Movement Control Dysfunction within recurrent sub-acute LBP Musculoskeletal Diseases Low back pain
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. The aim of the 'rest' inclusion regimen is to sub-classify those patients who have movement dysfunction (MD). The inclusion criteria involves three questionnaires and physical examination. Within the results of the questionnaires the participant should score: 1.1. Roland-Morris Disability Questionnaire to be > 5 points 1.2. DEPS 2/6 positive movement control dysfunction test described by Luomajoki et al and not to have Straight Leg Raise (SLR) under 50 degrees positive or any positive sacroiliac-joint pain provocation tests to be eligible to participate in the study. Clinical assessment should indicate that the subject is suitable for active exercise, which is asked within a questionnaire.
Exclusion criteria
Exclusion criteria: 1. Neurological signs (leg weakness) 2. Specific spinal pathology (e.g. malignancy, or inflammatory joint or bone disease) 3. Have undergone back surgery 4. The aim of the measurement of DEPS, TSK and MCAQ is to rule out those patients with LBP of non-mechanical origin, e.g. depression, fear-avoidance and a poor ability to learn exercises 5. The aim of physical examination of SLR and sacroiliac-joint provocation tests is to rule out those patients with mechanical movement impairment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Roland-Morris Disability Questionnaire measured at baseline, after the 3 months intervention and finally 12 months after the start. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Patient-Specific Functional and Pain Scale (PSFS) 2. Oswestry Disability Index 3. Movement control tests described by Luomajoki et al. 4. The amount of absence from work with a questionnaire 5. The need for other treatment modalities with a questionnaire 6. The need for pain medication with a questionnaire 7. Patient satisfaction with global assessment with a questionnaire Measured at baseline, after the 3 months intervention and finally 12 months after the start. | — |
Countries
Finland