Low Back PainLBPNCT07047287
Global Postural Reeducation Versus Pilates in Patients With Non-specific Low Back Pain
A study testing global postural reeducation exercise, pilates exercises and conventional therapy in people with Low Back Pain, run by Cairo University.
Trial summary
to compare between Global Postural Reeducation and Pilates mat on pelvic angles, pain intensity, hip flexibility and Functional disability in patients with chronic non-specific low back pain Read more about this study
- Who is it for?
- Ages 18 to 50 years
- Conditions the study is for
- Low Back Pain
- What is being tested?
- global postural reeducation exercise, pilates exercises and conventional therapy
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 60 participants
- Where
- No sites listed yet
- Study dates
- 30 Jun 2025to 30 Sep 2025
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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 50 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- 18-50 years old, Low back pain for more than 3 months (pain felt between T12 and the gluteal fold).
- Patients willing and able to participate in an exercise program safely and without cognitive impairments that would limit their participation.
- BMI index smaller than 30 kg/m2
- Both male and female gender were included in the study.
- Nonspecific, non-radicular (axial) chronic LBP diagnosis (LBP for at least three months).
- Visual Analog Scale (VAS) score of 3 or higher
Who cannot join
- History of back surgery
- Rheumatologic disorders,
- Spine infections
- Spine exercise training in the 3 months before the onset of the study.
- Under psychiatric care.
- Neurological conditions that would interfere with the assessments, such as major sensory changes, and level of consciousness/ understanding
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- Advanced joint disease.
- History of severe physical and nervous system diseases
- Unable to cooperate with the study protocols.
Trial locations and contacts
No sites are listed yet. Contact the study team or a site near you to ask about taking part.
About this study
to compare between Global Postural Reeducation and Pilates mat on pelvic angles, pain intensity, hip flexibility and Functional disability in patients with chronic non-specific low back pain
Read the detailed description
Chronic low back pain is a common health problem in many developed and developing countries. Individuals suffering from chronic low back pain experience major physical, social, mental, and occupational disruptions. It is not only one of the leading causes of pain but also of a costly burden on the health care budget as chronic low back pain leads to a frequent demand for medical services. The majority of patients (up to 90%) are categorized as having nonspecific low back pain.Global postural reeducation (GPR) is a conservative treatment that we can consider as a global postural exercise method, and widely used in physical therapy clinical practice in many countries. Pilates is a concept of body and mind exercise and a system of repetitive exercises including whole-body movements, breathing, centering, rhythm, and concentration. Pilates is a mindful approach exercise that promote strength, stability and is used for health enhancement and in several diseases.
- Conditions
- Low Back Pain
- Being tested
- global postural reeducation exercise, pilates exercises, conventional therapy
- Keywords
- global postural reeducation, pilates, low back pain
- 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.
global postural reeducation exerciseOther
The global postural reeducation exercise involves a sequence of active, moderate postures as well as exercises that are designed to realign joints, stretch shortened muscles, in addition, strengthen the contraction of the antagonist's muscles to prevent postural asymmetry. There are eight different therapeutic postures in the GPR approach that should be held for 15 to 20 min while lying, sitting, or standing. Only two or three postures have been proposed to encourage treatment standardization+ conventional therapy
pilates exercisesOther
the patients will receive pilates in the form of single leg stretch + Pelvic press + Swimming + Opposite arm and leg reach + Side to side), 3 sets of 10 repetitions
conventional therapyOther
the patients will receive conventional physiotherapy treatment which consists of routine physical therapy eg. (Back, hamstring, calf and hip flexors stretches, Abdominal curl up exercises etc along with ultrasound and Transcutaneous electrical nerve stimulation (TENS).
| Study group | Role | What they receive |
|---|---|---|
| global postural reeducation exercise | Experimental | Twenty patients suffer from nonspecific low back pain and will be received Global postural reeducation exercise and conventional physiotherapy treatment two times a week for six weeks Receives: Other: global postural reeducation exercise; Other: conventional therapy |
| pilates exercises | Experimental | Twenty patients suffer from nonspecific low back pain and will receive Pilates exercise and conventional physiotherapy treatment two times a week for six weeks Receives: Other: pilates exercises; Other: conventional therapy |
| conventional therapy | Active comparator | Twenty patients suffer from nonspecific low back pain and will receive conventional physiotherapy treatment two times a week for six weeks. Receives: Other: conventional therapy |
What is being measured
The primary outcome is the main question the study is designed to answer.
