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Low Back PainNCT06976242

Comparison Of The Effectiveness Of Elastic Resistance Versus Free Weight Training Of Gluteus Medius In Improving Pain, Strength, And Overall Gait Speed In Patients With Chronic Non-Specific Low Back Pain

A study testing Elastic Resistance Training, Free Weight Exercises and Conventional Training in people with Low Back Pain, run by Khyber Medical University Peshawar at 1 site in Pakistan.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This randomized controlled trial aims to compare the effectiveness of elastic resistance training and free weight training in strengthening the gluteus medius muscle among patients with chronic non-specific low back pain. Read more about this study

Who is it for?
Ages 30 to 60 years
Conditions the study is for
Low Back Pain
What is being tested?
Elastic Resistance Training, Free Weight Exercises and Conventional Training
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
36 participants
Where
1 sitePakistan
Study dates
1 Apr 2025to 15 Aug 2025
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 30 to 60 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Age 30-60 years
  • Both males and females of any race and ethnicity
  • Musculoskeletal condition that affects the gluteus Medius of hip
  • MMT for gluteus medius is 3 or less than 3
  • chronic stage of nonspecific low back pain
  • Cognitively intact (mini mental scale) and able to walk 10 meters with or without support.
  • Volunteer participations.

Who cannot join

  • Post-surgical conditions like TKR, THR.
  • Any contraindication to exercise.
  • Female individuals who have muscular weakness due to pregnancy
  • Any neurological conditions (myopathies, neuropathies) causing muscular weakness
  • Chronic low back pain in which Gluteus Medius weakness is not measurable.

Trial locations and contacts

1 site in 1 country.

Pakistan1 site
  • Rehman Medical Institute

    Peshawar, Khyber Pakhtunkhwa, 25000

Other trials in Pakistan

About this study

Official title: Comparison Of The Effectiveness Of Elastic Resistance Versus Free Weight Training Of Gluteus Medius In Improving Pain, Strength, And Overall Gait Speed In Patients With Chronic Non-Specific Low Back Pain: Randomized Controlled Trial

This randomized controlled trial aims to compare the effectiveness of elastic resistance training and free weight training in strengthening the gluteus medius muscle among patients with chronic non-specific low back pain. Weakness in the gluteus medius can contribute to pelvic instability and altered gait patterns, which may exacerbate low back pain. While both elastic resistance and free weight exercises are commonly used in rehabilitation, there is limited evidence comparing their relative benefits in this population. This study evaluates improvements in pain, muscle strength, and overall gait speed following each intervention. The findings will help guide clinicians in choosing the most effective and accessible strengthening method for patients with chronic non-specific low back pain.

Read the detailed description

The gluteus medius plays a vital role in pelvic stabilization and maintaining proper gait mechanics. Dysfunction or weakness in this muscle is frequently associated with chronic non-specific low back pain, a condition affecting a significant proportion of the population. Rehabilitation strategies that target the gluteus medius are crucial for restoring lumbar-pelvic stability, optimizing functional movement, and reducing pain.

Free weight training, using equipment like dumbbells and barbells, is a traditional method to enhance muscle strength and improve neuromuscular coordination. However, it often requires proper supervision to avoid injury due to the need for controlled movements and joint stability. On the other hand, elastic resistance training, which employs tools like resistance bands or tubes, offers a safer, cost-effective, and portable alternative. It allows progressive resistance throughout the range of motion, matching the user's strength curve and facilitating home-based exercise programs.

This randomized controlled trial is designed to compare these two training modalities, which are elastic resistance versus free weights in terms of their effectiveness at improving gluteus medius strength, reducing low back pain, and enhancing gait speed in patients with chronic non-specific low back pain. The trial includes baseline and post-intervention assessments using validated clinical tools for measuring pain, strength, and gait speed.

The goal is to determine which intervention yields greater clinical benefit and offers a more practical approach for implementation in therapeutic settings, especially for populations with limited access to conventional gym equipment. The findings could contribute valuable evidence to inform clinical decision-making in physical therapy and rehabilitation.

