ORIGINAL PAPER
The effect of adding hip strengthening exercises to lumbar stabilizing exercises on gait for the treatment of non-specific low back pain: a randomized controlled trial
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1
Department of Basic Sciences, Faculty of Physical Therapy, Cairo University, Giza, Egypt
2
Department of Physical Therapy, Police Authority Hospital, Cairo, Egypt
Submission date: 2023-06-10
Acceptance date: 2023-11-22
Online publication date: 2025-02-03
Corresponding author
Ahmed Bayuomy Abo Elatta
Department of Physical Therapy, Police Authority Hospital, Taha Hussin
Street, New Cairo, Cairo P.O 4731501, Egypt
KEYWORDS
TOPICS
ABSTRACT
Introduction:
To evaluate the impact of adding hip strength exercises to lumbar stabilizing exercises on pain, disability, and spatio-temporal parameters of gait in the treatment of non-specific low back pain (NSLBP).
Methods:
In this randomized controlled trial, 60 patients diagnosed with NSLBP were randomized into two equal groups. The subjects were randomly allocated to either group A, the control group (n = 30), performing lumbar stabilizing exercises, or group B, the study group (n = 30), receiving lumbar stabilizing exercises and a progressive hip strengthening exercise program. The frequency of intervention was 3 sessions per week for six weeks. In this trial, the Visual Analogue Scale for pain intensity, Modified Oswestry Disability Index for disability, and Kinovea 2D motion analysis for spatio-temporal parameters were evaluated pre-treatment and after six weeks.
Results:
There were statistically significant differences between groups in changes in pain scores (p = 0.035), the disability index (p = 0.012), and COG vertical displacement (p = 0.017). There were no statistically significant differences in stride length, stride time, stride speed, or cadence between the control and study groups (p > 0.005).
Conclusions:
Adding hip strengthening exercises to a lumbar stabilization exercise program can reduce pain and disability and decrease COG vertical displacement more than a lumbar stabilization exercise program alone in NSLBP patients. However, no differences were found in gait speed, cadence, stride length, and stride time.
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