RecruitingNot ApplicableNCT06387563

Effects of Abdominal Muscle Activation Training, Using Pressure Biofeedback in Comparison With Surface Electromyography

Sponsor

Foundation University Islamabad

Enrollment

40 participants

Start Date

Nov 6, 2023

Study Type

INTERVENTIONAL

Conditions

Low Back Pain

Summary

This study is a randomized control trial and the purpose of this study to determine the effects of abdominal muscle activation training on non-specific low back pain; using pressure biofeedback in comparison with surface electromyography biofeedback: a randomized control trial.

Eligibility

Min Age: 18 YearsMax Age: 44 Years

Inclusion Criteria6

Age (adults 19 - 44 years)
Non-specific LBP with NPRS > 3
Negative SLR test in prone and supine
Painless extremity movement and activity
Manual muscle testing of abdominal muscles between grade 2 - 4
Sedentary individuals (no exercise plan followed in last 3 months)

Exclusion Criteria8

History of any spinal surgery
Degenerative disc disorder, facet joint syndrome, spinal stenosis, myelopathy, lumbar syringomyelia
Sensory disturbances due to neurological causes, lumbar radiculopathy, fibromyalgia, myofascial pain syndrome
Sacroiliac joint dysfunction
Pregnancy
Medical conditions; Hypertension, Diabetes mellites
Work disability greater than 6 months
Not able to attend regular therapy appointments

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Interventions

PROCEDUREAbdominal activation using pressure biofeedback

PBF assisted abdominal muscle activation training (30 min, 3x /week /4 weeks) Progressive Muscle Relaxation for 5 min Pressure biofeedback assisted abdominal muscle activation training. Frequency: 25 min; 10 sec hold, 15 sec relax, 10 reps Progression criteria in training: Maintaining 3 - 5 mmHg pressure on PBF dial while performing abdominal muscle activation. Exercises for Group For biofeedback assisted abdominal muscle activation training these exercises will be performed: 1. Supine abdominal muscle activation (45° Hip knee flexion) 2. Both hip and knee 90° flexion 3. One side hip and knee 90° flexion with other fully extended 4. One side hip and knee 90° flexion with other fully extended + heel 12 cm raised 5. Both legs fully extended with heel 12 cm raised 6. Partial curl ups 7. Prone lying abdominal muscle activation 8. Prone leg raises 9. Prone upper back extension simple 10. Prone reciprocal UE/LE exercises

PROCEDUREAbdominal activation using SEMG biofeedback

SEMG-BF assisted abdominal muscle activation training (30 min, 3x/ week/ 4 weeks) Progressive Muscle Relaxation for 5 min Surface EMG-BF assisted abdominal muscle activation training. Frequency: 25 min; 10 sec hold, 15 sec relax, 10 reps Maintaining minimal volumetric contraction of abdominal muscle activation (as per person) on SEMG device with abdominal muscle activation for set frequency Exercises for Group B For biofeedback assisted abdominal muscle activation training these exercises will be performed: 1. Supine abdominal muscle activation (45° Hip knee flexion) 2. Both hip and knee 90° flexion 3. One side hip and knee 90° flexion with other fully extended 4. One side hip and knee 90° flexion with other fully extended + heel 12 cm raised 5. Both legs fully extended with heel 12 cm raised 6. Partial curl ups 7. Prone lying abdominal muscle activation 8. Prone leg raises 9. Prone upper back extension simple 10. Prone reciprocal UE/LE exercises