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Enrolling by Invitation

NCT Number: NCT07684118

Egoscue and Core Stabilization for Chronic Low Back Pain

Chronic low back pain is a widespread musculoskeletal condition that limits mobility and affects quality of life. It is often caused due to the poor posture, hyperlordosis and weak core muscles. This randomized clinical trial aims to evaluate the effectiveness of egoscue based postural correction combined with core stabilization exercises compared to core stabilization exercises alone in managing chronic low back pain. The primary outcomes measures includes numeric pain rating scale (NPRS), disability (Oswestry Disability Index), while secondary outcomes includes range of motion (Inclinometer), and posture (flexicurve Ruler).

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Key information

Conditions

Chronic Low Back Pain (CLBP) Animal Diseases Deficiency Diseases Malnutrition Nutrition Disorders Nutritional and Metabolic Diseases Sheep Diseases Swayback

Age range

25 year–55 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

The university of lahore teaching hospital

Lahore, Punjab Province, 54782, Pakistan

About this study

Chronic low back pain (CLBP) is a highly prevalent musculoskeletal condition characterized by pain and discomfort in the lumbar region. It significantly affects functional activities, posture, mobility, and quality of life. Persistent low back pain may lead to muscle weakness, reduced spinal stability, limited range of motion, and increased disability in daily activities. Poor posture, especially lumbar hyperlordosis, is considered one of the contributing biomechanical factors associated with chronic low back pain. Core stabilization exercises are widely used in physiotherapy rehabilitation for chronic low back pain. Improvement in core muscle activation helps enhance spinal stability, reduce mechanical stress on the lumbar spine, improve functional performance, and decrease pain intensity.

Egoscue-based postural correction exercises are designed to improve body alignment, muscle balance, and postural symmetry through a sequence of therapeutic exercises. These exercises focus on correcting abnormal posture, restoring muscular balance, and improving movement patterns.

Although both core stabilization exercises and Egoscue-based postural correction exercises have individually shown beneficial effects in musculoskeletal rehabilitation, there is limited evidence regarding their combined effectiveness in patients with chronic low back pain associated with lumbar hyperlordosis.

Therefore, this randomized clinical trial aims to compare Egoscue-based postural correction combined with core stabilization exercises versus core stabilization exercises alone in patients with chronic low back pain.

Pain intensity will be measured using the numeric pain rating scale (NPRS), and functional disability Urdu Version of the Oswestry Disability Index (ODI). Secondary outcomes will include lumbar range of motion measured by inclinometer and posture/lumbar lordosis assessed by the Flexicurve ruler. The findings of this study may provide evidence regarding the effectiveness of combining Egoscue-based postural correction with core stabilization exercises for improving pain, disability, posture, and spinal mobility in patients with chronic low back pain.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Patients aged 25-55 years , both genders
  • Pain 4-7/10 (NPRS)
  • Patients with chronic low back pain
  • Hyperlumbar lordosis

Exclusion criteria

  • Patients with lumbar radiculopathy
  • Patients taking painkiller medications, patients with other spinal pathologies
  • Patients with neurological conditions (e.g., stroke, multiple sclerosis), patients with any cardiac or psychological disorders

Treatment and study plan

Egoscue exercises

Other
  • Physiotherapy care:10 minutes hot pack therapy combined with TENS for pain relief, reduce muscle spasm,and muscle relaxation before exercise
  • Egoscue exercises:20 minutes Egoscue-based postural correction exercises including Static Back Exercise,Static Back with Breathing,Abdominal Contraction,Abductor Press(3sets 5reps)hold10sec,Overhead Extension,Elbow Curls on Wall,Static Wall, Upper Spinal Twist,Pelvic Tilts,Supine Groin Progression,Air Bench.(3sets 5reps)
  • Core stabilization exercises:15 minutes core stabilization exercises including Crook Lying Position(20sec),Crook Lying with One Leg Extended,Quadruped with Neutral Head(3X5reps),Plank Position(10sec),prone lying arm at side(15sec),Sitting Erect on Chair,trunk muscle activation,and postural control.
  • Treatment schedule:Session will consist 45 minutes including 10 minutes hot pack with TENS,20 minutes Egoscue exercises, and 15 minutes core stabilization exercises.Treatment will be provided 3 sessions per week for 8 weeks

core stabilization exercises

Other
  • Physiotherapy care: 10 minutes of hot pack therapy combined with TENS (Transcutaneous Electrical Nerve Stimulation) for pain relief, reduction of muscle spasm, and muscle relaxation before exercise intervention.
  • Core stabilization exercises:15 minutes core stabilization exercises including Crook Lying Position(20sec),Crook Lying with One Leg Extended,Quadruped with Neutral Head(3X5reps),Plank Position(10sec),prone lying arm at side(15sec),Sitting Erect on Chair,trunk muscle activation,and postural control.
  • Treatment schedule: Total treatment session will consist of 45 minutes including 10 minutes of hot pack with TENS and 35 minutes of core stabilization exercises. Treatment will be provided 3 sessions per week for 8 weeks.

Primary outcomes

  1. Pain Intensity

    Time frame: Baseline, 4th week and at 8 weeks of intervention

    Pain intensity will be assessed using the Numeric Pain Rating Scale (NPRS), an 11-point self-reported pain scale ranging from 0 to 10, where 0 = no pain and 10 = worst pain imaginable. Higher scores indicate greater pain intensity (worse outcome)

Secondary outcomes

  1. Functional Disability

    Time frame: Baseline, 4th week and at 8 weeks of intervention

    Functional disability will be assessed using the Urdu version of the Oswestry Disability Index (ODI). The ODI consists of 10 items, each scored from 0 to 5, with a total score ranging from 0 to 50, which is commonly expressed as a percentage (0% to 100%). Higher scores indicate greater disability and poorer functional status (worse outcome)

  2. Lumbar Range of Motion (ROM)

    Time frame: Baseline, 4th week and at 8 weeks of intervention

    Lumbar spine range of motion measured using an Inclinometer, a reliable tool for assessing joint angle movement.

  3. Postural Alignment

    Time frame: Baseline, 4 weeks and at 8th week of intervention

    Lumbar lordosis and postural changes assessed using a Flexicurve Ruler, which measures spinal curvature by tracing the contour of the lumbar spine

Sponsors and collaborators

Lead sponsor

University of Lahore

Other

Registry information

Official study title

Egoscue Based Postural Correction Combined With Core Stabilization Exercises in Patients With Chronic Low Back Pain

Important dates

Study start
2025
Primary completion
2026
Study completion
2026
First posted
Jul 6, 2026
Registry last updated
Jul 16, 2026

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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