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CTRI Number  CTRI/2025/07/090718 [Registered on: 11/07/2025] Trial Registered Prospectively
Last Modified On: 10/07/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparing Core Strengthening and Pilates Exercises for People with Low Back Pain 
Scientific Title of Study   Efficacy of Core Strengthening Exercise versus Pilates Exercise for Mechanical Low Back Pain 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Mohammad Ramiz Uddin  
Designation  Undergraduate student 
Affiliation  Jashore University of Science and Technology 
Address  Room No: 304, Department of Physiotherapy and Rehabilitation, Jashore University of Science and Technology



7408
Other 
Phone  8801876246767  
Fax    
Email  ramij6266@gmail.com  
 
Details of Contact Person
Scientific Query  
Name  Dr Md Feroz Kabir 
Designation  Assistant Professor  
Affiliation  Jashore University of Science and Technology 
Address  Room No: 409, Department of Physiotherapy and Rehabilitation, Jashore University of Science and Technology



7408
Other 
Phone  8801765932545  
Fax    
Email  feroz@just.edu.bd  
 
Details of Contact Person
Public Query  
Name  Dr Md Feroz Kabir 
Designation  Assistant Professor  
Affiliation  Jashore University of Science and Technology 
Address  Room No: 409, Department of Physiotherapy and Rehabilitation, Jashore University of Science and Technology



7408
Other 
Phone  8801765932545  
Fax    
Email  feroz@just.edu.bd  
 
Source of Monetary or Material Support  
Department of Physiotherapy and Rehabilitation, Jashore University of Science and Technology, Jashore-7408, Bangladesh 
Department of Physiotherapy and Rehabilitation,Jashore University of Science and Technology (JUST),Jashore-7408 Khulna Division, Bangladesh Pincode: 7408 Country: Bangladesh 
 
Primary Sponsor  
Name  Department of Physiotherapy and Rehabilitation 
Address  Department of Physiotherapy and Rehabilitation, Jashore University of Science and Technology, Jashore-7408, Bangladesh 
Type of Sponsor  Other [University ] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     Bangladesh  
Sites of Study  
No of Sites = 2  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Md Kabir Hossain  Dr M R Khan Medical Center   Level-3,Room:301,Musculoskeletal Lab,Department of Physiotherapy and Rehabilitation, Jashore University of Science and Technology,Jashore -7408

 		 880178315139

kabir2002pt@gmail.com 
Dr Md Kabir Hossain  Dr. M R Khan Medical Center, room no: 301, Musculoskeletal Lab, Department of PTR, JUST  Jashore, Bangladesh

 		 880178315139

kabir2002pt@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
IRB of Department of Physiotherapy and Rehabilitation, JUST  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M959||Acquired deformity of musculoskeletal system, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Core Strengthening  Warm-Up and Cool-Down Protocol Each session will include the following: - Warm-up: 5–10 minutes of light aerobic activity (e.g., walking, stationary cycling) and dynamic stretching. - Cool-down: 5 minutes of light stretching and breathing exercises to promote relaxation and recovery. Week 1–2 - ADIM with PBU (10 sec × 10 reps × 3 sets), Modified Plank with TA Activation (3 sets × 30 sec), Side Bridge (Modified) (3 sets × 30 sec) Week 3–4 - Same as Week 1–2, increase hold time by 5 sec or reps by 2 if tolerated, Week 5–6 - Same exercises with progressive overload: ADIM hold 15 sec, more reps/sets as tolerated frequency - 3 sessions/week 
Comparator Agent  Pilates Exercise  Warm-Up and Cool-Down Protocol Each session will include the following: - Warm-up: 5–10 minutes of light aerobic activity (e.g., walking, stationary cycling) and dynamic stretching. - Cool-down: 5 minutes of light stretching and breathing exercises to promote relaxation and recovery. Week 1–2 - Leg Pull Front (3 sets × 10 reps, 5–10 sec hold), Side-Lying Leg Circles (2–3 sets × 8–10 reps), Single Leg Stretch (3 sets × 10–12 reps) Week 3–4 - Same as Week 1–2, add 1 more set if tolerated Week 5–6 - Pilates: hold positions longer (10–15 sec), add 1–2 reps/sets frequency - 3 sessions/week 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  01.NSLBP for at least 3 months
02.Experienced a pain intensity of 3 or higher based on the visual
analogue scale (VAS, 0-10)
03. All male and female adults between age group of 20–60 years
04. Subjects willing to participate in the study.
 
 
ExclusionCriteria 
Details  01.History of spinal surgery
02.History of ankylosing spondylitis or rheumatoid arthritis
03.History of spondylolisthesis or spondylolysis
04.History of spinal or pelvic fracture
05.History of spinal inflammation or tumor
06. History of osteoporosis.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Core Strength: Pressure Biofeedback  at baseline, 6 weeks and 18 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
Pain(VAS)
Functional Disability (ODI)
Quality of life(SF-36) 		 at baseline, 6 weeks and 18 weeks 
 
Target Sample Size   Total Sample Size="50"
Sample Size from India="0" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   Date Missing 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  26/07/2025 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="4"
Days="15" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Applicable 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - YES
  1. What data in particular will be shared?
    Response - All of the individual participant data collected during the trial, after de-identification.

  2. What additional supporting information will be shared?
    Response -  Study Protocol

  3. Who will be able to view these files?
    Response - Anyone

  4. For what types of analyses will this data be available?
    Response - Any purpose.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [feroz@just.edu.bd].

  6. For how long will this data be available start date provided 01-01-2026 and end date provided 01-01-2030?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary   This study aims to compare the effects of core strengthening exercises and Pilates exercises on individuals with mechanical low back pain. Participants aged between 20 and 60 years, experiencing non-specific low back pain for at least 3 months and reporting a pain level of 3 or higher on the Visual Analogue Scale (VAS), will be included. The study will be conducted as a randomized clinical trial at the Department of Physiotherapy and Rehabilitation, Jashore University of Science and Technology. Participants will be randomly assigned to either a core strengthening group or a Pilates exercise group. The interventions will be delivered by qualified physiotherapists. The primary outcome measure will be core strength assessed by pressure biofeedback. Secondary outcomes include pain, functional disability, and quality of life measured using validated tools. The study follows the CONSORT reporting guideline and is partially funded by the Department of Physiotherapy and Rehabilitation at JUST 
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