Lumbar Pain
Conditions
Brief summary
This study aims to verify the effects of a segmental stabilization exercise program on the anticipatory postural adjustment of subjects with chronic lumbar pain. The effects will be assessed by means of superficial electromyography focused on the registry of the onset of multifidius and deltoid (anterior and posterior) activity during a repetitive shoulder flexion/extension.
Interventions
OTHERSegmental Stabilization Exercises
The stabilization program focuses on the reestablishment of motor control and coordination between deep and superficial trunk muscles. The exercise program is based on the following criteria progression: 1) Precise contraction of the transverse abdominal and multifidus muscles, keeping the lumbar spine in a neutral position (as the middle way between maximum flexion and extension, repeated three times); 2) Keep the neutral position for 10 repetitions of 10 seconds; 3) Perform exercises with lower limbs in different postures.
OTHERHome Exercises
Home exercises include passive stretching and active mobilization of the spine.
Sponsors
Federal University of Health Science of Porto Alegre
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* women aged between 18 and 65 years old * chronic lumbar pain (at least 3 months) * average pain intensity of ≥3 on a 10-point scale
Exclusion criteria
* presence of red flags (i.e.,tumor, known fractures, diagnosed inflammatory joint disease, etc); * history of back surgery * pregnancy * less than 3 months of therapeutic treatment (physiotherapy) for low back pain
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Anticipatory Postural Adjustment by means of Electromyography | change from pre to post-treatment (8 weeks) | Assessed by means of superficial electromyography |
Secondary
| Measure | Time frame |
|---|---|
| Disability level via the Oswestry Low Back Pain Questionnaire | change from pre to post-treatment (8 weeks) |
| Fear of pain and avoidance of physical activity via the Fear-avoidance beliefs Questionnaire | change from pre to post-treatment (8 weeks) |
| Prognosis or risk of poor clinical outcome via the STarT Back Screening Tool | change from pre to post-treatment (8 weeks) |
| Pain level via visual analogue scale | change from pre to post-treatment (8 weeks) |
Countries
Brazil
Outcome results
None listed