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Completed

NCT Number: NCT04555668

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

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.

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Key information

Conditions

Back Pain Low Back Pain Neurologic Manifestations Pain Pathological Conditions, Signs and Symptoms Signs and Symptoms

Age range

18 year–35 year

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

Helping hand institute of rehabilitation sciences

Mānsehra, Khyber Pakhtunkhwa, Pakistan

About this study

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.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

Global Postural Reeducation Program

Other

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

Hamstring Stretch Program

Other

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 outcomes

  1. Oswestry Disability Index (ODI)

    Time frame: 6th week

    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.

  2. Numeric Pain Rating Scale

    Time frame: 6th week

    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

  3. Goniometry

    Time frame: 6th week

    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]

Sponsors and collaborators

Lead sponsor

Riphah International University

Other

Registry information

Official study title

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

Acronym: GPR

Important dates

Study start
2020
Primary completion
2020
Study completion
2020
First posted
Sep 21, 2020
Registry last updated
Sep 21, 2020

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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