Chronic Non-Specific Low Back PainNCT06762951
Pilates Mat Versus Segmental Control Exercises In Patients With Chronic Non-Specific Low Back Pain
A study testing Pilates mat exercices and Traditional physical therapy in people with Chronic Non-Specific Low Back Pain, run by Cairo University at 1 site in Egypt.
Trial summary
This study sought to determine the effect of Pilates exercises versus segmental control exercises on spinopelvic angles, pain intensity, and functional disability in patients with chronic non-specific low back pain. Read more about this study
- Who is it for?
- Ages 18 to 65 years
- Conditions the study is for
- Chronic Non-Specific Low Back Pain
- What is being tested?
- Pilates mat exercices and Traditional physical therapy
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 60 participants
- Where
- 1 siteEgypt
- Study dates
- 1 Feb 2025to 1 Apr 2026
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 65 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Age group: 18 to 65 years. (Yentür et al., 2021)
- Both male and female gender will be included in the study. (Akhtar et al., 2017)
- Nonspecific, non-radicular (axial) chronic LBP diagnosis with hyperlordosis (LBP for at least three months). (Kızıltaş et al., 2022)
- Visual Analog Scale (VAS) score of 3 or higher. (Mannion et al., 2009)
Who cannot join
- Patients with acute attacks of LBP. (Caglayan et al.,2014)
- Pain referred from the lumbar to the lower extremities.
- Serious spinal disorder including malignancy, osteoporosis, ankylosing spondylitis, cauda equina compression, and infection.
- Fracture of vertebrae, and administered epidural injection. (Sarker et al., 2020)
- Pregnancy and feeding
- Structural abnormalities in the lumbar region
Show all 10Show fewer
- Surgical history in the lumbar spine area
- Heart disease. (Kızıltaş et al., 2022)
- History of Vestibular dysfunction
- Regular Pilates/any other specific exercise program in the last 3 months. (Mehta et al.,2022)
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Pilates Mat Versus Segmental Control Exercises On Spinopelvic Angles In Patients With Chronic Non-Specific Low Back Pain
This study sought to determine the effect of Pilates exercises versus segmental control exercises on spinopelvic angles, pain intensity, and functional disability in patients with chronic non-specific low back pain.
Read the detailed description
Low back pain (LBP) is the most common musculoskeletal condition and constitutes a global public health problem. The majority of patients (up to 90%) are categorized as having nonspecific low back pain, which is described as symptoms lack of clear particular reasons, i.e., beginning of low back pain is not known. Many clinical guidelines and systematic reviews have recommended exercise therapy as one of the preferred treatments at decreasing pain and improving function in NSLBP. In the last decade, the Pilates method has become one of the most popular exercise programmes incorporated in clinical practice. Therapeutic exercises, specifically Segmental control exercises, decrease pain, reduce disability, improve quality of life, increase muscular endurance and strength, improve segmental stability, and reduce risk of injury. Studies have shown that both segmental control exercises and Pilate's exercises are effective in the management of pain and disability in individuals with Chronic LBP. However, it appears there is dearth of empirical data establishing which is more effective between the segmental control exercises and Pilates exercises on individuals with non-specific chronic low back pain. Thus, there exist certain gaps involving the two therapeutic techniques. Therefore, this study sought to determine the effect of Pilates exercises versus segmental control exercises on spinopelvic angles, pain intensity, and functional disability in patients with chronic non-specific low back pain.
- Conditions
- Chronic Non-Specific Low Back Pain
- Being tested
- Pilates mat exercices, Segmental control exercises, Traditional physical therapy
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Pilates mat exercicesOther
Pilates mat exercise which consists of (single leg stretch + Pelvic press + Swimming + Opposite arm and leg reach + Side to side), 3 sets of 10 repetitions.
