Low Back Motor Control in Rhythmic Gymnasts During Hip Extension


CONTEXT: Low back pain (LBP) is a common complaint in gymnasts. A deficit in the control of lumbopelvic movement has been related to low back pain. OBJECTIVE: This study aims to examine the effectiveness of an education session about low back motor control during hip extension in the lumbopelvic sagittal movement control of elite gymnasts.

DESIGN: single-group, pretest-posttest clinical trial. PARTICIPANTS: 70 Elite Rhythmic Gymnasts INTERVENTION: One standardized theoretical practical session of 15 Min that includes anatomical issues and one practical exercise in quadruped position for controlling the movement of lumbar spine during hip extension and flexion.

Study Type

  • Study Type: Interventional
  • Study Design
    • Allocation: N/A
    • Intervention Model: Single Group Assignment
    • Primary Purpose: Prevention
    • Masking: None (Open Label)
  • Study Primary Completion Date: October 15, 2020


  • Other: Theoretical practical educational session
    • 1 Theoretical practical educational session of 15 Min about the importance of low back control during hip extension. Includes anatomical issues and one practical exercise in quadruped position

Arms, Groups and Cohorts

  • Experimental: Performing after session
    • LB control during hip extension after intervention

Clinical Trial Outcome Measures

Primary Measures

  • Pre- spinal movement control in 10º of hip extension
    • Time Frame: Min 0 – Min 15
    • Preintervention movement control of the spine in 10º of hip extension
  • Post- spinal movement control in 10º of hip extension
    • Time Frame: Min 30 – Min 45
    • Postintervention movement control of the spine in 10º of hip extension

Participating in This Clinical Trial

Inclusion Criteria

  • pre-established level of practice: minimum 13 hours
  • taking part in the Italian federal championship
  • sign an informed consent form

Exclusion Criteria

  • not fulfill Inclusion Criteria
  • had surgery in the low back pain or the hip joint

Gender Eligibility: Female

Minimum Age: 10 Years

Maximum Age: 18 Years

Are Healthy Volunteers Accepted: Accepts Healthy Volunteers

Investigator Details

  • Lead Sponsor
    • Universidad de Zaragoza
  • Provider of Information About this Clinical Study
    • Principal Investigator: Maria Fortun Agud, Principal Investigator – Universidad de Zaragoza
  • Overall Official(s)
    • Maria Fortun Agud, PhD, Principal Investigator, Unidad de Investigación en Fisioterapia Universidad de Zaragoza
  • Overall Contact(s)
    • Maria Fortun Agud, PhD, +41763755327, fortunmaria@gmail.com

Citations Reporting on Results

Sweeney EA, Daoud AK, Potter MN, Ritchie L, Howell DR. Association Between Flexibility and Low Back Pain in Female Adolescent Gymnasts. Clin J Sport Med. 2019 Sep;29(5):379-383. doi: 10.1097/JSM.0000000000000660.

Crasto CFB, Montes AM, Carvalho P, Carral JMC. Pressure biofeedback unit to assess and train lumbopelvic stability in supine individuals with chronic low back pain. J Phys Ther Sci. 2019 Oct;31(10):755-759. doi: 10.1589/jpts.31.755. Epub 2019 Oct 19.

Ramos LAV, Callegari B, França FJR, Magalhães MO, Burke TN, Carvalho E Silva APMC, Almeida GPL, Comachio J, Marques AP. Comparison Between Transcutaneous Electrical Nerve Stimulation and Stabilization Exercises in Fatigue and Transversus Abdominis Activation in Patients With Lumbar Disk Herniation: A Randomized Study. J Manipulative Physiol Ther. 2018 May;41(4):323-331. doi: 10.1016/j.jmpt.2017.10.010.

Azevedo DC, Lauria AC, Pereira AR, Andrade GT, Ferreira ML, Ferreira PH, Van Dillen L. Intraexaminer and interexaminer reliability of pressure biofeedback unit for assessing lumbopelvic stability during 6 lower limb movement tests. J Manipulative Physiol Ther. 2013 Jan;36(1):33-43. doi: 10.1016/j.jmpt.2012.12.008.

Fawcett L, Heneghan NR, James S, Rushton A. Perceptions of low back pain in elite gymnastics: A multi-disciplinary qualitative focus group study. Phys Ther Sport. 2020 Jul;44:33-40. doi: 10.1016/j.ptsp.2020.04.003. Epub 2020 Apr 18.

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