[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100657992":3},{"organization":4,"outcomesModule":7,"designInfo":18,"detailedDescription":28,"studyPopulation":17,"armGroups":29,"interventions":42,"overallOfficials":17,"centralContacts":51,"locations":57,"responsibleParty":76,"collaborators":17,"id":78,"slug":79,"hasResults":80,"nctId":81,"briefTitle":82,"officialTitle":83,"acronym":84,"eligibilityCriteria":85,"healthyVolunteers":80,"sex":86,"minAge":87,"maxAge":88,"enrollmentInfo":89,"targetDuration":17,"studyType":92,"phases":93,"briefSummary":95,"conditions":96,"keywords":98,"overallStatus":104,"whyStopped":17,"lastUpdateSubmitDate":105,"lastUpdatePostDateStruct":106,"startDateStruct":109,"completionDateStruct":111,"leadSponsor":113,"locationsCount":114},{"fullName":5,"class":6},"Dow University of Health Sciences","OTHER",{"primaryOutcomes":8,"secondaryOutcomes":17,"otherOutcomes":17},[9,13],{"measure":10,"description":11,"timeFrame":12},"Modified Oswestry Disability Index (MODI)","The Modified Oswestry Disability Index (MODI) is a questionnaire used to measure the level of disability caused by low back pain and how it affects a person's daily activities. It assesses areas such as pain, personal care, lifting, walking, sitting, standing, sleeping, social life, and traveling. Participants complete the questionnaire before the intervention and after 4 weeks, and the score is used to determine changes in disability following treatment.","Before and after 4 weeks of intervention.",{"measure":14,"description":15,"timeFrame":16},"Numerical Pain Rating Scale (NPRS)","The Numerical Pain Rating Scale (NPRS) is a simple 0-10 scale used to measure the intensity of a patient's pain. 0 represents \"no pain,\" while 10 represents \"the worst possible pain.\"","Participants will rate the intensity of their low back pain at the time of assessment (current pain), before the intervention and after 4 weeks of treatment.",null,{"allocation":19,"interventionModel":20,"interventionModelDescription":21,"primaryPurpose":22,"observationalModel":17,"timePerspective":17,"maskingInfo":23},"RANDOMIZED","PARALLEL","The control group will receive lumbar stabilization exercises (LSE) with a heating pad, while the experimental group will receive LSE combined with YTWL scapular stabilization exercises and a heating pad for 4 weeks.\n\nPain and disability will be assessed before and after the intervention using the NPRS and MODI scales.","TREATMENT",{"masking":24,"maskingDescription":25,"whoMasked":26},"SINGLE","The outcome assessor will be blinded to the participants' group allocation to minimize assessment bias.",[27],"OUTCOMES_ASSESSOR","Background:\n\nChronic low back pain is a common health problem that can affect a person's ability to work, exercise, sleep, and perform everyday activities. In many people, the exact cause of the pain cannot be identified. This is known as non-specific chronic low back pain (NSCLBP). Chronic low back pain is generally considered pain in the lower back that continues for more than three months without a specific disease or injury being identified as the cause.\n\nPeople with chronic low back pain may experience pain, stiffness, difficulty moving, reduced muscle strength and endurance, and difficulty performing activities such as walking, sitting, standing, bending, or lifting. Factors such as prolonged sitting, poor posture, reduced muscle endurance, and poor control of body movements may contribute to the problem.\n\nPurpose of the Study:\n\nExercise is an important part of physiotherapy treatment for chronic low back pain. Lumbar stabilization exercises (LSE) are commonly used to improve the strength and control of the muscles that support the spine. These exercises can help reduce pain and improve a person's ability to perform daily activities.\n\nHowever, the muscles of the lower back do not work alone. The muscles around the abdomen, pelvis, upper back, and shoulder blades work together to control body movement. This connection is known as the kinetic chain. Weakness or poor endurance of the muscles around the shoulder blades may affect the way the trunk and pelvis move and may influence lower-back function.