Low Back Pain, Physical Activity
Conditions
Keywords
low back pain, physical therapy, randomized clinical trial, exercise program
Brief summary
This study compares the efficacy of a supervised rehabilitation program vs a non supervised rehabilitation program on pain, disability, quality of life and kinesiophobia in patients with non-specific low back pain.
Detailed description
Low back pain is one of the most common problems of population, being a priority for health systems. It has got a high prevalence and recurrence, affecting in a social and economic way, and, it is one of principal causes of laboral absenteism. A randomized clinical trial will be conducted comparing a supervised physical therapy rehabilitation program vs a non supervised rehabilitation program. Objective: to compare the efficacy of a supervised rehabilitation program vs a non supervised rehabilitation program in patients with non-specific low back pain. Methods: Sixt-four subjects with chronic non-specific low back pain will be assigned to supervised rehabilitation program or non supervised rehabilitation program during 4 weeks (5 sessions/week). Outcomes measures will be the following: disability, pain intensity, fear of movement, quality of life, McQuade Test, and lumbar mobility flexion.
Interventions
It will consist in a supervised exercise program, including the following exercises: * Diaphragmatic breathing. * Transverse abdomLateral leg raise for gluteus mediuminis muscle activation. * Pelvic swing. * Gluteus bridge. * Spinal mobility. * Spinal extensor muscles strengthening * Frontal plank * Side plank. * Lateral leg raise for gluteus medium
OTHERNon supervised exercise program
It will consist in a non supervised exercise program, including the following exercises: * Diaphragmatic breathing. * Transverse abdomLateral leg raise for gluteus mediuminis muscle activation. * Pelvic swing. * Gluteus bridge. * Spinal mobility. * Spinal extensor muscles strengthening * Frontal plank * Side plank. * Lateral leg raise for gluteus medium
Sponsors
Universidad de Almeria
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Masking description
Single-Blind
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Chronic non-specific low back pain persisting ≥ 3 months. * Age between 18 and 65 years. * A score ≥ 4 in Roland Morris Disability Questionnaire. * Not currently receiving physical therapy.
Exclusion criteria
* Presence of lumbar stenosis. * Presence of clinical signs of radiculopathy. * Diagnosis of spondylolisthesis. * Diagnosis of fibromyalgia. * Treatment with corticosteroid or pharmachological medication within the paset 2 weeks. * A history of spinal surgery. * Central or peripheral nervous system disease.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline in Roland Morris Disability Questionnaire (RMDQ) | at baseline,immediate post-treatment and at 6 months | This is a self-reported questionnaire consisting in 24 items reflecting limitations in different activities of daily living attributed to low back pain including walking, vending over, sitting, lying down, dressing, sleeping, self-care and daily activities |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline in pain intensity (Visual Analogue Scale). | At baseline, immediate post-treatment and at 6 months | A 10-point Numerical Pain Scale (0: no pain, 10: maximum pain) assesses the intensity of pain |
| Change from baseline in Fear of Movement. Tampa Scale of kinesiophobia. | At baseline, immediate post-treatment and at 6 months | It is a 17-item questionnaire that measures the fear of movement and (re)injury |
| Change from baseline in disability. Oswestry Low Back Pain Disability Index. | At baseline, immediate post-treatment and at 6 months | It has 10 items associated to activities of daily living, each item has a puntuation fron 0 to 5 points |
| Change from Mcquade Test | at baseline, immediate post-treatment and at 6 months | It measures the isometric endurance of trunk flexion muscles |
| Change from baseline in lumbar mobility flexion | at baseline, immediate post-treatment and at 6 months | It is determined by measuring the finger-to-floor distance. |
| Change from baseline on Quality of Life. | At baseline, immediate post-treatment and at 6 months | SF-36 Health questionnaire scores range from 0 to 100% and indicate the self-perceived health-related quality of life. |
Countries
Spain
Outcome results
None listed