pain intensity
VAS is employed as a quantitative tool to assess the subjective intensity of pain experienced by an individual. The VAS is a reliable and valid method for assessing low back pain clinically. It consists of a single handwritten mark down the length of a 10-cm line, with "no pain" at one end of the scale (0 cm) and "worst pain" at the other (10 cm)
Measured: up to six weeks
Secondary outcomes (4)
disability
The Arabic version of the Oswestry Disability Index (ODI) has been applied to evaluate the disability brought reliability. The questionnaire was filled out by the patient in about 5 min, and the doctor scored it in around 1 min. Each component is given a score between 0 and 5, with 5 being the most severe disability. The index is determined through the division of the total score by the range of scores, and then its numerical representation as a percentage is derived by multiplying the result by 100. As a result, the denominator drops by 5 for each query that is unanswered
Measured: up to six weeks
anterior pelvic tilt
Using the iHandy Level app on a smartphone will be used to assess anterior pelvic tilt. The anterior and posterior iliac spines were felt. The iHandy's angle was set to 0 while the patient was lying prone, and a semi-permanent pen was used to mark the skin at levels L5-S1.The patient was lying in a long sitting position with his or her feet flat against a wall. The examiner instructed the patient to move their ischial tuberosities into a more posterior position and to raise their chest towards the wall. Try to stay at the same height while you move forward from the hips. Proceed as far as you are able to. Stop when you feel you can no longer go or when your knees start to lift under your hands. Instead of bouncing, hold as tightly as you can. There were only 10 s in this pose.
Measured: up to six weeks
lumbar lordosis
flexible ruler will be used to assess lumbar lordosis. To get an accurate reading of lumbar lordosis, a flexible ruler is employed. The flexible ruler demonstrates high reliability and validity as a portable and non-invasive tool for measuring lumbar lordosis. Specifically, the validity of lumbar lordosis measures obtained using the flexible ruler, when compared to those obtained using X-ray imaging, is reported to be 0.91. An angel's theta can be calculated using the formula [theta]=4×[arctan(2H/L)], where theta stands for the magnitude of the lordotic curve. The lumbar lordotic angle typically ranges from 6.50 to 17.80°.
Measured: up to six weeks
hip flexor flexibility
hip flexor flexibility will be used to assess hip flexor flexibility. The modified Thomas test has been used to evaluate hip flexor flexibility. The patient was lying on their back during this test, and their thigh was hanging over the side of the examination table. The patient firmly held the thigh of the unexamined limb and brought it closer to their chest. The pelvis was rotated posteriorly, and the lumbar spine was flat on the plinth.
Using a goniometer to measure the angle of hip flexion, the length of the iliopsoas muscle was determined. The femur's greater trochanter and fulcrum were in line. Using the pelvis as a reference point, the measurement was performed by positioning the goniometer's fixed arm along the lateral midline of the abdomen and its moving arm along the lateral midline of the femur.
Measured: up to six weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Jul 2025
- Study start30 Jun 2025 (estimated)
- Primary completion30 Sep 2025 (estimated)
- Study completion30 Sep 2025 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for 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
- Model description
- global postural reeducation and pilates
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 60 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Cairo University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, ibrahim mostafa mohamed, Cairo University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07047287
- Sponsor's protocol ID
- P.T.REC/012/005702
- Acronym
- LBP
- Status last verified
- Jun 2025
- First submitted
- 24 Jun 2025
- Last updated
- 2 Jul 2025
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 2 Jul 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Global Postural Reeducation Versus Pilates in Patients With Non-specific Low Back Pain
- ClinicalTrials.gov ID
- NCT07047287
- Acronym / sponsor ID
- LBP / P.T.REC/012/005702
- Conditions
- Low Back Pain
- Keywords
- global postural reeducation, pilates, low back pain
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 60 participants (estimated)
- Lead sponsor
- Cairo UniversityUniversity, hospital or other
- Study start
- 30 Jun 2025 (estimated)
- Primary completion
- 30 Sep 2025 (estimated)
- Study completion
- 30 Sep 2025 (estimated)
- First posted
- 2 Jul 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.