\n\nThis study will therefore investigate whether adding scapular stabilization exercises (SSE), specifically YTWL exercises, to conventional lumbar stabilization exercises can provide additional benefits for people with chronic non-specific low back pain.\n\nWhat are YTWL exercises? YTWL exercises are simple exercises designed to strengthen and improve the control and endurance of muscles around the shoulder blades and upper back. The exercises involve moving the arms into positions that resemble the letters Y, T, W, and L. These movements target muscles such as the trapezius, rhomboids, and serratus anterior, which help keep the shoulder blades stable.\n\nWhat will happen in the study? A total of 70 people with chronic non-specific low back pain will be included in the study. Participants will be recruited from the Physical Therapy Outpatient Department at Dow University Hospital, Ojha Campus.\n\nParticipants will be divided into two groups:\n\nGroup 1 (Control Group): Participants will receive conventional lumbar stabilization exercises along with a heating pad.\n\nGroup 2 (Experimental Group): Participants will receive conventional lumbar stabilization exercises, YTWL scapular stabilization exercises, and a heating pad.\n\nBoth groups will receive treatment for 4 weeks.\n\nBefore starting the treatment and after completing the 4-week treatment period, participants' outcomes will be assessed. The main areas being assessed are pain and disability.\n\nAssessment of Pain:\n\nPain intensity will be measured using the Numerical Pain Rating Scale (NPRS). Participants will rate their pain on a scale from 0 to 10, where 0 means no pain and 10 represents the worst possible pain.\n\nAssessment of Disability:\n\nThe effect of back pain on daily activities will be assessed using the Modified Oswestry Disability Index (MODI). This questionnaire evaluates how back pain affects activities such as walking, sitting, standing, lifting, personal care, and other daily activities.\n\nThe assessments will be performed before the treatment begins and after 4 weeks of treatment. The results from the two groups will then be compared using statistical analysis through SPSS software.\n\nWhy is this study important? The study may help determine whether adding exercises for the shoulder-blade muscles to conventional lower-back exercises provides additional benefits for people with chronic low back pain.\n\nIf the combined exercise program produces better results, it may provide physiotherapists with an additional exercise approach for managing patients with chronic non-specific low back pain. It may also help patients improve their physical function and reduce the effect of back pain on their daily lives.\n\nFor patients and families:\n\nThe study does not involve surgery or invasive procedures. It focuses on therapeutic exercises and a heating pad. Participants will be monitored during the treatment period, and their pain and ability to perform daily activities will be assessed before and after the intervention.\n\nOverall aim:\n\nThe overall aim of this study is to determine whether adding YTWL scapular stabilization exercises to conventional lumbar stabilization exercises is more effective in reducing pain and disability than lumbar stabilization exercises alone in people with chronic non-specific low back pain.",[30,36],{"label":31,"type":32,"description":33,"interventionNames":34},"Control Group (A)","ACTIVE_COMPARATOR","Lumbar Stabilization Exercises (LSE) + Heating Pad",[35],"Other: Lumbar Stabilization Exercises and heating pad",{"label":37,"type":38,"description":39,"interventionNames":40},"Experimental Group (B)","EXPERIMENTAL","Lumbar Stabilization Exercises (LSE) + YTWL Scapular Stabilization Exercises + Heating Pad",[41],"Other: Scapular Stabilization Exercises (YTWL) + Lumbar Stabilization Exercises + Heating Pad",[43,47],{"type":6,"name":44,"description":45,"armGroupLabels":46,"otherNames":17},"Lumbar Stabilization Exercises and heating pad","Participants in the control group will receive conventional lumbar stabilization exercises (LSE) along with a heating pad for 4 weeks, with the aim of reducing low back pain and related disability.",[31],{"type":6,"name":48,"description":49,"armGroupLabels":50,"otherNames":17},"Scapular Stabilization Exercises (YTWL) + Lumbar