Non-specific low back pain Musculoskeletal Diseases Dorsalgia
Conditions
Interventions
Current interventions as of 20/12/2011
4 private practices more are involved in the recruitment and treatment phase, in total 7 private practices. In addition patients are also recruited by email anno
Sponsors
Institut of Physiotherapy (Switzerland)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Current inclusion criteria as of 20/12/2011 1. Age 18 to 75 years, male and female 2. Non-acute non-specific LBP (greater than 6 weeks duration of symptoms) but not longer than 6 months of sick leave due to LBP 3. Two or more positive tests for impaired movement control 4. At least 5 points on Roland Morris Disability questionnaire 5. Back pain that is provoked or worsened by distinct movements, activities or postures as described as the typical clinical behaviour 6. Written informed consent Previous inclusion criteria 1. Age 18 to 65 years, male and female 2. Non-acute non-specific LBP (greater than 6 weeks duration of symptoms) but not longer than 6 months of sick leave due to LBP 3. Two or more positive tests for impaired movement control 4. At least 5 points on Roland Morris Disability questionnaire 5. Back pain that is provoked or worsened by distinct movements, activities or postures as described as the typical clinical behaviour 6. Written informed consent
Exclusion criteria
Exclusion criteria: 1. Specific LBP (Fractures, carcinoma, anomalies, nerve root affection with neurological signs e.g. sensibility or reflex loss, muscle weakness) 2. Less than 6 weeks post-surgery; all post spinal fusion surgery 3. Psychosocial risk factors controlled with Örebrö Musculoskeletal Pain Questionnaire (ÖMOQ) 4. Peripheral or central neurological disease 5. Contraindications for exercise, e.g. major cardiovascular problems or postural hypotension 6. Inability to understand the purpose of the study 7. Psychological or psychiatric problems 8. Chronic abuse of toxic substances such as drugs or alcohol 9. Use of neuroleptics, sedatives, anti-epileptics and anti-depressives
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in patients' major complaints, is assessed with the Patient Specific Functional Scale, PSFS, at baseline, after treatment phase, with 6 and 12 months follow-up after inclusion. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Low back pain specific disability will be assessed with the Roland and Morris disability questionnaire at baseline, after treatment phase, and 6 and 12 months following inclusion 2. Graded chronic pain scale assesses the grade of chronicity at baseline, after treatment phase, with 6 and 12 months follow-up after inclusion 3. Endurance of lumbar and abdominal muscles is assessed with static isometric tests pre- and post-treatment 4. Two-point-discrimination assesses local perception in the lumbar spine pre- and post-treatment 5. Usage of medication, health care as well as sick leave because of LBP at baseline, after treatment phase, and 6 and 12 months following inclusion Co-variates: We will record the following potential predictors for positive or negative outcomes: 6. Age (years), Height (m), Weight (kg), body mass index (BMI) 7. Disease characteristics: duration of the complaints, pain intensity, pain location 8. Movement control of the lumbar spine is assessed with the movement control test battery consisting of 6 tests 9. Medication: type, dose and duration in the last month 10. Fear avoidance beliefs questionnaire 11. The belief of patient of what would help him/her the most Cointerventions: 13. Activity level in general ? hours per week 14. Impression of home exercises done: yes, no, sometimes Adherence to the exercise program is assessed using a diary that is kept by the physical therapists. Adherence to a home exercise program is assessed post treatment by a questionnaire. | — |
Countries
Switzerland
Outcome results
None listed