Segmental control exercisesOther
Segmental control exercise which consists of (Segmental control over primary stabilizers, Exercises in closed chain, and Exercises in open chain)
Traditional physical therapyOther
Traditional physical therapy eg. (Back, hamstring, calf and hip flexors stretches, Abdominal curl-up exercise in supine, Back extensors exercise in prone, and Hip extensors exercises in prone along with ultrasound and Transcutaneous electrical nerve stimulation (TENS)
| Study group | Role | What they receive |
|---|---|---|
| Group (A) | Experimental | Group (A): Twenty patients will receive Pilates mat exercise which consists of (single leg stretch + Pelvic press + Swimming + Opposite arm and leg reach + Side to side), 3 sets of 10 repetitions. And conventional physiotherapy treatment which consists of traditional physical therapy eg. (Back, hamstring, calf and hip flexors stretches, Abdominal curl-up exercise in supine, Back extensors exercise in prone, and Hip extensors exercises in prone along with ultrasound and Transcutaneous electrical nerve stimulation (TENS), two sessions per week for six weeks. Receives: Other: Pilates mat exercices; Other: Traditional physical therapy |
| Group (B) | Experimental | Group B: Twenty patients will receive Segmental control exercise which consists of (Segmental control over primary stabilizers, Exercises in closed chain, and Exercises in open chain) and conventional physiotherapy treatment which consists of traditional physical therapy eg. (Back, hamstring, calf and hip flexors stretches, Abdominal curl-up exercise in supine, Back extensors exercise in prone, and Hip extensors exercises in prone along with ultrasound and Transcutaneous electrical nerve stimulation (TENS), two sessions per week for six weeks Receives: Other: Segmental control exercises; Other: Traditional physical therapy |
| Group (C) | Active comparator | Group C: Twenty patients will receive conventional physiotherapy treatment only which consists of traditional physical therapy eg. (Back, hamstring, calf and hip flexors stretches, Abdominal curl-up exercise in supine, Back extensors exercise in prone, and Hip extensors exercises in prone along with ultrasound and Transcutaneous electrical nerve stimulation (TENS), two sessions per week for six weeks. Receives: Other: Traditional physical therapy |
What is being measured
The primary outcome is the main question the study is designed to answer.
Spinopelvic angels
Spinopelvic angles consists of (Sacral slope, lumber lordosis, pelvic incidence, and pelvic tilt) from the X-ray picture of the lateral view of the lumbosacral region by using CorelDraw graphic suits X7 software program. (Bhosale et al.2020)
Measured: 6 weeks
Secondary outcomes (2)
Pain intensity
Pain intensity by using a Visual analogue scale (VAS). (Begum, and Hossain 2019)
Measured: 6 weeks
Functional disability
Functional disability by using the Oswestry disability questionnaire. (Koivunen et al., 2024)
Measured: 6 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Jan 2025
- Study start1 Feb 2025
- Primary completion1 Apr 2026
- Study completion1 Apr 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (5)Papers the sponsor has linked to this study.
- Other trials for Chronic Non-Specific Low Back PainStudies of the same condition, open and under way.
- More trials run by Cairo UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 60 participants (actual)
Sponsor and investigators
- Lead sponsor
- Cairo University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Alyaa Mohamed Ahmed Mohamed Elgendy, Cairo University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06762951
- Sponsor's protocol ID
- Spinopelvic Angels In CNSLBP
- Status last verified
- Sep 2026
- First submitted
- 2 Jan 2025
- Last updated
- 30 Sep 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes
Publications
Dimitrijevic V, Scepanovic T, Milankov V, Milankov M, Drid P. Effects of Corrective Exercises on Lumbar Lordotic Angle Correction: A Systematic Review and Meta-Analysis. Int J Environ Res Public Health. 2022 Apr 18;19(8):4906. doi: 10.3390/ijerph19084906.
PubMed 35457772Tamartash H, Bahrpeyma F. Evaluation of Lumbar Myofascial Release Effects on Lumbar Flexion Angle and Pelvic Inclination Angle in Patients with Non-Specific Low Back Pain. Int J Ther Massage Bodywork. 2022 Mar 2;15(1):15-22. doi: 10.3822/ijtmb.v15i1.709. eCollection 2022 Mar.
PubMed 35280247Koivunen K, Widbom-Kolhanen S, Pernaa K, Arokoski J, Saltychev M. Reliability and validity of Oswestry Disability Index among patients undergoing lumbar spinal surgery. BMC Surg. 2024 Jan 3;24(1):13. doi: 10.1186/s12893-023-02307-w.
