Chronic Low-back Pain
Conditions
Keywords
Low back pain, Movement control, Kinematic analysis, Clinical assessment
Brief summary
* Exercise-based treatment is part of the recommendations for good practice in the treatment of low back pain (acute, sub-acute and chronic). * The low back pain population is heterogeneous. This heterogeneity would cause the positive effects of a treatment to be canceled out by the negative effects of another part of the population. * This polymorphism has led several authors to classify low back pain into subgroups. These subgroups constitute more homogeneous clinical pictures and would facilitate the adaptation of treatments. * The recommendations of the American Physical Therapy Association suggest 5 subgroups of low back pain. One of them is "low back pain with movement coordination defect". In this subgroup, Luomajoki studied the reliability of different functional tests used in clinical practice. 6 out of 10 motion control fault tests show good reliability. * The quantified analysis of the movement of low back pain patients would make it possible to determine the sensitivity of detecting an anomaly in the 6 lumbar movement control tests.
Detailed description
* Exercise-based treatment is part of the recommendations for good practice in the treatment of low back pain (acute, sub-acute and chronic). * The low back pain population is heterogeneous. This heterogeneity would cause the positive effects of a treatment to be canceled out by the negative effects of another part of the population. * This polymorphism has led several authors to classify low back pain into subgroups. These subgroups constitute more homogeneous clinical pictures and would facilitate the adaptation of treatments. * The recommendations of the American Physical Therapy Association suggest 5 subgroups of low back pain. One of them is "low back pain with movement control impairment". In this subgroup, Luomajoki studied the reliability of different functional tests used in clinical practice. 6 out of 10 motion control fault tests show good reliability. * The quantified analysis of the movement of low back pain patients would make it possible to determine the sensitivity of detecting an anomaly in the 6 lumbar movement control tests. LoBaCoM is a monocentric, exploratory prospective study. The purpose is to define a kinematic (angular) threshold corresponding to an anomaly detected clinically by three therapists for each test.
Interventions
OTHERmotion control fault tests
Patients make 6 motion control fault tests, in the same order. Each test is performed three times
Sponsors
University Hospital, Brest
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
DIAGNOSTIC
Masking
NONE
Intervention model description
It is a prospective, monocentric, exploratory study
Eligibility
Sex/Gender
ALL
Age
18 Years to 99 Years
Healthy volunteers
No
Inclusion criteria
* Aged more than 18 years * Common low back pain with medical prescription for rehabilitation * Signed consent * Be affiliated to a social security scheme * Be able to perform the lumbar motion control failure tests
Exclusion criteria
* Body Mass Index greater than 30 (obesity) * Person who does not understand French * Pregnant woman * Refusal to participate * Volunteer under guardianship or curatorship
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Range of compensation motion : "waiters bow" test | Day 0 | Lumbar flexion measured for test number 1 "waiters bow". Patients are filmed during the test. Videos are watched by three physiotherapists. They going to establish a diagnostic normal or abnormal |
| Range of compensation motion : "pelvic tilt" test | Day 0 | thoracic flexion measured for test number 2 "pelvic tilt". Patients are filmed during the test. Videos are watched by three physiotherapists. They going to establish a diagnostic normal or abnormal. |
| Range of compensation motion : "One leg stance" test | Day 0 | Pelvic shift measured for test number 3 "One leg stance ". Patients are filmed during the test. Videos are watched by three physiotherapists. They going to establish a diagnostic normal or abnormal. |
| Range of compensation motion : "sitting knee extension" test | Day 0 | Lumbar flexion measured for test number 4 "sitting knee extension". Patients are filmed during the test. Videos are watched by three physiotherapists. They going to establish a diagnostic normal or abnormal. |
| Range of compensation motion : "rocking 4 point kneeling" test | Day 0 | Lumbar flexion and extension measured for test number 5 "rocking 4 point kneeling ". Patients are filmed during the test. Videos are watched by three physiotherapists. They going to establish a diagnostic normal or abnormal. |
| Range of compensation motion : "prone knee bend" test | Day 0 | Lumbar extension measured for test number 6 "prone knee bend". Patients are filmed during the test. Videos are watched by three physiotherapists. They going to establish a diagnostic normal or abnormal |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Speed of execution for test 1 | Day 0 | It is measured with a camera. The camera can film one hundred pictures per second. Speed of execution is measured in seconds. |
| Speed of execution for test 2 | Day 0 | It is measured with a camera. The camera can film one hundred pictures per second. Speed of execution is measured in seconds. |
| Speed of execution for test 3 | Day 0 | It is measured with a camera. The camera can film one hundred pictures per second. Speed of execution is measured in seconds. |
| Speed of execution for test 4 | Day 0 | It is measured with a camera. The camera can film one hundred pictures per second. Speed of execution is measured in seconds. |
| Speed of execution for test 5 | Day 0 | It is measured with a camera. The camera can film one hundred pictures per second. Speed of execution is measured in seconds. |
| Speed of execution for test 6 | Day 0 | It is measured with a camera. The camera can film one hundred pictures per second. Speed of execution is measured in seconds. |
Countries
France
Contacts
CONTACTVincent CREAC'H
Outcome results
None listed