Back Pain, Mechanical Low Back Pain
Conditions
Keywords
chronic low back pain, Postural global reeducation, randomized, physical rehabilitation
Brief summary
The purpose of this study is to evaluate the effectiveness of a Global Postural Reeducation (GPR) program in subjects with chronic low back pain.
Detailed description
Approximately 80-85% of individuals will experience low back pain during their lifetime. It is one of the major concerns of current health care. There is evidence for the effectiveness of exercise therapy in patients with chronic low back pain. GPR is a physical therapy method developed in France by Philippe Emmanuel Souchard. Although this method is largely used as form of treatment in most countries, few studies showed its clinical effectiveness in chronic low back pain. This is the first randomized controlled trial, with assessor blind that evaluate the GPR effects in chronic low back pain. All outcome measurements are reliability, validated and sensitivity for statistical changes using the Visual Analogic Scale- VAS (0-10cm), Roland Morris Questionary, SF36 (Quality Life Questionary) and Beck Scale (Depression Symptoms).
Interventions
OTHERControl Group
No physical intervention was given, patients were treated only with medication if necessary.
OTHERGlobal Reeducation Group
They were treated with medication if necessary and performed GPR session once a week, during 12 weeks. All the 6 postures from GPR were used during the study.
Sponsors
Federal University of São Paulo
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
* between 18-65 years age, * low back pain (more than 12 weeks) without legs irradiation, * pain between 3-8 cm on a visual Analogue scale (0-10cm).
Exclusion criteria
* fibromyalgia, * pregnancy, * osteoporosis severe, * disc herniation, * patients who had undergone spinal surgical or physiotherapeutic interventions within 3 months prior to baseline assessment.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline in pain | baseline and two follow-up examinations - after 3 and 6 months from baseline | The primary outcome of this study was the measurement of pain assessed with 0-10cm Visual Analogue Scale (VAS). They were collected at baseline and two follow-up examinations after 3 and 6 months from baseline. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline in function | It was collected at baseline and two follow-up examinations after 3 and 6 months from baseline. | The secondary outcome included function measured by Roland Morris Questionnaire. It was collected at baseline and two follow-up examinations after 3 and 6 months from baseline. |
Countries
Brazil
Outcome results
None listed