Hip Hinge Instruction for Lower Back Pain
Recruiting in Palo Alto (17 mi)
Age: 18 - 65
Sex: Any
Travel: May Be Covered
Time Reimbursement: Varies
Trial Phase: Academic
Recruiting
Sponsor: University of Central Florida
Disqualifiers: Low back pain, Pelvic pain, Hip pain, Musculoskeletal injuries, Pregnancy, others
No Placebo Group
Trial Summary
What is the purpose of this trial?To evaluate if the Founder exercise will significantly change participants kinematics when performing hip hinge movement. Secondary purpose is to evaluate if completing the Founder Exercise intervention will improve confidence in performing a hip hinge.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications.
What data supports the effectiveness of the treatment Founder Exercise for lower back pain?
Research shows that hip strengthening exercises can help reduce pain and disability in people with low back pain, suggesting that exercises like the Founder Exercise, which targets similar areas, might also be beneficial.
12345Is the hip hinge exercise safe for humans?
There is no specific safety data available for the hip hinge exercise or its variations like the Founder Exercise in the provided research articles.
16789How is the Founder Exercise treatment different from other treatments for lower back pain?
The Founder Exercise treatment is unique because it focuses on teaching proper hip hinge movements, which can help reduce strain on the lower back by improving hip flexibility and strength. This approach is different from other treatments that may not specifically target the hip's role in managing lower back pain.
110111213Eligibility Criteria
This trial is for individuals experiencing lower back pain or arthritis who are interested in improving their hip hinge movement, which is important for activities like lifting. Specific eligibility criteria have not been provided, so it's best to contact the study organizers for more details.Inclusion Criteria
Ability to understand verbal and tactile cues
Ability to perform physical exercises, including bending at the waist
I am between 18 and 50 years old.
Exclusion Criteria
I am an adult capable of giving consent, not pregnant, and not incarcerated.
I have had low back, pelvic, or hip pain.
I experience pain with the treatment.
+4 more
Trial Timeline
Screening
Participants are screened for eligibility to participate in the trial
1 week
Pre-intervention assessment
Baseline data collection including demographic information, confidence scale, and placement of reflective markers
15 minutes
1 visit (in-person)
Intervention
Participants receive 8 minutes of instruction on the Founder Exercise and perform 10 practice repetitions
15 minutes
1 visit (in-person)
Post-intervention assessment
Reassessment of hip hinge movement and grip strength, completion of confidence scale
15 minutes
1 visit (in-person)
Follow-up
Participants are monitored for any adverse effects and can request their individual results
1 week
Participant Groups
The trial focuses on teaching a specific exercise called the Founder and assessing its impact on how participants perform a hip hinge movement. It also looks at whether this exercise boosts confidence in doing the movement correctly.
1Treatment groups
Experimental Treatment
Group I: Hip HingeExperimental Treatment1 Intervention
* Each participant will receive 8 minutes of instruction from Assessor 2 on performing the Founder Exercise according to the standardized training strategies documented in the attached file labeled "Founder Exercise Instruction".
* The participant will then be allowed 10 practice repetitions with cueing from Assessor 2. Guidelines for cuing can be found in the "Founder Exercise Instruction" document.
Find a Clinic Near You
Research Locations NearbySelect from list below to view details:
University of Central FloridaOrlando, FL
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Who Is Running the Clinical Trial?
University of Central FloridaLead Sponsor
References
Addition of specific hip strengthening exercises to conventional rehabilitation therapy for low back pain: a systematic review and meta-analysis. [2022]To examine the effectiveness of hip strengthening exercises in reducing pain and disability in persons with low back pain.
When Treating Coexisting Low Back Pain and Hip Impairments, Focus on the Back: Adding Specific Hip Treatment Does Not Yield Additional Benefits-A Randomized Controlled Trial. [2022]To determine whether adding hip treatment to usual care for low back pain (LBP) improved disability and pain in individuals with LBP and a concurrent hip impairment.
The effects of hip-targeted physical therapy interventions on low back pain: A systematic review and meta-analysis. [2019]To investigate the effects of physical therapy interventions of the hip on outcomes of pain and disability in patients with low back pain.
