20 Participants Needed

Core-strengthening Exercises for Reducing Surgeon Strain

(SCORE Trial)

MT
MA
Overseen ByMarian Acevedo-Alvarez
Age: Any Age
Sex: Any
Trial Phase: Academic
Sponsor: Loyola University
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

Trial Summary

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

What data supports the effectiveness of the treatment Surgeon Core-strengthening Program?

Core strengthening exercises have been shown to help reduce pain and improve stability in people with low back pain, suggesting they might also help reduce strain for surgeons by improving core stability and muscle control.12345

Is core-strengthening exercise generally safe for humans?

Core-strengthening exercises, including those using instability devices, are generally considered safe and are widely used in rehabilitation and conditioning programs. They can help improve balance and reduce low back pain, although they should not be the primary method for building muscle strength or power in athletes.13456

How does the treatment of core-strengthening exercises differ from other treatments for reducing surgeon strain?

Core-strengthening exercises are unique because they focus on improving the stability and control of the muscles around the spine, which can help reduce strain and improve functional stability. Unlike traditional treatments that may focus on static stability, core exercises incorporate dynamic stability and neuromuscular control, potentially offering better prevention and rehabilitation for musculoskeletal strain.23457

What is the purpose of this trial?

Work-related musculoskeletal pain and injury is a growing concern in surgery. Vaginal surgery has unique ergonomic risks, but no studies have addressed the potential for an exercise regimen to reduce physical strain by vaginal surgeons

Research Team

MA

Marian Acevedo-Alvarez, MD

Principal Investigator

Loyola Medical Center

Eligibility Criteria

This trial is for vaginal surgeons experiencing work-related musculoskeletal pain or injuries. Specific eligibility criteria are not provided, but typically participants would need to meet certain health standards and be able to perform the required exercises.

Inclusion Criteria

Participant must be an ob/gyn resident or urology resident or urogyn fellow or urogyn attending
My surgery for vaginal prolapse is expected to last over 2 hours.

Exclusion Criteria

I am not currently in physical therapy.
My vaginal surgery lasted 2 hours or more.
I have not had any joint surgery or injury in the past 3 months.
See 3 more

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Pre-treatment Exercise

Participants in the exercise group perform the SCORE workout two times each week for 4 weeks prior to their urogynecology rotation

4 weeks

Treatment

Participants in the exercise group continue the SCORE workout two times each week during their urogynecology rotation

4 weeks

Follow-up

Participants are monitored for changes in core strength, physical exertion, and pain during and after surgery

8-12 weeks

Treatment Details

Interventions

  • Surgeon Core-strengthening Program
Trial Overview The study investigates whether a core-strengthening exercise program can reduce physical strain in surgeons performing vaginal surgeries. Participants will be divided into two groups: one following the exercise regimen (Exercise Group) and one that does not (Control Group).
Participant Groups
2Treatment groups
Experimental Treatment
Active Control
Group I: Exercise GroupExperimental Treatment2 Interventions
Participants randomized to the exercise group will be asked to perform the SCORE workout two times each week for 4 weeks prior to their urogynecology rotation and for 4 weeks during the rotation.
Group II: Control GroupActive Control2 Interventions
No additional exercises or tasks are requested of control participants. Control group participants will perform or not perform exercise as they otherwise would outside of the study

Find a Clinic Near You

Who Is Running the Clinical Trial?

Loyola University

Lead Sponsor

Trials
161
Recruited
31,400+

Findings from Research

A study involving 78 participants with poor core stability found that an 8-week supervised core-strengthening program significantly improved core stability measures compared to both a home-based program and a control group.
While the home-based program showed some improvements in static core stability, it was less effective in enhancing dynamic core stability compared to the supervised approach, highlighting the importance of supervision in maximizing treatment outcomes.
The efficacy of a supervised and a home-based core strengthening programme in adults with poor core stability: a three-arm randomised controlled trial.Chuter, VH., de Jonge, XA., Thompson, BM., et al.[2015]
Core strengthening exercises significantly reduced in-flight pain severity for U.S. Air Force helicopter aircrew members with low back pain, with a mean decrease of 1.8 points on the Numerical Pain Rating Scale (NPRS) compared to a slight increase in the control group.
Participants who performed the core exercises also experienced a notable reduction in disability, as indicated by a 4.8 point decrease in the Modified Oswestry Low Back Pain Disability Index (MODI), demonstrating the exercises' efficacy over a 12-week period.
A Randomized Controlled Trial of Core Strengthening Exercises in Helicopter Crewmembers with Low Back Pain.Brandt, Y., Currier, L., Plante, TW., et al.[2015]
Core strengthening exercises, which focus on dynamic spinal stability and neuromuscular control, may effectively reduce pain, functional disability, and the recurrence of acute low back pain episodes, according to the best available evidence.
The article reviews the anatomy of the core and the physiological models of spinal stability, emphasizing the need for more research to fully understand the benefits of core strengthening in low back rehabilitation.
Core strengthening exercises for low back pain.Baerga-Varela, L., Abrรฉu Ramos, AM.[2009]

References

The efficacy of a supervised and a home-based core strengthening programme in adults with poor core stability: a three-arm randomised controlled trial. [2015]
A Randomized Controlled Trial of Core Strengthening Exercises in Helicopter Crewmembers with Low Back Pain. [2015]
Core strengthening exercises for low back pain. [2009]
Core strengthening. [2022]
Canadian Society for Exercise Physiology position stand: The use of instability to train the core in athletic and nonathletic conditioning. [2022]
The use of instability to train the core musculature. [2022]
Core stability exercise principles. [2022]
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