Chronic Low Back Pain, Mechanical Low Back Pain
Conditions
Keywords
chronic low back pain, prognostic factors, disabling low back pain, lumbar muscle activity, start back screening tool, physical evaluation
Brief summary
The aim of the present study is to quantify the relative contribution of variables obtained during a physical fitness evaluation and a short screening questionnaire in determining the short-term and long term risk of persistent disabling low back pain in patients with chronic low back pain. It has been hypothesized that patients with higher physical fitness will present a lower risk of persistent disabling low back pain and so, a lower score on the questionnaire.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* adults between 18 and 60 years old * nonspecific low back pain : pain located between the twelfth rib and the inferior gluteal fold for which no specific source of pain could be identified * chronic low back pain : pain present for 12 weeks or more, and included both constant and recurrent patterns of pain * able to read and understand French
Exclusion criteria
* History of surgery or major trauma to the spine * Current use of medication known to impair physical effort and pain perception * Lumbar scoliosis of more than 20° * Collagenosis, severe osteoporosis * Neuromuscular disease * Malignant tumor * Non-controlled hypertension * Infection * Radiculopathy * Progressive neurologic defect * Myelopathy * Lumbar disc hernia * Pregnancy * Active lower body injury and/or severe and disabling pain limiting the capacity to undergo the evaluation.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Disability level | 2 months | Oswestry disability index |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Fear of movement level | 2 months | Tampa scale for kinesiophobia |
| Patient's global impression of change from baseline | 6 months | Patient's global impression of change scale |
| Pain intensity in the past 2 months | 2 months | 101 points numerical rating scale |
| Pain intensity in the past 6 months | 12 months | 101 points numerical rating scale |
| Pain intensity in the past week | 12 months | 101 points numerical rating scale |
| Patient's global impression of change from 6 months | 12 months | Patient's global impression of change scale |
Countries
Canada