PubMed 38172794Bhosale S, Pinto D, Srivastava S, Purohit S, Gautham S, Marathe N. Measurement of spinopelvic parameters in healthy adults of Indian origin - A cross sectional study. J Clin Orthop Trauma. 2020 Sep-Oct;11(5):883-888. doi: 10.1016/j.jcot.2019.07.013. Epub 2019 Jul 23.
PubMed 32879575Huang C, Hsieh YL, Chou LW, Wang JL, Chien A. Effects of pilates exercises on radiographic lumbo-pelvic alignment and range of motion in non-specific low back pain patients. J Bodyw Mov Ther. 2024 Apr;38:339-345. doi: 10.1016/j.jbmt.2023.10.004. Epub 2024 Feb 5.
PubMed 38763578
Study at a glance
From the registry record, last updated by the sponsor on 30 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Pilates Mat Versus Segmental Control Exercises On Spinopelvic Angles In Patients With Chronic Non-Specific Low Back Pain
- ClinicalTrials.gov ID
- NCT06762951
- Acronym / sponsor ID
- Spinopelvic Angels In CNSLBP
- Conditions
- Chronic Non-Specific Low Back Pain
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 60 participants (actual)
- Lead sponsor
- Cairo UniversityUniversity, hospital or other
- Study start
- 1 Feb 2025 (actual)
- Primary completion
- 1 Apr 2026 (actual)
- Study completion
- 1 Apr 2026 (actual)
- First posted
- 8 Jan 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study sought to determine the effect of Pilates exercises versus segmental control exercises on spinopelvic angles, pain intensity, and functional disability in patients with chronic non-specific low back pain.
Detailed description
Low back pain (LBP) is the most common musculoskeletal condition and constitutes a global public health problem. The majority of patients (up to 90%) are categorized as having nonspecific low back pain, which is described as symptoms lack of clear particular reasons, i.e., beginning of low back pain is not known. Many clinical guidelines and systematic reviews have recommended exercise therapy as one of the preferred treatments at decreasing pain and improving function in NSLBP. In the last decade, the Pilates method has become one of the most popular exercise programmes incorporated in clinical practice. Therapeutic exercises, specifically Segmental control exercises, decrease pain, reduce disability, improve quality of life, increase muscular endurance and strength, improve segmental stability, and reduce risk of injury. Studies have shown that both segmental control exercises and Pilate's exercises are effective in the management of pain and disability in individuals with Chronic LBP. However, it appears there is dearth of empirical data establishing which is more effective between the segmental control exercises and Pilates exercises on individuals with non-specific chronic low back pain. Thus, there exist certain gaps involving the two therapeutic techniques. Therefore, this study sought to determine the effect of Pilates exercises versus segmental control exercises on spinopelvic angles, pain intensity, and functional disability in patients with chronic non-specific low back pain.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Group (A) | Experimental | Other: Pilates mat exercices, Other: Traditional physical therapyGroup (A): Twenty patients will receive Pilates mat exercise which consists of (single leg stretch + Pelvic press + Swimming + Opposite arm and leg reach + Side to side), 3 sets of 10 repetitions. And conventional physiotherapy treatment which consists of traditional physical therapy eg. (Back, hamstring, calf and hip flexors stretches, Abdominal curl-up exercise in supine, Back extensors exercise in prone, and Hip extensors exercises in prone along with ultrasound and Transcutaneous electrical nerve stimulation (TENS), two sessions per week for six weeks. |
| Group (B) | Experimental | Other: Segmental control exercises, Other: Traditional physical therapyGroup B: Twenty patients will receive Segmental control exercise which consists of (Segmental control over primary stabilizers, Exercises in closed chain, and Exercises in open chain) and conventional physiotherapy treatment which consists of traditional physical therapy eg. (Back, hamstring, calf and hip flexors stretches, Abdominal curl-up exercise in supine, Back extensors exercise in prone, and Hip extensors exercises in prone along with ultrasound and Transcutaneous electrical nerve stimulation (TENS), two sessions per week for six weeks |
| Group (C) | Active comparator | Other: Traditional physical therapyGroup C: Twenty patients will receive conventional physiotherapy treatment only which consists of traditional physical therapy eg. (Back, hamstring, calf and hip flexors stretches, Abdominal curl-up exercise in supine, Back extensors exercise in prone, and Hip extensors exercises in prone along with ultrasound and Transcutaneous electrical nerve stimulation (TENS), two sessions per week for six weeks. |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Age group: 18 to 65 years. (Yentür et al., 2021)
- Both male and female gender will be included in the study. (Akhtar et al., 2017)
- Nonspecific, non-radicular (axial) chronic LBP diagnosis with hyperlordosis (LBP for at least three months). (Kızıltaş et al., 2022)
- Visual Analog Scale (VAS) score of 3 or higher. (Mannion et al., 2009)
Key exclusion criteria (10 listed)
- Patients with acute attacks of LBP. (Caglayan et al.,2014)
- Pain referred from the lumbar to the lower extremities.
