A Combined Exercise Programme Involving Strengthening, Flexibility and Aerobic Exercise for Lower Back Pain
A Combined Exercise Programme Involving Strengthening, Flexibility and Aerobic Exercise for Lower Back Pain: a Randomised-controlled Study
University of Nottingham
88 participants
Apr 1, 2025
INTERVENTIONAL
Conditions
Summary
This randomised controlled trial will evaluate the effectiveness of different exercise modalities for individuals with low back pain. Participants will be allocated to one of three groups: a control arm (usual exercise), a running-based intervention, or a swimming/cycling-based intervention. Outcomes related to pain and function will be measured at baseline, 8 weeks, and 12 months.
Eligibility
Inclusion Criteria5
- Aged 18-45 years
- Participant is willing and able to give informed consent for participation in the study
- Suffering from chronic NSLBP (more than 3 months, localised below the costal margin and above the gluteal folds)
- Suffers from pain or functional limitations as a result of their LBP (minimum VAS (back) score of 3/10 or ODI score of at least 5/50 or RMD score of at least 5/24 (note, unlike ODI, RMD does not describe specific cuts offs for different levels of disability)
- Able to exercise
Exclusion Criteria13
- Radiating pain to leg / sciatica / acute radiculopathy
- Specific diagnosis/condition for LBP (e.g. herniated disk, degenerative disk disease, spondylolysis, spinal stenosis, spinal tumour, facet joint damage)
- History of osteoporosis , arthritis, scoliosis, or kyphosis.
- Current spinal infection, cancer or a current fracture (any bone).
- History of spinal/back surgery
- Unable to participate in physical activity and exercise
- Pregnant or breast feeding
- History of substance abuse
- History of psychiatric illness (eg. depression, dementia, schizophrenia) for which currently taking medication
- History or current neurological condition (e.g. epilepsy)
- Not in possession or have access to adapted equipment (phone, computer, functioning WIFI)
- Unable to understand and communicate in English
- Having taken part in a research study in the last 3 months involving invasive procedures or an inconvenience allowance
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Interventions
The intervention groups undertake 8 weeks of a combined exercise programme including aerobic elements (running), a schedule of gradually intensifying strengthening exercises and flexibility exercises
The intervention groups undertake 8 weeks of a combined exercise programme including aerobic elements (swim/cycle), a schedule of gradually intensitfing strengthening exercises and flexibility exercises
Locations(1)
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NCT06921694