Conditions
Low Back Pain
Being tested
Elastic Resistance Training, Free Weight Exercises, Conventional Training
Keywords
Gluteus Medius, Low Back Pain, Chronic Non-Specific Low Back Pain, Exercise Therapy
Medical subject headings
Low Back Pain

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Elastic Resistance TrainingProcedure or surgery

    Also called Resistance Band Training, Theraband Exercise

    The type of resistance exercises in which the participants use the Thera Band of yellow and red colours (weight about 2-2.5 kg with full elongation) for resistance training

  • Free Weight ExercisesProcedure or surgery

    The type of resistance exercises in which the participants use weight cuffs (weight 2-2.5 kg) tied to their lower leg for resistance training

  • Conventional TrainingProcedure or surgery

    The conventional training includes side-lying hip abductions, standing weighted abductions, and lateral step-ups exercises.

Study groups in NCT06976242
Study groupRoleWhat they receive
Elastic Resistance Training with Conventional TrainingExperimentalThe participants in this group will receive elastic resistance training with conventional training. The intervention would be given 5 times per week on alternate days for 4 weeks. Each exercise session will be given in 2sets of 8 repetitions each set.
Receives: Procedure: Elastic Resistance Training; Procedure: Conventional Training
Free Weight Training along with Conventional TrainingActive comparatorThe participants in this group will receive free weight training along with conventional training. The intervention frequency will be the same as group A (5 times/week for 4 weeks). Each exercise session will be given in 2 sets of 8 repetitions each set.
Receives: Procedure: Free Weight Exercises; Procedure: Conventional Training

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in Pain Intensity

    Pain will be assessed using the Numeric Pain Rating Scale (NPRS), a self-reported 11-point scale ranging from 0 (no pain) to 10 (worst imaginable pain).

    Measured: Baseline and at 4 weeks post-intervention

  2. Change in Gluteus Medius Muscle Strength

    Muscle strength will be measured using a manual muscle testing to assess isometric strength of the gluteus medius. A system of manually testing weakness of muscles by assuming different positions and performing movements against gravity or gravity eliminated depending on the strength of the and 5 indicates the muscle can hold anti-gravity position against maximum resistance.

    Measured: Baseline and at 4 weeks post-intervention

  3. Change in Overall Gait Speed

    Gait speed will be measured using the 10-Meter Walk Test (10MWT), recorded in meters per second (m/s).

    Measured: Baseline and at 4 weeks post-intervention

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted16 May 2025
  2. Study start1 Apr 2025
  3. Primary completion29 Jun 2025
  4. Study completion15 Aug 2025

Resources

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
Model description
Participants will be randomly assigned to either an elastic resistance training group or a free weight training group to compare outcomes related to pain, strength, and gait speed.
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
36 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06976242
Sponsor's protocol ID
KMU/DIR/CTU/2025/001
Status last verified
Sep 2025
First submitted
8 May 2025
Last updated
3 Sep 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Data obtained through this study may be provided to qualified researchers with academic interested in the stated study area after its proper monitoring. Data or samples shared will be coded, with no PHI included. Prior permission of the investigators, participants and concerned departments will be obtained.

Publications

  • Roelker SA, Kautz SA, Neptune RR. Muscle contributions to mediolateral and anteroposterior foot placement during walking. J Biomech. 2019 Oct 11;95:109310. doi: 10.1016/j.jbiomech.2019.08.004. Epub 2019 Aug 9.

    PubMed 31451199
  • Ventura JD, Klute GK, Neptune RR. Individual muscle contributions to circular turning mechanics. J Biomech. 2015 Apr 13;48(6):1067-74. doi: 10.1016/j.jbiomech.2015.01.026. Epub 2015 Feb 2.

