UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000060467
Receipt number R000069112
Scientific Title A Single-Blind Parallel-Group Randomized Controlled Trial on the Effects of Spinal Mobility and Stability Improvement Exercises on Trunk Function and Low Back Pain in Patients with Nonspecific Chronic Low Back Pain
Date of disclosure of the study information 2026/01/27
Last modified on 2026/01/26 11:38:18

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Basic information

Public title

Effect of Spinal Mobility and Stability Improvement Exercises on Reducing Low Back Pain in Individuals with Chronic Low Back Pain

Acronym

Effect of Spinal Mobility and Stability Improvement Exercises on Reducing Low Back Pain in Individuals with Chronic Low Back Pain

Scientific Title

A Single-Blind Parallel-Group Randomized Controlled Trial on the Effects of Spinal Mobility and Stability Improvement Exercises on Trunk Function and Low Back Pain in Patients with Nonspecific Chronic Low Back Pain

Scientific Title:Acronym

SMS-CLBP trial

Region

Japan


Condition

Condition

Nonspecific chronic low back pain

Classification by specialty

Rehabilitation medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Chronic nonspecific low back pain refers to low back pain lasting more than three months with no identifiable direct cause, and it tends to become refractory. Exercise therapy is considered adequate for chronic nonspecific low back pain, but the efficacy of specific exercises has not been demonstrated. Intervention methods vary and are left to the discretion of individual physical therapists. Therefore, there is a need for high-quality research showing the effectiveness of trunk exercise methods in consistently reducing low back pain symptoms in patients with nonspecific chronic low back pain. Consequently, the purpose of this study was to investigate the effects of a newly developed exercise program aimed at improving spinal mobility and stability on trunk function and on reducing low back pain in patients with chronic nonspecific low back pain.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Questionnaire regarding low back pain before intervention, 2 weeks after, and 4 weeks after (Numerical rating scale: NRS, Oswestry disability index: ODI)

Key secondary outcomes

Spinal alignment and mobility assessment using Spinal Mouse, multifidus muscle thickness assessment using ultrasound imaging equipment, and spinal erector muscle tissue stiffness assessment using MyotonePRO before intervention, 2 weeks after, and 4 weeks after


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Single blind -participants are blinded

Control

Active

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

YES

Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Behavior,custom

Interventions/Control_1

The intervention group performs exercises targeting spinal mobility and stability for 10-15 minutes daily.

Interventions/Control_2

The control group performs general trunk exercises for 10-15 minutes daily.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

40 years-old <=

Age-upper limit

60 years-old >

Gender

Male and Female

Key inclusion criteria

Individuals experiencing low back pain on three or more days per week for three months or longer

Key exclusion criteria

Individuals who can touch the floor with their palms during the standing forward bend test, cannot agree to refrain from initiating other pain relief therapies during the trial period, are pregnant or may be pregnant, have recently given birth or are breastfeeding, may exhibit allergic symptoms to the test product material, with skin abnormalities such as wounds, eczema, or irritation in areas where the test product will come into contact, with organic diseases such as herniated discs, experiencing numbness in the hands or feet, with a history of identified structural spinal abnormalities, with acute (painful) conditions such as spinal fractures or muscle strains, who have participated in another clinical trial within the past month or are currently participating in one, with a BMI of 28 or higher, presently receiving prescription medication for internal medical conditions, who cannot consent to the publication of trial footage for promotional purposes in a manner that prevents personal identification (e.g., by obscuring the face), currently receiving outpatient treatment for low back pain.

Target sample size

84


Research contact person

Name of lead principal investigator

1st name Akimi
Middle name
Last name Nakata

Organization

Morinomiya University of Medical Sciences

Division name

Department of Physical Therapy, Faculty of Rehabilitation

Zip code

559-8611

Address

1-26-16 Nankokita, Suminoe-ku, Osaka-shi, Osaka

TEL

06-6616-6911

Email

akimi_nakata@morinomiya-u.ac.jp


Public contact

Name of contact person

1st name Yoshihiro
Middle name
Last name Maekawa

Organization

Morinomiya University of Medical Sciences

Division name

Department of Medical Technology, Faculty of Medical Science Technology

Zip code

559-8611

Address

1-26-16 Nankokita, Suminoe-ku, Osaka-shi, Osaka

TEL

06-6616-6911

Homepage URL


Email

kenkyu@morinomiya-u.ac.jp


Sponsor or person

Institute

Morinomiya University of Medical Sciences

Institute

Department

Personal name

Akimi Nakata


Funding Source

Organization

MTG Co., Ltd

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Morinomiya University of Health Sciences Research Ethics Review Board

Address

1-26-16 Nankokita, Suminoe-ku, Osaka-shi, Osaka

Tel

06-6616-6911

Email

kenkyu@morinomiya-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

森ノ宮医療大学(大阪府)


Other administrative information

Date of disclosure of the study information

2026 Year 01 Month 27 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2025 Year 11 Month 11 Day

Date of IRB

2025 Year 12 Month 26 Day

Anticipated trial start date

2026 Year 01 Month 23 Day

Last follow-up date

2026 Year 03 Month 15 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2026 Year 01 Month 26 Day

Last modified on

2026 Year 01 Month 26 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000069112