Comparison of Abdominal Draw-in Maneuver With Real-time Ultrasound Imaging Biofeedback vs Conservative Physical Therapy in Patients With Chronic Low Back Pain

Last updated: March 4, 2025
Sponsor: Abant Izzet Baysal University
Overall Status: Active - Recruiting

Phase

N/A

Condition

Chronic Pain

Treatment

Abdominal Draw-in Manuever

Conservative Physical Therapy

Real-Time Ultrasound Biofeedback with Abdominal Draw-In Manuever

Clinical Study ID

NCT06856642
AIBU-FTR-SK-09
  • Ages 18-65
  • All Genders
  • Accepts Healthy Volunteers

Study Summary

The aim of this study is to compare the effectiveness of abdominal drawing-in maneuver with real-time ultrasound biofeedback to conservative treatment in patients with chronic nonspecific low back pain.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • The duration of low back pain is at least 3 months.

  • Low back pain with or without radiation to the lower extremities.

  • Age between 18-65 years.

  • Chronic nonspecific low back pain patients.

Exclusion

Exclusion Criteria:

  • Neuropathic pain complaints.

  • Pregnancy status.

  • History of infection, cancer, or trauma.

  • Neurological abnormalities.

  • History of lumbar spine surgery.

  • History of conservative physical therapy and/or injections in the lumbar regionwithin the last 6 months.

  • Neurological diseases such as Parkinson's or Multiple Sclerosis.

  • Systemic diseases that prevent exercise.

  • Patients with a Mini-Mental Test score below 24.

Study Design

Total Participants: 30
Treatment Group(s): 3
Primary Treatment: Abdominal Draw-in Manuever
Phase:
Study Start date:
March 01, 2025
Estimated Completion Date:
February 28, 2026

Study Description

Low back pain is a common clinical condition among musculoskeletal disorders. It can be classified into two main categories: acute and chronic. Acute low back pain is usually limited to a duration of 6 weeks or less, whereas chronic low back pain refers to pain lasting 12 weeks or longer. Chronic low back pain is characterized by persistent and untreated pain, which can significantly affect individuals' physical and psychological health. A multidisciplinary approach is required for its treatment. Physical therapy, pharmacological approaches, psychotherapy, and exercise are the main treatment methods.

Exercise plays an active role in both the prevention and treatment of the disease. Among many exercise methods, the abdominal drawing-in maneuver has been proven effective in the literature. Biofeedback is a technique that helps individuals consciously control their physiological processes. Real-time ultrasound biofeedback stands out as a technique that directly visualizes musculoskeletal system functions. This method uses high-frequency sound waves to assess the dynamic movements of internal organs and muscle structures. Through this technology, individuals can visualize their movements in real time and consciously adjust their muscle activity or posture. It offers significant advantages, particularly in clinical and sports applications such as pelvic floor rehabilitation, postural balance training, and motor control skill development.

The aim of our study is to compare the effectiveness of exercises performed with real-time ultrasound biofeedback with those in patients receiving conservative treatment. Patients will be randomly assigned to two groups: Group 1: Patients receiving conservative treatment and performing the abdominal drawing-in maneuver with real-time ultrasound imaging biofeedback. Group 2 (Control Group): Patients receiving conservative treatment and performing the abdominal drawing-in maneuver with only verbal instruction. A total of 40 patients are planned to be included in the study.

Connect with a study center

  • Abant Izzet Baysal University

    Bolu, 14100
    Turkey

    Active - Recruiting

Not the study for you?

Let us help you find the best match. Sign up as a volunteer and receive email notifications when clinical trials are posted in the medical category of interest to you.