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NCT Number: NCT07738965

Mind-Body Pilates vs Pressure Biofeedback for Chronic Non-Specific Low Back Pain

Chronic Non-Specific Low Back Pain means pain in the lower back that lasts for more than 3 months and does not have a serious cause like a fracture, infection, or nerve damage. It is very common and affects many people at some point in their lives.

This type of back pain usually happens because the muscles that support your spine become weak or do not work properly. It can also be linked to poor posture, sitting too long, lack of exercise, stress, or anxiety. Over time, this can lead to stiffness, reduced movement, and difficulty doing daily activities.

Treatment mainly focuses on exercise and staying active. Simple physiotherapy treatments like stretching, strengthening, and heat therapy can help reduce pain, but they may not fully improve the deeper muscles that support your back.

Two helpful exercise approaches are:

Mind-Body Pilates: This involves slow, controlled movements with proper breathing. It helps improve posture, strengthen core muscles, and reduce stress.

Pressure Biofeedback Training: This uses a small device to help you learn how to correctly activate deep abdominal muscles that support your spine.

Both methods can reduce pain and improve movement. Pilates focuses on whole-body control and relaxation, while biofeedback training focuses more on activating specific muscles.

In simple terms, regular exercise, good posture, and learning how to properly use your core muscles are key to managing long-term back pain and improving your quality of life.

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Key information

Conditions

Chronic Non Specific Low Back Pain Core Strength Neurologic Manifestations Pain Pathological Conditions, Signs and Symptoms Quality of Life Signs and Symptoms

Age range

40 year–55 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Faculty of Rehabilitation Sciences

Lahore, Punjab Province, Pakistan

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Age 40-55 years.
  • Diagnosed with chronic non-specific low back pain (pain lasting ≥12 weeks).
  • Numeric Rating Scale (NRS) pain score ≥3.
  • Able to understand study procedures and provide written informed consent.
  • Able to participate in the exercise program and attend treatment sessions.

Exclusion criteria

  • History of lumbar spine surgery within the past 12 months.
  • Serious spinal pathology (fracture, tumor, infection, inflammatory disease).
  • Neurological deficits or radiculopathy requiring surgical management.
  • Pregnancy.
  • Participation in a structured Pilates or core stabilization program within the previous 6 months.
  • Any medical condition that prevents safe participation in exercise.

Treatment and study plan

Mind-Body Pilates

Behavioral

A structured Mind-Body Pilates exercise program focusing on core stability, postural alignment, breathing control, and functional movement patterns. The program includes mat-based exercises targeting deep trunk muscles (transversus abdominis, multifidus) with emphasis on controlled movements and neuromuscular coordination. Sessions will be supervised by a physiotherapist, conducted 3 times per week for 6 weeks, with each session lasting approximately 45-60 minutes

Pressure Biofeedback

Behavioral

A core stabilization exercise program using a pressure biofeedback unit to facilitate activation and control of deep abdominal muscles, particularly the transversus abdominis. Exercises will be performed in progressive positions (supine, sitting, standing) with visual feedback to ensure correct muscle activation. Sessions will be supervised by a physiotherapist, conducted 3 times per week for 6 weeks, with each session lasting approximately 30-45 minutes

Primary outcomes

  1. Numeric Pain Rating Scale

    Time frame: week 6

    Pain intensity will be measured using the Numeric Pain Rating Scale (NPRS). score range from 0 to 10, High score indicating greater pain

Secondary outcomes

  1. Pressure Biofeedback Unit

    Time frame: week 6

    Core muscle strength will be assessed using the Pressure Biofeedback Unit (PBU) and measured in mmHg forPBU. Improvement is indicated by better activation and control of the deep trunk muscles during testing.

Other outcomes

  1. 36-item Short Form Health Survey (SF-36)

    Time frame: week 6

    Health-related quality of life will be assessed using the 36-Item Short Form Health Survey (SF-36). Scores range from 0 to 100, with higher scores indicating better quality of life.

Study contacts

Contact information is provided by the study sponsor or research team.

Dr. Khizra Hamid

CONTACT

[email protected]

+923154425879

Muhammad Muzamil Arif, Masters of Physical Therapy

CONTACT

[email protected]

+92 3204308705

Sponsors and collaborators

Lead sponsor

Lahore University of Biological and Applied Sciences

Other

Registry information

Official study title

Effects of Mind-Body Pilates Versus Pressure Biofeedback on Pain,Core Strength and Quality of Life in Chronic Non-Specific Low Back Pain

Important dates

Study start
2026
Primary completion
2026
Study completion
2026
First posted
Jul 31, 2026
Registry last updated
Jul 31, 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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