- Serious spinal disorder including malignancy, osteoporosis, ankylosing spondylitis, cauda equina compression, and infection.
- Fracture of vertebrae, and administered epidural injection. (Sarker et al., 2020)
- Pregnancy and feeding
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Pilates mat exercicesPilates mat exercise which consists of (single leg stretch + Pelvic press + Swimming + Opposite arm and leg reach + Side to side), 3 sets of 10 repetitions. | Other | Group (A) |
| Segmental control exercisesSegmental control exercise which consists of (Segmental control over primary stabilizers, Exercises in closed chain, and Exercises in open chain) | Other | Group (B) |
| Traditional physical therapyTraditional physical therapy eg. (Back, hamstring, calf and hip flexors stretches, Abdominal curl-up exercise in supine, Back extensors exercise in prone, and Hip extensors exercises in prone along with ultrasound and Transcutaneous electrical nerve stimulation (TENS) | Other | Group (A), Group (B), Group (C) |
Primary outcome
Spinopelvic angels
Time frame: 6 weeks
Spinopelvic angles consists of (Sacral slope, lumber lordosis, pelvic incidence, and pelvic tilt) from the X-ray picture of the lateral view of the lumbosacral region by using CorelDraw graphic suits X7 software program. (Bhosale et al.2020)
2 secondary outcomes
Pain intensity
Time frame: 6 weeks
Functional disability
Time frame: 6 weeks
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 30 Sep 2026.
- Results publication: PubMed 35457772Dimitrijevic V, Scepanovic T, Milankov V, Milankov M, Drid P. Effects of Corrective Exercises on Lumbar Lordotic Angle Correction: A Systematic Review and Meta-Analysis. Int J Environ Res Public Health. 2022 Apr 18;19(8):4906. doi: 10.3390/ijerph19084906.
- Results publication: PubMed 35280247Tamartash H, Bahrpeyma F. Evaluation of Lumbar Myofascial Release Effects on Lumbar Flexion Angle and Pelvic Inclination Angle in Patients with Non-Specific Low Back Pain. Int J Ther Massage Bodywork. 2022 Mar 2;15(1):15-22. doi: 10.3822/ijtmb.v15i1.709. eCollection 2022 Mar.
- Results publication: PubMed 38172794Koivunen K, Widbom-Kolhanen S, Pernaa K, Arokoski J, Saltychev M. Reliability and validity of Oswestry Disability Index among patients undergoing lumbar spinal surgery. BMC Surg. 2024 Jan 3;24(1):13. doi: 10.1186/s12893-023-02307-w.
- Results publication: PubMed 32879575Bhosale S, Pinto D, Srivastava S, Purohit S, Gautham S, Marathe N. Measurement of spinopelvic parameters in healthy adults of Indian origin - A cross sectional study. J Clin Orthop Trauma. 2020 Sep-Oct;11(5):883-888. doi: 10.1016/j.jcot.2019.07.013. Epub 2019 Jul 23.
- Results publication: PubMed 38763578Huang C, Hsieh YL, Chou LW, Wang JL, Chien A. Effects of pilates exercises on radiographic lumbo-pelvic alignment and range of motion in non-specific low back pain patients. J Bodyw Mov Ther. 2024 Apr;38:339-345. doi: 10.1016/j.jbmt.2023.10.004. Epub 2024 Feb 5.
- Individual participant dataSharing planned: Yes
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Pilates mat exercices and Traditional physical therapy in people with Chronic Non-Specific Low Back Pain, run by Cairo University at 1 site in Egypt.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 30 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Egypt. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Spinopelvic angels (time frame: 6 weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT06762951, which also lists 5 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Sep 2026.