Acute Effect of Isometric Excercise on Pain Sensitivity in Adults With Chronic Low Back Pain
Taif University
90 participants
Aug 1, 2025
INTERVENTIONAL
Conditions
Summary
Randomized control trial to examine the immediate effect of isometric exercise on pressure pain threshold (PPT) in adults with chronic low back pain. The secondary aim of this study was to investigate the acute effects of isometric exercise on clinical pain intensity.
Eligibility
Inclusion Criteria2
- participants aged ≥18 years or older
- participant diagnosed with non-specific chronic lower back pain (> 12 weeks)
Exclusion Criteria11
- - pregnant women 2- lactating women for one or less than one year post-natal. 3- any certain medical conditions that could interfere with physical activity, including:
- uncontrolled diabetes
- cardiovascular problem
- orthopedic impairments
- balance problems. 4-serious spinal pathologies :
- infection
- fractures
- tumors
- inflammatory diseases like ankylosing spondylitis 5- neurological compromise,
- spinal nerve compromise
- cauda equina syndrome
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Interventions
Participants were directed to rest their backs against the wall with shoulder width apart and feet parallel, then descend until they achieve an angle of 100 degrees at knee joint. The knee joint angle was assessed using a goniometer placed on the lateral epicondyle of the knee, aligned with the femur, while the anchor arm was aligned with the lateral malleolus. They were instructed to maintain the isometric hold for up to three minutes, or until volitional fatigue was reached.with a 30-second rest period between each squat hold.
Participants were directed to rest their backs against the wall with shoulder width apart and feet parallel, then descend until they achieve an angle of 100 degrees at knee joint. The knee joint angle was assessed using a goniometer placed on the lateral epicondyle of the knee, aligned with the femur, while the anchor arm was aligned with the lateral malleolus. They were instructed to maintain the isometric hold for up to three minutes, or until volitional fatigue was reached.with a 30-second rest period between each squat hold. Immediately post 60 second rest, Determine the participant's maximum angle using the double leg lowering test from supine position let the participant with both legs straightened before lifting the posterior hip, lowering the legs to a specific angle. Turn on the stopwatch. Hold the position near--maximally, try to achieve on (IES=9/10) and hold for the longest duration. They should reach 4 minutes for 3 repetition with 30 seconds rest between repetition
The control group served as the control group and did not perform any exercise. Participants were instructed to sit quietly in a standard height stationary clinical room patient chair for the entire eight minutes.
Locations(1)
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NCT06963658