chronic low back pain
Conditions
Interventions
Exercise (E) group: After delivering a brochure on low back pain exercise medical professionals directly give a lecture of the exercise. The therapeutic exercise is performed as home exercise. At the
Sponsors
The Japanese Orthopaedic Association
The Japanese Clinical Orthopaedic Association The Japanese Society for Musculoskeletal Rehabilitation
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: The patients satisfying the following conditions (1)-(4) are included. (1) Outpatients aged 20-65 years old. Both men and women are able to join the trial. (2) Patients who have had low back pain lasting more than 3 months. The symptom is chronic and no obvious neurological deficit. A chronologic fluctuation of the pain is not considered if the pain itself continues more than 3 months. (3) Low back pain is defined as the back ache occurring between the L1 spinal process and the gluteal sulcus. (4) The patient satisfying the following conditions: 1. Leg raising angle (by SLR maneuver) is less than 70 degrees. 2. There is no sensory deterioration by a superficial sensory examination. 3. The muscle strength in the lower limb is more than 4 by the Manual Muscle Testing (MMT). 4. The FNST (femoral nerve stretch test) is negative.
Exclusion criteria
Exclusion criteria: (1) Patient who had operation for lumbar spine in the past. (2) Patient who had spine/spinal cord neoplasm, infection, and fracture (compression fracture) (3) Patient who had severe osteoporosis (more than the III degree in the Jikei Med. Univ. classification) (4) Patient with psychiatric disorder. (5) Patient who had a history with cerebrovascular accident within 6 months before the day of agreement to enter the trial (6) Patient who had a history with myocardial infarction within 6 months before the day of agreement to enter the trial (7) Patient who received treatment for cardiac failure (8) Patient with liver dysfunction (9) Patient with renal dysfunction (10) Pregnant patient.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Assessment of pain: VAS Assessment of disability: JLEQ (Japan Low-back pain Evaluation Questionnaire) and RDQ (Roland Morris Disability Questionnaire) | — |
Secondary
| Measure | Time frame |
|---|---|
| Assessment of impairment: Finger- floor distance | — |
Countries
Japan
Contacts
Public ContactTsutomu Iwaya
National Rehabilitation Center for Persons with Disabilities Training Center
Outcome results
None listed