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IRCT2016110829264N2 IRCT 2016-11-29 Vice Chancellor for Research and Technology, Tarbiat Modares University evaluation of the acute effect of abdominal muscle taping in patients with non specific chronic low back pain evaluation of the acute effect of abdominal muscle taping on endurance tests in patients with non specific chronic low back pain 2016-05-21 anticipated 52 Complete https://irct.ir/trial/23569 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Used, Assignment: Crossover, Purpose: Treatment, Other design features: this study is one part of master thesis with registration number of (PZ 2863 322) developed in 2011. this thesis is fully traceable with ethic registration number of 5299424 from Medical Ethics Committee of the tarbiat modares university. 2 chrionic low back pain. Intervention 1: intervention group: 1- Supine isometric chest raise (SICR) test The participant's position was supine on the treatment table with the hands crossed on his/her chest. The hips and knees were flexed at 45° and the feet were placed flat on the table. The participant was requested to lift neck and upper trunk from the table until the inferior angles of scapulae had risen clear of the table and hold this position as long as possible. The maximal hold time was then recorded in seconds, and the test was terminated when the participant was unable to maintain the test position. 2-Supine double straight-leg raise (SDSLR) test The participant was asked to lie in a supine position with the hips and knees extended. The hands were also placed in a relaxed position near his/her body. The participant was then instructed to raise both legs from the table to approximately 20° and hold them as long as possible without any tilting in the pelvis. During the test, pelvic tilt was monitored by an experienced physical therapist. The maximal hold time was recorded in seconds, and the test was terminated when the participant was unable to maintain knee clearance. 3-Abdominal drawing in maneuver This was done with the participant lying supine on the treatment table with the hands were placed in a relaxed position near the body. The hips and knees were flexed at 45° and the feet were placed flat on the table. In addition, a pressure biofeedback monitor (sphygmomanometer) was placed below the lumbar lordosis between the L1 and S1 vertebrae. The cuff of the sphygmomanometer was inflated to 20 mmHg using an air pump to fill the space between the lumbar spine and treatment table. The participant was then requested to contract his/her deep abdominal musculature by drawing the navel up in a cephalad direction and in toward the spine. The participant was instructed to push his/her back against the cuff and maintain the pressure at 40 (±10) mmHg as long as possible. The maximal hold time was recorded in seconds, and the test was terminated when the participant was unable to maintain the pressure at 40 (±10) mmHg. 4-Taping techniques The NCLBP participants were asked to lie in a supine position and their hips and knees were flexed at 45°. Depending on the NCLBP participant’s morphology, the length of three pieces of I-shaped strip Kinesio tape was determined by measuring the distance between two anterior superior iliac spines (ASISs) and measuring the distance between the middle one-third of the intermediate line of the iliac crest to the inferior border of the 10th rib. Afterward, the Kinesio tapes were applied to the internal oblique muscles in the direction of the fibers from the origin to insertion with approximately 50% of their maximal length tension. For the transversus abdominus muscle, the Kinesio tape was applied horizontally between the two ASISs with approximately 50% of maximal length tension . Then, all of the measurements were repeated again in the same manner as they had been performed before taping. Intervention 2: placebo group: 1- Supine isometric chest raise (SICR) test The participant's position was supine on the treatment table with the hands crossed on his/her chest. The hips and knees were flexed at 45° and the feet were placed flat on the table. The participant was requested to lift neck and upper trunk from the table until the inferior angles of scapulae had risen clear of the table and hold this position as long as possible. The maximal hold time was then recorded in seconds, and the test was terminated when the participant was unable to maintain the test position. 2-Supine double straight-leg raise (SDSLR) test The participant was asked to lie in a supine position with the hips and knees extended. The hands were also placed in a relaxed position near his/her body. The participant was then instructed to raise both legs from the table to approximately 20° and hold them as long as possible without any tilting in the pelvis. During the test, pelvic tilt was monitored by an experienced physical therapist. The maximal hold time was recorded in seconds, and the test was terminated when the participant was unable to maintain knee clearance. 3-Abdominal drawing in maneuver This was done with the participant lying supine on the treatment table with the hands were placed in a relaxed position near the body. The hips and knees were flexed at 45° and the feet were placed flat on the table. In addition, a pressure biofeedback monitor (sphygmomanometer) was placed below the lumbar lordosis between the L1 and S1 vertebrae. The cuff of the sphygmomanometer was inflated to 20 mmHg using an air pump to fill the space between the lumbar spine and treatment table. The participant was then requested to contract his/her deep abdominal musculature by drawing the navel up in a cephalad direction and in toward the spine. The participant was instructed to push his/her back against the cuff and maintain the pressure at 40 (±10) mmHg as long as possible. The maximal hold time was recorded in seconds, and the test was terminated when the participant was unable to maintain the pressure at 40 (±10) mmHg. 4-Taping techniques The NCLBP participants were asked to lie in a supine position and their hips and knees were flexed at 45°. Depending on the NCLBP participant’s morphology, the length of one pieces of I-shaped strip Kinesio tape was determined by measuring the distance between inferior border of the 10th rib bilaterally. Afterward, the Kinesio tape were applied to the inferior margin of 10th ribs above the umbilicus under no tension. Then, all of the measurements were repeated again in the same manner as they had been performed before taping. Intervention 3: healthy group 1- Supine isometric chest raise (SICR) test The participant's position was supine on the treatment table with the hands crossed on his/her chest. The hips and knees were flexed at 45° and the feet were placed flat on the table. The participant was requested to lift neck and upper trunk from the table until the inferior angles of scapulae had risen clear of the table and hold this position as long as possible. The maximal hold time was then recorded in seconds, and the test was terminated when the participant was unable to maintain the test position. 2-Supine double straight-leg raise (SDSLR) test The participant was asked to lie in a supine position with the hips and knees extended. The hands were also placed in a relaxed position near his/her body. The participant was then instructed to raise both legs from the table to approximately 20° and hold them as long as possible without any tilting in the pelvis. During the test, pelvic tilt was monitored by an experienced physical therapist. The maximal hold time was recorded in seconds, and the test was terminated when the participant was unable to maintain knee clearance. 3-Abdominal drawing in maneuver This was done with the participant lying supine on the treatment table with the hands were placed in a relaxed position near the body. The hips and knees were flexed at 45° and the feet were placed flat on the table. In addition, a pressure biofeedback monitor (sphygmomanometer) was placed below the lumbar lordosis between the L1 and S1 vertebrae. The cuff of the sphygmomanometer was inflated to 20 mmHg using an air pump to fill the space between the lumbar spine and treatment table. The participant was then requested to contract his/her deep abdominal musculature by drawing the navel up in a cephalad direction and in toward the spine. The participant was instructed to push his/her back against the cuff and maintain the pressure at 40 (±10) mmHg as long as possible. The maximal hold time was recorded in seconds, and the test was terminated when the participant was unable to maintain the pressure at 40 (±10) mmHg.
public Seyyed Rasoul Bagheri
Madadkaran Alley, Shahnazari Street, Madar Squar.
Tehran Iran (Islamic Republic of) +98 21 2222 8051 rasool.bagheri@ymail.com Department of Physiotherapy, School of Rehabilitation Sciences, Iran University of Medical Sciences scientific Mohammad Reza Pourahmadi
Madadkaran Alley, Shahnazari Street, Madar Squar.
Tehran Iran (Islamic Republic of) +98 21 7783 6545 pourahmadipt@gmail.com Department of Physiotherapy, School of Rehabilitation Sciences, Iran University of Medical Sciences Iran (Islamic Republic of) inclusion criteria: 1-Non specific Chronic Low Back Pain (LBP persisting for more than 3 months in the absence of an underlying pathology); 2- age between 18 and 45 years; 3- pain between 3 and 6 on visual analogue scale (VAS), exclusion criteria: 1- history of abdominal surgery; 2- abdominal hernia; 3- pregnancy. 18 years 45 years Both M54.5 Loin pain, Low back strain Rehabilitation Treatment - Drugs Treatment - Drugs intervention group: 1- Supine isometric chest raise (SICR) test The participant's position was supine on the treatment table with the hands crossed on his/her chest. The hips and knees were flexed at 45° and the feet were placed flat on the table. The participant was requested to lift neck and upper trunk from the table until the inferior angles of scapulae had risen clear of the table and hold this position as long as possible. The maximal hold time was then recorded in seconds, and the test was terminated when the participant was unable to maintain the test position. 2-Supine double straight-leg raise (SDSLR) test The participant was asked to lie in a supine position with the hips and knees extended. The hands were also placed in a relaxed position near his/her body. The participant was then instructed to raise both legs from the table to approximately 20° and hold them as long as possible without any tilting in the pelvis. During the test, pelvic tilt was monitored by an experienced physical therapist. The maximal hold time was recorded in seconds, and the test was terminated when the participant was unable to maintain knee clearance. 3-Abdominal drawing in maneuver This was done with the participant lying supine on the treatment table with the hands were placed in a relaxed position near the body. The hips and knees were flexed at 45° and the feet were placed flat on the table. In addition, a pressure biofeedback monitor (sphygmomanometer) was placed below the lumbar lordosis between the L1 and S1 vertebrae. The cuff of the sphygmomanometer was inflated to 20 mmHg using an air pump to fill the space between the lumbar spine and treatment table. The participant was then requested to contract his/her deep abdominal musculature by drawing the navel up in a cephalad direction and in toward the spine. The participant was instructed to push his/her back against the cuff and maintain the pressure at 40 (±10) mmHg as long as possible. The maximal hold time was recorded in seconds, and the test was terminated when the participant was unable to maintain the pressure at 40 (±10) mmHg. 4-Taping techniques The NCLBP participants were asked to lie in a supine position and their hips and knees were flexed at 45°. Depending on the NCLBP participant’s morphology, the length of three pieces of I-shaped strip Kinesio tape was determined by measuring