Stabilization Exercises + Heating Pad","Participants in the experimental group will receive lumbar stabilization exercises (LSE) combined with YTWL scapular stabilization exercises and a heating pad for 4 weeks, with the aim of reducing low back pain and related disability.",[37],[52],{"name":53,"role":54,"phone":55,"phoneExt":17,"email":56},"Sadia Akhter, Doctor of Physical Therapy","CONTACT","+92-3312753480","sadiaakhter333@gmail.com",[58],{"facility":5,"status":17,"city":59,"state":60,"zip":61,"country":62,"countryCode":63,"cosmosGeoPoint":64,"geoPoint":69,"contacts":70},"Karachi","Sindh","75290","Pakistan","PK",{"type":65,"coordinates":66},"Point",[67,68],67.0104,24.8608,{"lat":68,"lon":67},[71,74],{"name":72,"role":54,"phone":73,"phoneExt":17,"email":56},"Sadia Akhter, DPT","03312753480",{"name":53,"role":75,"phone":17,"phoneExt":17,"email":17},"PRINCIPAL_INVESTIGATOR",{"type":77,"investigatorFullName":17,"investigatorTitle":17,"investigatorAffiliation":17,"oldNameTitle":17,"oldOrganization":17},"SPONSOR","100657992","effect-of-lumbar-stabilization-exercises-with-and-without-ytwl-scapular-stabilization-exercises-on-reducing-chronic-low-back-pain-and-related-disability-by-numerical-pain-rating-scale-and-modified-oswestry-disability-index-respectively-100657992",false,"NCT07845760","Effect of Lumbar Stabilization Exercises With and Without YTWL (Scapular Stabilization Exercises) on Reducing Chronic Low Back Pain and Related Disability by Numerical Pain Rating Scale and Modified Oswestry Disability Index Respectively.","Effect of Lumbar Stabilization Exercises With and Without YTWL Exercise on Reducing Chronic Low Back Pain and Related Disability. A Randomized Clinical Trial.","A RCT","Inclusion Criteria:\n\nBoth gender (Male and female) Age ranges between 18-50 years. Patient having LBP for more or equal to 3 months due to mechanical cause referred from physician.\n\nHad no prior physical therapy sessions for CLBP in previous month. NPRS score = 3-6\u002F10 Modified Oswestry Disability Index (ODI) score ranging from 11 to 30 out of 50 (21-60%)\n\nExclusion Criteria:\n\nLow back pain due to any systemic cause. History of known scapular pathology. (Scapular fracture, Sprengel deformity, Os acromiale, injury to neurovascular structures of scapular muscles) History of specific causes of Low Back Pain (Spinal stenosis, Spondylosis, Spondylolisthesis, Disc herniation, Cauda equine syndrome) Any history of infective or inflammatory spinal pathology, spinal surgery and spinal fracture.\n\nHistory of any psychological disorders Pregnancy Malignancy Obvious neurological symptoms.","ALL","18 Years","50 Years",{"count":90,"type":91},70,"ESTIMATED","INTERVENTIONAL",[94],"NA","Chronic low back pain is a common problem that can make daily activities difficult. Exercises that strengthen and stabilize the lower back are commonly used to reduce pain and improve movement.\n\nThis study will examine whether adding shoulder-blade (scapular) strengthening exercises called YTWL exercises to regular lower-back exercises can provide better results than lower-back exercises alone.\n\nA total of 70 people with chronic non-specific low back pain will participate. They will be divided into two groups:\n\nGroup 1: Lower-back stabilization exercises + heating pad Group 2: Lower-back stabilization exercises + YTWL shoulder-blade exercises + heating pad\n\nPain and difficulty in performing daily activities will be measured before treatment and after 4 weeks.\n\nThe purpose of this study is to find out whether improving the strength and stability of the shoulder-blade muscles along with the lower-back muscles can reduce pain and disability more effectively.\n\nIn simple words: We want to know whether exercising both the upper back\u002Fshoulder-blade muscles and lower-back muscles works better for chronic low back pain than exercising the lower back alone.",[97],"Chronic Non Specific Mechanical Low Back Pain",[99,100,101,102,103],"Lumbago","Lumbar Stabilization Exercise","Kinetic Chain","Scapular Stabilization Exercise","Thoracolumbar Fascia","NOT_YET_RECRUITING","2026-09-22",{"date":107,"type":108},"2026-09-29","ACTUAL",{"date":110,"type":91},"2026-09-15",{"date":112,"type":91},"2027-04-20",{"name":5,"class":6},1]