PURPOSE: to investigate The Efficacy of lumbar spine correction training on postural awareness and stability in patients with low back pain. Patients with low back pain demonstrate impairments in function and range of motion to deficits in patient's quality of life. HYPOTHESES: It will be hypothesized that there will be no statically Effect of lumbar spine correction training on postural awareness and stability in patients with low back pain
Progressive postural control exercise (PPCE) including lumbar correction training, is a novel strategy for patients with LBP. It originates from motor control exercise and resistance training with a theme of challenging postural control with phased progression, a beneficial effect for strength or resistance and coordination or stability exercise programs over other interventions be used in the treatment of LBP. Motor control exercises were also reported to produce slightly better short-term function and perceptions of an effect than general exercise in patients with chronic non-specific back pain. The progression of the training load was suggested to improve postural control in young individuals as it was better on neuromuscular plasticity than general exercise
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
30
The patients will be mainly trained with trunk control exercise inform of: the trunk muscle against gravity and a Swiss ball for training on an unstable surface. Also the program will include Postural correction exercise inform of: Abdominal drawing-in breathing, upper body raising, bridge exercise, quadruped and spinal extension exercises will carried out
Therapeutic Ultrasound device with patient prone lying position paravertebral in posterior aspect of back, Transcutaneous Electrical Nerve Stimulation (TENS) in the prone position, the electrodes will be positioned on the patient's pain area with a frequency of 100Hz , Heat application: in the form of (hot packs) for 15 minutes on posterior aspect of back as the patient will be in prone lying position and Core strengthening exercises
postural habits and awareness scale (PHAS)
The Postural Habits and Awareness Scale (PHAS) is a 19-item, 5-point Likert scale developed to assess individuals' self-perceived postural habits and their conscious awareness of posture Scoring: The scale is scored from 1 (completely disagree) to 5 (completely agree), with 7 items being reverse-coded. where higher scores indicate better postural habits and greater awareness.
Time frame: four weeks
Oswestry Low Back Pain Disability Questionnaire
The Oswestry Disability Index (ODI) a patient-completed questionnaire which gives a subjective percentage score of level of function (disability) in activities of daily living in those rehabilitating from low back pain. Each item consist of 6 statements which are scored from 0 to 5. With 0 indicating the least disability and 5 the greatest then the total score is calculated as a percentage, with 0% indicating no disability and 100% indicating the highest level of disability
Time frame: four weeks
multidirectional reach test
The Multi-directional reach test is an inexpensive, reliable, and valid tool for measuring the limits of stability as derived by reach in four directions. Values obtained on relatively healthy older adults serve as norms for screening patient populations
Time frame: four weeks
visual analogue scale (VAS)
The visual analogue scale (VAS) is a validated, subjective measure for acute and chronic pain. Scores are recorded by making a handwritten mark on a 10-cm line that represents a continuum between "no pain" and "worst pain
Time frame: four weeks
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