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IRCT20190717044238N12 IRCT 2024-05-06 Riphah International University Lahore Effects of Pilates versus McGill exercises on pain, flexibility, core stability and functional disability in patients with chronic mechanical low back pain mlbp Effects of Pilates versus McGill exercises on pain, flexibility, core stability and functional disability in patients with chronic mechanical low back pain 2024-05-06 anticipated 42 Complete https://irct.ir/trial/76577 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Randomization description: Randomization will be done by use of sealed envelops which involves assigning participants to different groups by randomly selecting an envelope that contains their group assignment. This will ensure reduce biasness in allocation of interventions. Simple randomization method is used to allocate participants to different groups, Blinding description: In the trial the participant( who are willing to participate) is blinded by not knowing or being unaware which intervention they are receiving , but the researcher (physiotherapist) know. This trial will be single blinded. Researcher will be responsible for care for participants during the trial, data collectors, outcome assessors, and with lessor importance Data Safety . N/A chronic mechanical low back pain. Intervention 1: Intervention group 1 : The Pilates group in the study will follow a six-week exercise regimen, where they will participate in Pilate’s sessions twice a week. Pilates is a form of exercise that focuses on core strength, flexibility, and controlled movements. As the weeks progress, the intensity and complexity of the Pilates exercises will be increased, aiming to gradually build the participants' physical capabilities and enhance their health outcomes. This structured approach will allow the patients to adapt to the exercise difficulty over time, potentially improving their effectiveness.: Pilate’s exercises emphasize core muscle activation :⦁ Single leg lower⦁ Straight-leg bicycle⦁ Oblique double knee tucks ⦁ Oblique tucks⦁ Kneeling side bending. Intervention 2: Intervention group 2 :The Mc Gill group in the study will engage in a six-week exercise protocol specific to the Mc Gill method, attending sessions twice a week. With 10 minutes of heating pad This program is expected to concentrate on exercises that promote back health and core stability. With each passing week, the exercises will become more challenging, with the goal of methodically enhancing the participants' endurance, strength, and overall well-being. This progressive strategy will be designed to allow participants to gradually adjust to the increasing demands of the exercises, which is anticipated to improve the efficiency and benefits of the intervention .The Big Three: McGill has popularized three specific exercises that are often included in his approach. These exercises are the McGill ⦁ Curl-Up, ⦁ Bird-Dog,⦁ Side Plank. No - There is not a plan to make this available Justification or reason for not sharing IPD is confidentiality of participants
public Sabra Ghulam Rasool
Riphah International University Lahore Gulberg green campus
Lahore Pakistan 54000 +92 310 4143346 sabra.ksr@gmail.com Riphah International University Lahore scientific Fareeha Amjad
Riphah International University Lahore Gulberg green campus
Lahore Pakistan 54000 +92 334 3372779 fari_fairy22@yahoo.com Riphah International University Lahore Pakistan Both male and Female Age between 20 and 40 years . Having mechanical low back pain without radiation to lower limbs, for more than 6 weeks were enrolled in the study. Participants should obtain clearance from their primary healthcare provider or a physician to participate in a physical activity program like Pilates or McGill’s Protocol. 20 years 40 years Both Patients with any systemic disorder or who were undergoing intervention Patients having a history of spine surgery were also not included Have a pacemaker or a history of serious cardiac event or of cardiorespiratory dysfunction Severe cognitive impairment or aphasia leading to difficulty in communication, Participants who have any significant musculoskeletal or orthopedic problems that would interfere with their ability to participate in the physical therapy program. Participants who have a history of uncontrolled hypertension or arrhythmias. M54.5 Low Back Pain Rehabilitation Rehabilitation Intervention group 1 : The Pilates group in the study will follow a six-week exercise regimen, where they will participate in Pilate’s sessions twice a week. Pilates is a form of exercise that focuses on core strength, flexibility, and controlled movements. As the weeks progress, the intensity and complexity of the Pilates exercises will be increased, aiming to gradually build the participants' physical capabilities and enhance their health outcomes. This structured approach will allow the patients to adapt to the exercise difficulty over time, potentially improving their effectiveness.: Pilate’s exercises emphasize core muscle activation :⦁ Single leg lower⦁ Straight-leg bicycle⦁ Oblique double knee tucks ⦁ Oblique tucks⦁ Kneeling side bending. Intervention group 2 :The Mc Gill group in the study will engage in a six-week exercise protocol specific to the Mc Gill method, attending sessions twice a week. With 10 minutes of heating pad This program is expected to concentrate on exercises that promote back health and core stability. With each passing week, the exercises will become more challenging, with the goal of methodically enhancing the participants' endurance, strength, and overall well-being. This progressive strategy will be designed to allow participants to gradually adjust to the increasing demands of the exercises, which is anticipated to improve the efficiency and benefits of the intervention .The Big Three: McGill has popularized three specific exercises that are often included in his approach. These exercises are the McGill ⦁ Curl-Up, ⦁ Bird-Dog,⦁ Side Plank Pain. Timepoint: Before intervention, 6 weeks. Method of measurement: Numeric pain rating scale (NPRS). Flexibility. Timepoint: Before intervention, 6 week. Method of measurement: Sit and reach test score. Core stability. Timepoint: Before intervention ,6 week. Method of measurement: Sahrmann core stability test. Funtional disability. Timepoint: Before intervention, 6 week. Method of measurement: Urdu version of Oswestry Disability index (ODI). Riphah International University Lahore Approved 2024-04-03 Research and ethics Commitee Riphah College of Rehabilitation and Allied Health Sciences Riphah International University Gulberg campus lahore Lahore Punjab Pakistan