Effect of CLX training adjunct to PNF and conventional physiotherapy on pain and balance in patients with chronic lower back pain: A randomised clinical trial protocol [version 1; peer review: awaiting peer review]

Lower back pain that has lasted longer than 12 weeks is referred to as chronic lower back pain (CLBP). Lumbar extensor deterioration is a typical characteristic of CLBP. Muscular degeneration could impact proprioception along with reducing strength and endurance, which would further exacerbate concerns about balance. Along with force-matching ability, lower back muscles working together is frequently compromised in CLBP patients. The prime goals of bodily workout in administration of long-lasting lower back ache are advance muscular strength and flexibility, to re-establish injured tissues and to contribute easy engaging in daily tasks. Proprioceptive sense is reduced in CLBP patients due to mechanical alterations in their musculature. Hence, in order to develop an efficient management plan, it is crucial for patients and physiotherapists to understand the alterations that result from the shift in trunk muscular endurance in people with CLBP and how they impact the functional level. Outlined here is a proposed study aiming to evaluate the effectiveness of consecutive loop TheraBand (CLX) adjunct to proprioceptive neuromuscular facilitation (PNF) and conventional physiotherapy exercises on subjects with CLBP in a two-arm parallel superiority randomized clinical trial in reducing pain and enhancing balance. The participants will be split into two groups for equal allocation, after which the intervention CLX adjunct to PNF will be provided to one group and conventional physiotherapy exercises will be provided for another group for six weeks, a total of six days a week, for 50 minutes per day. After six weeks of intervention, the results will be assessed for pain and balance. The implementation of this physiotherapy technique in treatment could occur if the study’s hypothesis is successful in CLBP. Additionally, it will aid in lowering the incapacity in activities of daily living in those recovering from lower back pain. CTRI registration number: CTRI/2023/05/052851