to compare between Global Postural Reeducation and Pilates mat on pelvic angles, pain intensity, hip flexibility and Functional disability in patients with chronic non-specific low back pain
Detailed description
Chronic low back pain is a common health problem in many developed and developing countries. Individuals suffering from chronic low back pain experience major physical, social, mental, and occupational disruptions. It is not only one of the leading causes of pain but also of a costly burden on the health care budget as chronic low back pain leads to a frequent demand for medical services. The majority of patients (up to 90%) are categorized as having nonspecific low back pain.Global postural reeducation (GPR) is a conservative treatment that we can consider as a global postural exercise method, and widely used in physical therapy clinical practice in many countries. Pilates is a concept of body and mind exercise and a system of repetitive exercises including whole-body movements, breathing, centering, rhythm, and concentration. Pilates is a mindful approach exercise that promote strength, stability and is used for health enhancement and in several diseases.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 3
- Model description
- global postural reeducation and pilates
| Arm | Type | Receives |
|---|---|---|
| global postural reeducation exercise | Experimental | Other: global postural reeducation exercise, Other: conventional therapyTwenty patients suffer from nonspecific low back pain and will be received Global postural reeducation exercise and conventional physiotherapy treatment two times a week for six weeks |
| pilates exercises | Experimental | Other: pilates exercises, Other: conventional therapyTwenty patients suffer from nonspecific low back pain and will receive Pilates exercise and conventional physiotherapy treatment two times a week for six weeks |
| conventional therapy | Active comparator | Other: conventional therapyTwenty patients suffer from nonspecific low back pain and will receive conventional physiotherapy treatment two times a week for six weeks. |
Who may qualify
- Ages
- 18 to 50 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (6 listed)
- 18-50 years old, Low back pain for more than 3 months (pain felt between T12 and the gluteal fold).
- Patients willing and able to participate in an exercise program safely and without cognitive impairments that would limit their participation.
- BMI index smaller than 30 kg/m2
- Both male and female gender were included in the study.
- Nonspecific, non-radicular (axial) chronic LBP diagnosis (LBP for at least three months).
Key exclusion criteria (9 listed)
- History of back surgery
- Rheumatologic disorders,
- Spine infections
- Spine exercise training in the 3 months before the onset of the study.
- Under psychiatric care.
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 |
|---|---|---|
| global postural reeducation exerciseThe global postural reeducation exercise involves a sequence of active, moderate postures as well as exercises that are designed to realign joints, stretch shortened muscles, in addition, strengthen the contraction of the antagonist's muscles to prevent postural asymmetry. There are eight different therapeutic postures in the GPR approach that should be held for 15 to 20 min while lying, sitting, or standing. Only two or three postures have been proposed to encourage treatment standardization+ conventional therapy | Other | global postural reeducation exercise |
| pilates exercisesthe patients will receive pilates in the form of single leg stretch + Pelvic press + Swimming + Opposite arm and leg reach + Side to side), 3 sets of 10 repetitions | Other | pilates exercises |
| conventional therapythe patients will receive conventional physiotherapy treatment which consists of routine physical therapy eg. (Back, hamstring, calf and hip flexors stretches, Abdominal curl up exercises etc along with ultrasound and Transcutaneous electrical nerve stimulation (TENS). | Other | conventional therapy, global postural reeducation exercise, pilates exercises |
Primary outcome
pain intensity
Time frame: up to six weeks
VAS is employed as a quantitative tool to assess the subjective intensity of pain experienced by an individual. The VAS is a reliable and valid method for assessing low back pain clinically. It consists of a single handwritten mark down the length of a 10-cm line, with "no pain" at one end of the scale (0 cm) and "worst pain" at the other (10 cm)
4 secondary outcomes
disability
Time frame: up to six weeks
anterior pelvic tilt
Time frame: up to six weeks
lumbar lordosis
Time frame: up to six weeks
hip flexor flexibility
Time frame: up to six weeks
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 Jul 2025.
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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.
Questions about this trial
What is this clinical trial studying?
A study testing global postural reeducation exercise, pilates exercises and conventional therapy in people with Low Back Pain, run by Cairo University.
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 6 inclusion and 9 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: opening soon, as of the sponsor's last update on 2 Jul 2025. Status can change between updates, so confirm with the study contact before making plans.
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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact ibrahim mostafa, master (01111314524, Ielmoniry@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
pain intensity (time frame: up to six weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 2 Jul 2025; AzTrials last refreshed its copy on 6 Nov 2026.