the distance between two anterior superior iliac spines (ASISs) and measuring the distance between the middle one-third of the intermediate line of the iliac crest to the inferior border of the 10th rib. Afterward, the Kinesio tapes were applied to the internal oblique muscles in the direction of the fibers from the origin to insertion with approximately 50% of their maximal length tension. For the transversus abdominus muscle, the Kinesio tape was applied horizontally between the two ASISs with approximately 50% of maximal length tension . Then, all of the measurements were repeated again in the same manner as they had been performed before taping. placebo group: 1- Supine isometric chest raise (SICR) test The participant's position was supine on the treatment table with the hands crossed on his/her chest. The hips and knees were flexed at 45° and the feet were placed flat on the table. The participant was requested to lift neck and upper trunk from the table until the inferior angles of scapulae had risen clear of the table and hold this position as long as possible. The maximal hold time was then recorded in seconds, and the test was terminated when the participant was unable to maintain the test position. 2-Supine double straight-leg raise (SDSLR) test The participant was asked to lie in a supine position with the hips and knees extended. The hands were also placed in a relaxed position near his/her body. The participant was then instructed to raise both legs from the table to approximately 20° and hold them as long as possible without any tilting in the pelvis. During the test, pelvic tilt was monitored by an experienced physical therapist. The maximal hold time was recorded in seconds, and the test was terminated when the participant was unable to maintain knee clearance. 3-Abdominal drawing in maneuver This was done with the participant lying supine on the treatment table with the hands were placed in a relaxed position near the body. The hips and knees were flexed at 45° and the feet were placed flat on the table. In addition, a pressure biofeedback monitor (sphygmomanometer) was placed below the lumbar lordosis between the L1 and S1 vertebrae. The cuff of the sphygmomanometer was inflated to 20 mmHg using an air pump to fill the space between the lumbar spine and treatment table. The participant was then requested to contract his/her deep abdominal musculature by drawing the navel up in a cephalad direction and in toward the spine. The participant was instructed to push his/her back against the cuff and maintain the pressure at 40 (±10) mmHg as long as possible. The maximal hold time was recorded in seconds, and the test was terminated when the participant was unable to maintain the pressure at 40 (±10) mmHg. 4-Taping techniques The NCLBP participants were asked to lie in a supine position and their hips and knees were flexed at 45°. Depending on the NCLBP participant’s morphology, the length of one pieces of I-shaped strip Kinesio tape was determined by measuring the distance between inferior border of the 10th rib bilaterally. Afterward, the Kinesio tape were applied to the inferior margin of 10th ribs above the umbilicus under no tension. Then, all of the measurements were repeated again in the same manner as they had been performed before taping. healthy group 1- Supine isometric chest raise (SICR) test The participant's position was supine on the treatment table with the hands crossed on his/her chest. The hips and knees were flexed at 45° and the feet were placed flat on the table. The participant was requested to lift neck and upper trunk from the table until the inferior angles of scapulae had risen clear of the table and hold this position as long as possible. The maximal hold time was then recorded in seconds, and the test was terminated when the participant was unable to maintain the test position. 2-Supine double straight-leg raise (SDSLR) test The participant was asked to lie in a supine position with the hips and knees extended. The hands were also placed in a relaxed position near his/her body. The participant was then instructed to raise both legs from the table to approximately 20° and hold them as long as possible without any tilting in the pelvis. During the test, pelvic tilt was monitored by an experienced physical therapist. The maximal hold time was recorded in seconds, and the test was terminated when the participant was unable to maintain knee clearance. 3-Abdominal drawing in maneuver This was done with the participant lying supine on the treatment table with the hands were placed in a relaxed position near the body. The hips and knees were flexed at 45° and the feet were placed flat on the table. In addition, a pressure biofeedback monitor (sphygmomanometer) was placed below the lumbar lordosis between the L1 and S1 vertebrae. The cuff of the sphygmomanometer was inflated to 20 mmHg using an air pump to fill the space between the lumbar spine and treatment table. The participant was then requested to contract his/her deep abdominal musculature by drawing the navel up in a cephalad direction and in toward the spine. The participant was instructed to push his/her back against the cuff and maintain the pressure at 40 (±10) mmHg as long as possible. The maximal hold time was recorded in seconds, and the test was terminated when the participant was unable to maintain the pressure at 40 (±10) mmHg Supine isometric chest raise test. Timepoint: before and after taping. Method of measurement: The maximal hold time in seconds. Supine double straight-leg raise test. Timepoint: before and after taping. Method of measurement: The maximal hold time in seconds. Abdominal drawing in maneuver. Timepoint: before and after taping. Method of measurement: The maximal hold time in seconds. Vice Chancellor for Research and Technology, Tarbiat Modares University Approved 2011-02-26 Ethics Committee of the Tarbiat Modares university Jalal Al Ahmad street ,Tehran. Tehran Iran (Islamic Republic of)