Effects of Spinal Stabilization Exercises on Dynamic Balance and Functional Performance in Adults With Low Back Pain
Low Back Pain, Chronic Low Back Pain, Subacute Low Back Pain
About this trial
This is an interventional treatment trial for Low Back Pain focused on measuring Y-balance test, Functional Movement Screen, Spinal stabilization exercises, Dynamic balance, Postural control, Physical performance
Eligibility Criteria
Inclusion Criteria:
- Individuals between the age of 18 to 65 years
- Individuals who have low back pain (LBP) for 6 weeks or more
- ability to understand, speak, and follow verbal instructions in English
- the average pain level of at least 2 out of 10 in the past week
Exclusion Criteria:
- serious spinal conditions such as fracture, infection, or tumor
- signs of nerve root compression
- a history of lower extremity or lumbar spine surgery
- a history of hip, knee, or ankle pain in the previous two years
- current pregnancy
- systemic joint disease (e.g. rheumatologic or neurological disorders)
- vestibular or other balance disorders
- ongoing treatment for inner ear, sinus, or upper respiratory infection
- concussion within the previous three months
- a history of falls or fear of falling
- a need for any form of walking aids (cane, walker)
Sites / Locations
- Texas Woman's UniversityT. Boone Pickens Institute of Health Sciences-Dallas Center
Arms of the Study
Arm 1
Arm 2
Experimental
Placebo Comparator
Spinal Stabilization Exercise Program
General Exercises Program
Participants in the spinal stabilization exercise group will be instructed to perform four exercises in total, one exercise from each of the following four categories: (a) abdominal bracing, (b) quadruped, (c) prone plank, and (d) side plank exercises. Each exercise will be progressed and advanced in difficulty by increasing repetitions, hold times, and/or extremity movements. The progression of exercises will be based on the participants' performance at each supervised physical therapy session based on pre-established criteria by Hicks et al. (2005).
Participants in the general exercise group will perform a range of motion (ROM) and flexibility exercises of low back and lower extremities. Each participant will be instructed to perform four exercises in total, one exercise from each of the following four categories: (a) knee to chest, (b) lower trunk rotation, (c) prone press-ups, and (d) hamstring stretch exercises. These exercises will be progressed by increasing repetitions and pain-free ROM.