Low Back Pain, Mechanical
Conditions
Keywords
home based daily exercise program, local lumbopelvic stabilizer muscles, hip stabilizer muscles, real time ultrasound imaging
Brief summary
The primary objective of this study is to compare the efficacy of two different exercise programs for the reduction of pain and disability in a specific subgroup of NSLBP patients and aims to investigate the additive effect of hip stabilization exercises. The investigators hypothesize that the combined local (segmental) stabilizer and hip stabilizer program (T2) will be more effective in reducing pain and disability in NSLBP patients compared to the local (segmental) stabilizer program (T1).
Detailed description
The secondary objective of this study is to measure the changes in lumbopelvic and hip mechanics for both treatment groups following completion of the exercise programs. We hypothesize that there will be differences observed between groups following the 6wk rehabilitation programs, and that only the group completing the combined local (segmental) stabilizer and hip stabilizer strengthening program (T2) will demonstrate significant differences in mechanics compared to baseline testing.
Interventions
6 week home based exercise rehabilitation program with 6 weekly supervised sessions using real time ultrasound as biofeedback to augment training in both treatment arms
Sponsors
WCB Alberta
Alberta Health services
Running Injury Clinic
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* 18-65 years old * Unilateral or bilateral NSLBP symptoms for a minimum of 6 weeks * Current symptoms rated at least a 5/10 on a scaled from 0-10
Exclusion criteria
* Symptoms 'red flags' for underlying pathological conditions such as bowel and/or bladder problems, radicular symptoms, night pain * Scoliosis * Neurological impairment, discogenic pathology, vestibular disorder * Pregnancy or within 1 year of giving birth * Previous or ongoing complications from lower extremity injury or surgery in the past year * Previous surgery to the lumbar spine or hip * Use of any radiological interventions or injections such as prolotherapy, corticosteroid, or nerve block in the past 3 months
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in pain intensity measured by a 10cm visual analogue scale | 6 weeks | Measures will be taken at baseline, at 3wk follow up, and at 6wk follow up to ivestigate the changes at mid point and following the exercise intervention |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in biomechanical variables using an eight camera motion capture system | 6 weeks | Measures will be taken at baseline and at 6wk follow up to ivestigate the changes at mid point and following the exercise intervention |
| Change in disability score as measured by the Oswestry Disability Questionnaire | 6 weeks | Measures will be taken at baseline, at 3wk follow up, and at 6wk follow up to ivestigate the changes at mid point and following the exercise intervention |
Countries
Canada
Contacts
Primary ContactJill Baxter, BSc
Outcome results
None listed