Chronic Non-specific Low Back Pain
Conditions
Brief summary
A large subgroup of patients with chronic non-specific low back pain have motor control impairments. During motor control exercises, different forms of external feedback can be used to support training. This randomized controlled trial will investigate the effectiveness of different forms of external feedback during the learning phase of a motor control task for the lumbar spine in healthy subjects and patients with chronic non-specific low back pain (CNSLBP). Both healthy subjects and patients with CNSLBP will be randomized into three groups: one group will receive feedback from motion sensors, one group from a mirror and one group will receive no feedback (control group). A single session intervention with measurements at baseline and immediately post-intervention will be used.
Interventions
OTHERSensor-based postural feedback
Motion tracking sensors will provide feedback to subjects during the learning phase of a motor control task
OTHERMirror feedback
Subjects will receive feedback from a mirror during the learning phase of a motor control task
OTHERControl group
Subjects will receive no feedback during the learning phase of a motor control task
Sponsors
Jessa Hospital
Hasselt University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
* Chronic non-specific low back pain * Age 18-65 * Able to understand Dutch
Exclusion criteria
* Subjects that received lumbar stabilization exercises in the past year * Spinal surgery in the past * Pregnancy * Serious underlying pathologies (e.g. multiple sclerosis, tumors,…) * Signs or symptoms of nerve root involvement * Any physical condition at the moment of testing that can interfere with activities of daily living (e.g. serious knee pain) * Known skin-allergy for tape * BMI \> 30kg/m²
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in lumbopelvic kinematics from baseline to immediately post-intervention | Day 1, immediately post-intervention | Kinematics will be assessed using motion sensors that are mounted on the skin at the spinous processes of L1 and S1, and at the femur. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| usefulness of feedback (Numeric rating scale 0-10) | Day 1, immediately post-intervention | How useful was the feedback that was provided to the subjects during the exercise trials? |
| Pain during the exercise trials (Numeric rating scale 0-10) | Day 1, immediately post-intervention | Outcome measure primarily used as possible covariate |
| Fear of low back pain during the exercise trials (Numeric rating scale 0-10) | Day 1, immediately post-intervention | Outcome measure primarily used as possible covariate |
| Fear of damaging the lumbar spine during the exercise trials (numeric rating scale 0-10) | Day 1, immediately post-intervention | Outcome measure primarily used as possible covariate |
| Borg-scale to measure fatigue during the exercise trials | Day 1, immediately post-intervention | Outcome measure primarily used as possible covariate |
Countries
Belgium
Contacts
Primary ContactThomas Matheve, drs.
Backup ContactAnnick Timmermans, prof. dr.
Outcome results
None listed