A protocol for clinical trial study of the effect of core stabilization exercises on spine kinematics during gait with and without load in patients with non-specific chronic low back pain
- PMID: 29177031
- PMCID: PMC5688737
- DOI: 10.1186/s12998-017-0162-y
A protocol for clinical trial study of the effect of core stabilization exercises on spine kinematics during gait with and without load in patients with non-specific chronic low back pain
Abstract
Background: Non-specific chronic low back pain (NCLBP) is a major public health and global socioeconomic burden with a variety of symptoms such as gait abnormality. Trunk stiffness and deep trunk muscles dysfunction known as guarding mechanism in gait are factors leading to abnormal movement pattern of the spine. Anterior load carriage task during gait is also challenged the trunk stability and its movement pattern. It will be therefore of interest to examine the effect of a Core Stabilization Training Program (CSTP) on the trunk and pelvis kinematics including variability and peak displacement during gait with and without load in NCLBP patients.
Methods: Patients with NCLBP will participate in a program containing 16 sessions of CSTP and perceived pain, disability and kinematic will be evaluated with 100 mm visual analog scale (VAS), Oswestry Disability Index (ODI) and motion analyzing system respectively before and after the intervention. Participants will be asked to walk with self-selected comfortable speed for 3 times without load and 3 times with caring a load with hands.
Discussions: We will quantify the effectiveness of CSTP on the kinematic of trunk, lumbar and pelvis during gait. Comparing the kinematic pattern and movement variability using CVo and CVp can contribute to better understand the motor control strategy and movement pattern of the spine during an anterior load carriage task between patients with NCLBP and healthy.
Trial registration: IRCT number: IRCT2016080829264N1; pre-result.
Keywords: Core stabilization exercise; None-specific chronic low back pain; Spine kinematic.
Conflict of interest statement
Ethics approval and consent to participate
This study approved by Ethical committee at Iran University of Medical Sciences and informed consent will be written by all the participants. Participant confidentiality will be maintained with publication of results. (Ethical Approval Number: IR.IUMS.REC 1395.9211342205.)
Consent for publication
Not applicable
Competing interests
The authors declare that they have no competing interests.
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References
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- Barondess J, et al. Musculoskeletal disorders and the workplace: low back and upper extremities. Washington, DC: National Academy of Sciences; 2001. pp. 1–512. - PubMed
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- Council, N.R., Institute of Medicine. 2001. Musculoskeletal Disorders and the Workplace-Low Back and Upper Extremities. National Academy of Sciences. Washington, DC: National Academy Press.(ex. 3-6).
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- Council, N.R., the Institute of Medicine: Musculoskeletal disorders and the workplace: low back and upper extremities. Panel on Musculoskeletal Disorders and the Workplace. Commission on Behavioral and Social Sciences and Education. Commission of Behavioral and Social Sciences and Education, 2001.
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