW. Exercise therapy for low back pain. Cochrane Database Syst Rev. 2000;(2):CD000335. doi: 10.1002/14651858.CD000335.

Results Reference

background

PubMed Identifier

21162726

Citation

Bonetti F, Curti S, Mattioli S, Mugnai R, Vanti C, Violante FS, Pillastrini P. Effectiveness of a 'Global Postural Reeducation' program for persistent low back pain: a non-randomized controlled trial. BMC Musculoskelet Disord. 2010 Dec 16;11:285. doi: 10.1186/1471-2474-11-285.

Results Reference

background

Citation

Guastala FAM, Guerini MH, Klein PF, Leite VC, Cappellazzo R, Facci LM. Effect of global postural re-education and isostretching in patients with nonspecific chronic low back pain: a randomized clinical trial. Fisioterapia em Movimento. 2016;29(3):515-25.

Results Reference

background

Citation

Mistry GS, Vyas NJ, Sheth MS. Comparison of hamstrings flexibility in subjects with chronic low back pain versus normal individuals. J Clin Exp Res. 2014;2(1):85-8.

Results Reference

background

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Effect of Global Postural Reeducation (GPR) Program With Hamstring Stretch for Patients With Low Back Pain

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