The effect of the addition of hip strengthening exercises to a lumbopelvic exercise programme for the treatment of non-specific XXXX : A randomized controlled trial.

@entity1 @entity1643 @entity158
OBJECTIVES: To compare the efficacy of two exercise programmes in reducing @entity158 for individuals with non-specific @entity1643 and to examine the underlying mechanical factors related to @entity158 for individuals with NSLBP. DESIGN: A single-blind, randomized controlled trial. METHODS: Eighty @entity1 were recruited from eleven community-based general medical practices and randomized into two groups completing either a lumbopelvic motor control or a combined lumbopelvic motor control and progressive hip strengthening exercise therapy programme. All @entity1 received an education session, 6 rehabilitation sessions including real time ultrasound training, and a home based exercise programme manual and log book. The primary outcomes were @entity158 (0-100mm visual analogue scale), and disability (Oswestry Disability Index V2). The secondary outcomes were hip strength (N/kg) and two-dimensional frontal plane biomechanics (  ) measure during the static Trendelenburg test and while walking. All outcomes were measured at baseline and at 6-week follow up. RESULTS: There was no statistical difference in the change in @entity158 (x  =-4.0mm, t=-1.07, p=0.29, 95%CI -11.5, 3.5) or disability (x  =-0.3%, t=-0.19, p=0.85, 95%CI -3.5, 2.8) between groups. Within group comparisons revealed clinically meaningful reductions in @entity158 for both Group One (x  =-20.9mm, 95%CI -25.7, -16.1) and Group Two (x  =-24.9, 95%CI -30.8, -19.0). CONCLUSIONS: Both exercise programmes had similar efficacy in reducing @entity158 . The addition of hip strengthening exercises to a motor control exercise programme does not appear to result in improved clinical outcome for @entity158 for individuals with non-specific @entity1643 .