    PubMed 25700608
  • Kasitinon D, Li WX, Wang EXS, Fredericson M. Physical Examination and Patellofemoral Pain Syndrome: an Updated Review. Curr Rev Musculoskelet Med. 2021 Dec;14(6):406-412. doi: 10.1007/s12178-021-09730-7. Epub 2021 Oct 29.

    PubMed 34713383
  • Bauer CM, Rast FM, Ernst MJ, Meichtry A, Kool J, Rissanen SM, Suni JH, Kankaanpaa M. The effect of muscle fatigue and low back pain on lumbar movement variability and complexity. J Electromyogr Kinesiol. 2017 Apr;33:94-102. doi: 10.1016/j.jelekin.2017.02.003. Epub 2017 Feb 13.

    PubMed 28226298
  • Lanza MB, Rock K, Marchese V, Addison O, Gray VL. Hip Abductor and Adductor Rate of Torque Development and Muscle Activation, but Not Muscle Size, Are Associated With Functional Performance. Front Physiol. 2021 Oct 14;12:744153. doi: 10.3389/fphys.2021.744153. eCollection 2021.

    PubMed 34721067
  • Sheahan PJ, Diesbourg TL, Fischer SL. The effect of rest break schedule on acute low back pain development in pain and non-pain developers during seated work. Appl Ergon. 2016 Mar;53 Pt A:64-70. doi: 10.1016/j.apergo.2015.08.013. Epub 2015 Sep 10.

    PubMed 26674405
  • Khayambashi K, Ghoddosi N, Straub RK, Powers CM. Hip Muscle Strength Predicts Noncontact Anterior Cruciate Ligament Injury in Male and Female Athletes: A Prospective Study. Am J Sports Med. 2016 Feb;44(2):355-61. doi: 10.1177/0363546515616237. Epub 2015 Dec 8.

    PubMed 26646514
  • Butowicz CM, Ebaugh DD, Noehren B, Silfies SP. VALIDATION OF TWO CLINICAL MEASURES OF CORE STABILITY. Int J Sports Phys Ther. 2016 Feb;11(1):15-23.

    PubMed 26900496
  • Qiu J, Zhou T, Jin H, Pan Y, Qian T, Xue C, Xia W, Shi H, An B. Effect of adding hip exercises to general rehabilitation treatment of knee osteoarthritis on patients' physical functions: a randomized clinical trial. BMC Sports Sci Med Rehabil. 2023 Nov 23;15(1):158. doi: 10.1186/s13102-023-00772-7.

    PubMed 37996958
  • Lorenzetti S, Ostermann M, Zeidler F, Zimmer P, Jentsch L, List R, Taylor WR, Schellenberg F. How to squat? Effects of various stance widths, foot placement angles and level of experience on knee, hip and trunk motion and loading. BMC Sports Sci Med Rehabil. 2018 Jul 17;10:14. doi: 10.1186/s13102-018-0103-7. eCollection 2018.

    PubMed 30026952
  • Psilander N, Eftestol E, Cumming KT, Juvkam I, Ekblom MM, Sunding K, Wernbom M, Holmberg HC, Ekblom B, Bruusgaard JC, Raastad T, Gundersen K. Effects of training, detraining, and retraining on strength, hypertrophy, and myonuclear number in human skeletal muscle. J Appl Physiol (1985). 2019 Jun 1;126(6):1636-1645. doi: 10.1152/japplphysiol.00917.2018. Epub 2019 Apr 11.

    PubMed 30991013

Questions about this trial

What is this clinical trial studying?

A study testing Elastic Resistance Training, Free Weight Exercises and Conventional Training in people with Low Back Pain, run by Khyber Medical University Peshawar at 1 site in Pakistan.

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 7 inclusion and 5 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 3 Sep 2025. 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 Pakistan. 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?

Change in Pain Intensity (time frame: Baseline and at 4 weeks post-intervention). The study lists 3 primary outcomes in all. 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 NCT06976242, which also lists 11 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 3 Sep 2025; AzTrials last refreshed its copy on 8 Nov 2026.

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