Low Back Pain
Conditions
Keywords
exercise, low back pain, posture, rehabilitation
Brief summary
The Global Postural Re-Education is a global approach for the treatment of musculoskeletal disease. Using specific progressive posture for stretching particular shortened chain muscle the method wants to equilibrate the never-ending war between static and dynamic muscles by guiding the patient in a particular breathing pattern to maintain a correct posture and feeling it.
Detailed description
In some countries there is a physical therapy method called Global Posture Reeducation (GPR), which was developed by Philippe Emmanuel Souchard based on 20 years of clinical experience.The method consist to balance the miofascial tension probably responsible for an articular overloading. The method stretches the shortened antigravity muscles that are inside a different static muscles chains. GPR is a global approach that search the biomechanics cause in the near areas, and involves actively the patient in the postural and gestural changes.
Interventions
The treatment in Global Postural Re-education is a global approach that seeks to identify the biomechanical cause of the problem also in other parts of the body and involves actively the patient in the postural change. Using principles like causality, globality and individuality, the treatment consists of the use for one hour of progressive active stretching posture for specific muscular chain that are shortened. Every posture is maintained for 20 minutes with controlled breathing and the use of manual traction
The exercise programme included passive lumbar flexion, pelvic tilt, strengthening of flexor muscles, strengthening of extensor muscles, spine mobilization and stretching exercises.
Sponsors
University of Bologna
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Investigator)
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Lumbalgia Diagnosis * Age 18-80
Exclusion criteria
* Migrated hernia * Calcified disc hernia * Spondylolisthesis * Other physiotherapeutic interventions within 6 months of the baseline assessment. * Surgical operation within six months of baseline * Cancer syndrome, Neurological and rheumatic diseases
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Roland & Morris Disability Questionnaire | Baseline, 3 months, 6 months |
Secondary
| Measure | Time frame |
|---|---|
| Oswestry Disability Index | Baseline, 3 months, 6 months |
| Pain Drawing and Visual Analogue Scale (V.A.S.) | Baseline, 3 mounths, 6 months |
| Fingertip-to-floor test | Baseline, 3 mounths, 6 months |
Countries
Italy
Outcome results
None listed