Low Back Pain
Conditions
Keywords
low back pain, fascial manipulation, physioterapy, physical activity
Brief summary
The purpose is to evaluate the effectiveness of a physiotherapy program for chronic low back pain. We'll randomize more about 35 patients in two groups. Both groups will receive an 8 physioterapy intervention in 4 weeks, in particular the first group (study) will receive 4 Fascial Manipulation treatment combined with 4 session of a standard approach (mobilization and stretching exercises); whereas the second (control) will receive only the standard approach.
Detailed description
All patients were assessed and randomised by a physician. The control group intervention concerned of: relaxation of lumbar and respiration muscles, stretching for posterior muscular chain and hip flexors, assisted/active mobilization of lumbar region in sagittal plane and rotation, exercises to improve proprioception of lumbar spine, active and progressive movement of lumbar spine in anterior flexion, extension, lateroflexion and rotation, active exercise for lumbar stabilizers muscles, occupational training for activity of daily living, indications and recommendations for correct postures. The study group intervention received 4 manual intervention on deep fascial tissues, according to fascial manipulation tecnique, providing a specific motor and manual assessment, and a deep manual intervention over specific fascial alteration.
Interventions
OTHERFascial Manipulation
8 treatment session in 4 weeks: every week both fascial manipulation and standard physiotherapy
Sponsors
University of Bologna
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
20 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* patients with a chronic low back pain (more than 7 weeks) * age between 20 to 60 years old
Exclusion criteria
* presence of neurological red flags * continuative assumption of drugs for low back pain * no positive imaging for spine lesions (fractures, spondilolistesi, * vascular desease (aneurism abdominal aorta) * secondary lesions (oncological desease) * rheumatic systemic desease * any other neurological desease which could compromise the partecipation to the program exercise
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| disabilty level, evaluated with the Roland and Morris Disability Questionnaire | from the first evaluation, at the end of the treatment | we'll compare the baseline data (the first evaluation), with data at the end of the treatment, and with at every fullow up (30 and 90 days from the end of the treatment) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| pain and social activity level evaluated with Brief Pain Inventory. | from the first evaluation, at the end of the treatment | we'll compare the baseline data (the first evaluation), with data at the end of the treatment, and with at every fullow up (30 and 90 days from the end of the treatment) |
| quality of life, evaluated with SF-36 | from the first evaluation, at the end of the treatment | we'll compare the baseline data (the first evaluation), with data at the end of the treatment, and with at every fullow up (30 and 90 days from the end of the treatment) |
| pain, assessed with visual analogical scale | at the first evaluation, at the end of the treatment | we'll compare the baseline data (the first evaluation), with data at the end of the treatment, and with at every fullow up (30 and 90 days from the end of the treatment) |
Countries
Italy
Contacts
Primary ContactMirco Branchini
Backup ContactFrancesca Lopopolo
Outcome results
None listed