the study aims to compare the effect of regular back exercises with shockwave therapy by treating male patients with non-specific low back pain between the age of (20-40). Who will be devided into 3 groups, and will be treated by shockwave therapy , exercises or both combined. After signing a consent form, patients will be assigned to the groups blindly, so the patients will not know if they are in the experimental or control group. Hypothesis: The hypothesis of this study states that: o Research hypothesis: there will be a significant difference between the radial ESWT and back exercises in reducing LBP
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
78
shockwave therapy. 2000 impulses will be applied, 1000 on the TrPs and 1000 surrounding it, with Energy level up to 2,5 bars and frequency of 10Hz
the exercise program will include 5 exercises that focuses on the back and lower limbs. These exercises are: * Bridge * Plank * Squat * Push-ups * Back extension Each exercise will be done for 3-5 sets.
both types of interventions will be applied for the patient
pressure-pain threshold
Algometry device will be used to measure three thresholds' values: * Tenderness threshold. * Referred pain threshold. * Pain tolerance threshold.
Time frame: 45 hour session
The Oswestry Disability Index
is an extremely important tool that researchers and disability evaluators use to measure a patient's permanent functional disability, scoring from 0 to 50, the lower score the better
Time frame: 45 minutes session
Numerical pain scale
0-10 the lower the better
Time frame: 45 minutes session
ROM of the back
an electrical goniometer will be used to measure the change in the back ROM
Time frame: 45 minutes session
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.