To investigate the effect of adding open versus closed chain segmental control exercises to conventional treatment program on pain intensity, lumbar ROM, and CSA of multifidus muscle.
Patients with chronic low back pain from both genders their age will be ranged and divided into three groups from 25-55 years.
Participants with chronic low back pain lasting for more than 6 Months.
A patient who can follow the command.
A patient who can do exercise.
Low back pain patients with a history of severe neurological disease or orthopedic disease.
History of Psychological Disorder.
Unhealthy Patient.
Pregnant women.
Parallel
Conventional treatment
Other interventionApplication of ultrasound and transcutaneous electrical nerve stimulation "TENS" for mechanical low back pain.
Open chain segmental control
Other interventionApplication of "open chain segmental control exercises" As well as, application of ultrasound and transcutaneous electrical nerve stimulation "TENS" for mechanical low back pain.
Closed chain segmental control
Other interventionApplication of "closed chain segmental control exercises" As well as, application of ultrasound and transcutaneous electrical nerve stimulation "TENS" for mechanical low back pain.
Cross sectional area of multifidus muscle
Cross sectional area of multifidus muscle
Pain intensity
Measured by VAS (from 0 to 10; 0 means no pain and 10 means worst pain)
ROM of lumbar spine
Measuring ROM of lumbar spine
Functional ability of lumbar spine
Questionnaire for measuring lumbar activities (lower score means better and higher score means worse)
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