Low Back Pain
Conditions
Keywords
Low back pain, Sensory, Tactile, Education
Brief summary
To determine if there is any carry over difference with sensation training to the low back for patients with low back pain with the addition of a training at home. This will be looked at to see if there is a difference in pain or back / leg movement right after the training and in a few days after doing some exercises at home.
Detailed description
In a previous case series patients with chronic Low Back Pain (LBP) who received tactile acuity training to their lower back in the absence of movement, experienced immediate positive changes in pain ratings and spinal movements. These changes, however, where only measured immediate post-intervention. This study aims to use a similar design of sensory discrimination for LBP, but will include a sensory discrimination home exercise program and compare groups at a follow-up visit for any difference between groups (48-96 hours) of the immediate changes. Changes will be assessed for pain and back and leg movement.
Interventions
After 5 minutes of sensory discrimination (using a 9 point grid) in the clinic patients will perform a home exercise program only
OTHERHome exercise program and home program of sensory discrimination
After 5 minutes of sensory discrimination (using a 9 point grid) in the clinic patients will perform a home exercise program and two 5 minutes sessions of sensory training at home each day.
Sponsors
St. Ambrose University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Masking description
Patients were randomly assigned to one of two groups (control or experimental).
Intervention model description
Randomized Control Trial
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* adults over the age of 18 * patients presenting at PT with a primary complaint of LBP * LBP being present for 3 months or more * fluent in English * willing to participate in the study * They also will need someone who can assist with a sensory discrimination HEP.
Exclusion criteria
* under age 18 * not able to read/understand the English language * prisoners * no medical issues precluding physical therapy treatment (red flags) * if they had undergone spinal surgery * if they had any skin or medical condition preventing them from receiving tactile stimuli on the lower back or had specific movement-based precautions, i.e., no active spinal flexion. - Patients presenting with leg pain only * Patients with neurological deficit only in the lower extremity
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Low Back Pain Rating | Change from baseline to following treatment immediately upon completion of initial session | Numeric Pain Rating Scale for Back pain (0 = no pain and 10 = worst pain) |
| Lumbar Flexion | Change from baseline to treatment immediately upon completion of initial session | Active trunk forward flexion measured in cm (finger tips to floor) |
| Straight Leg Raise | Change from baseline to treatment immediately upon completion of initial session | Neurodynamic measurement of leg raise (lower limb tension test) |
Countries
United States
Outcome results
None listed