Trials investigating exercise for low back pain lack pragmatic application: a systematic review. [2023]To systematically review the orientation of trials analyzing exercise for low back pain (LBP) on the efficacy-effectiveness spectrum.
Exercise interventions for low back pain are poorly reported: a systematic review. [2021]To assess the reporting quality of exercise interventions from clinical trials of low back pain (LBP).
Adverse events experienced by participants in a back pain walking intervention: A descriptive study. [2016]To understand the range and potential severity of adverse events reported by patients with back pain who were participating in a walking intervention.
Is there an association between hip range of motion and nonspecific low back pain? A systematic review. [2020]To systematically review whether there is an association between hip range of motion (ROM) and nonspecific low back pain (NSLBP).
The Spineangel: Examining the validity and reliability of a novel clinical device for monitoring trunk motion. [2019]Spinal loading in excessive and repeated trunk flexion may hinder recovery from acute low back pain. The Spineangel device provides real-time patient biofeedback on trunk flexion and may facilitate recovery from lower back injury. This cross-sectional study evaluates validity and reliability of this device in the laboratory setting. Participants included 18 healthy males. Angular displacements were simultaneously obtained from a Spineangel device placed on the hip and criterion measures of hip, lumbar and total sagittal rotation, and pelvic tilt obtained via 3D Motion Analysis. Each participant repeated four movements five times in a random order (forward bending fingertips-to-knees and to mid-lower leg, full flexion, and full extension). Intraclass correlation coefficients (ICC) for Spineangel measurement of trunk motion were excellent (ICC>0.9). The coefficient of repeatability was less than 5.2 degrees in both flexion and extension. Spineangel showed the highest correlation with Motion Analysis((R)) measurement of pelvic tilt with no statistical difference between measures when bending forward to fingertips-to-knees. Given its high reliability, the Spineangel device has potential as a trunk flexion biofeedback device. Further investigation is required to see if these laboratory results can be reproduced in the clinical setting and to determine the clinical benefits of such a device.
Does adding hip strengthening exercises to manual therapy and segmental stabilization improve outcomes in patients with nonspecific low back pain? A randomized controlled trial. [2023]The literature is unclear on the need for hip strengthening in persons with low back pain (LBP).
A new method of abdominal exercise. [2004]The authors describe a new form of sit-up exercise that should isolate the abdominal muscles and eliminate the hip flexors from participation. Such an exercise should be useful in low back pain rehabilitation programs. Demonstration of the sit-up in an L1 paraplegic man, along with measurements of intra-abdominal pressures generated during exercise are also included.
Effects of manual therapy and exercise targeting the hips in patients with low-back pain-A randomized controlled trial. [2018]The benefits of providing manual therapy and exercise targeting the hips in individuals with mechanical low-back pain (LBP) are not well established.
Lumbopelvic motion during seated hip flexion in subjects with low-back pain accompanying limited hip flexion. [2021]Limited hip flexion may lead to a poor lumbopelvic motion during seated active hip flexion in people with low-back pain (LBP). The purpose of this study was to compare lumbopelvic motion during seated hip flexion between subjects with and without LBP accompanying limited hip flexion.
Effect of Hip Muscle Strengthening Exercises on Pain and Disability in Patients with Non-Specific Low Back Pain-A Systematic Review. [2023]Low back pain (LBP) is a health problem that affects 70-80% of the population in Western countries. Because of the biomechanical relationship between the lumbar region and the hip, it is thought that strengthening the muscles of this joint could improve the symptoms of people with LBP. The objective of this study is to evaluate the current evidence on the efficacy of hip strengthening exercises to reduce pain and disability in people with LBP. Clinical trials were collected from the PubMed, PEDro, and Scopus databases published up to September 2022. Based on the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines and using CASP and PEDro tools for methodological quality assessment, we selected studies that included hip strengthening exercises as part of LBP treatment and measured pain and/or disability parameters. Among the 966 records identified in the search, a total of 7 studies met the established selection criteria. Overall, participants who performed hip strengthening exercises had significantly improved in pain and disability. The methodological quality of the included studies was assessed as "good". In conclusion, the addition of hip muscle strengthening exercises iterating interacted with LBP, effectively improving pain and disability.