Low Back Pain
Conditions
Keywords
proprioception, postural control, sensorimotor training, uncontrolled manifold
Brief summary
This study evaluates the effects of additional sensorimotor training (proprioceptive postural training, PPT) to conventional therapy in the treatment of chronic low-back pain. Half of the participants will receive instructed treadmill training as an active comparator against PPT. All participants receive conventional physiotherapy as prescribed by their treating medical doctors. It is expected that the PPT group will improve in postural control, proprioceptive, as well as pain and function outcomes to a significantly greater extent than the active control group.
Interventions
OTHERProprioceptive postural training
OTHERTreadmill training
OTHERConventional physiotherapy
All participating patients will attend usual care according to their treatment plan (taking part in the study does not affect the treatment plan). A physiotherapy referral requests 9 treatments, each of which takes 30 minutes. These will take place twice a week for 4.5 weeks. The study protocol does not dictate the content of the physiotherapy sessions themselves, but detailed documentation of provided treatments is required (therapy documentation sheet). Additionally, the aim of the physiotherapy sessions should always include reduction of muscular imbalances and optimisation of posture.
Sponsors
University of Zurich
Michael A. McCaskey
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Patients with musculoskeletal low back pain (non-specific low back pain) * Age ≥ 18 years
Exclusion criteria
* Known or suspected neurological diseases or lesions * Traumatic injury of musculoskeletal system (fractures, tumours) * Spinal pathologies (e.g., tumour, infection, fracture, and inflammatory disease) * Previous spinal surgery * Presence of any contraindication to exercise (fracture or cardiovascular limitations)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change of self-reported pain on 100mm Visual Analogue Scale (VAS) | Baseline (-4 days); Pre-Test (0 days); Post-Test (+25 days) and follow-up (+45 days) |
| Change of functional status recorded with the Oswestry Disability Index (ODI) | Baseline (-4 days); Pre-Test (0 days); Post-Test (+25 days) and follow-up (+45 days) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Centre of Pressure | Baseline (-4 days); Pre-Test (0 days); Post-Test (+25 days) and follow-up (+45 days) | Area of surface a the 95% confidence ellipse of centre of pressure displacement during postural task |
| Joint Repositioning Error (segmental) | Baseline (-4 days); Pre-Test (0 days); Post-Test (+25 days) and follow-up (+45 days) | Repositioning acuity after surface perturbation. |
| Uncontrolled Manifold Index (UCM) | Baseline (-4 days); Pre-Test (0 days); Post-Test (+25 days) and follow-up (+45 days) | Segmental joint configuration. |
Countries
Switzerland
Outcome results
None listed