Spinal Disease
Conditions
Brief summary
The goal of this observational study is to analyse the biomechanics of a degenerative spinal disease. The main questions it aims to answer are: * What are the biomechanical variables affected by the disease * How they evolve with disease progression and treatment
Interventions
Comparative analysis of kinematic data acquired in supervised and unsupervised environment
Sponsors
Study design
Eligibility
Inclusion criteria
* Age between 50 and 85 years * Diagnosis of spinal disease by clinical and imagiological criteria * More than 3 months duration of disease * Ability to give consent * Fluent portuguese speaker
Exclusion criteria
* Previous spine surgery * Spinal instability * Neurological disease that might interfere with walking * Known orthopedic conditions that causes significant gait impairment * Dementia or development disorder with cognitive impairment * Inability to give consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline in gait parameter - speed (m/s) - at 3 months | 3 months | The change will be defined by a 10% increase in speed (meters/second) at 3 months from baseline assessment. |
| Change from baseline in gait parameter - speed (m/s) - at 6 months | 6 months | The change will be defined by a 10% increase in speed (meters/second) at 6 months from baseline assessment. |
| Change from baseline in gait parameter - speed (m/s) - at 12 months | 12 months | The change will be defined by a 10% increase in speed (meters/second) at 12 months from baseline assessment. |
| Change from baseline in gait parameter - step length (m) - at 3 months | 3 months | The change will be defined by a 10% increase in step length (meters) at 3 months from baseline assessment. |
| Change from baseline in gait parameter - step length (m) - at 6 months | 6 months | The change will be defined by a 10% increase in step length (meters) at 6 months from baseline assessment. |
| Change from baseline in gait parameter - step length (m) - at 12 months | 12 months | The change will be defined by a 10% increase in step length (meters) at 12 months from baseline assessment. |
| Change from baseline in gait parameter - step width (m) - at 3 months | 3 months | The change will be defined by a 10% decrease in step width (meters) at 3 months from baseline assessment. |
| Change from baseline in gait parameter - step width (m) - at 6 months | 6 months | The change will be defined by a 10% decrease in step width (meters) at 6 months from baseline assessment. |
| Change from baseline in gait parameter - step width (m) - at 12 months | 12 months | The change will be defined by a 10% decrease in step width (meters) at 12 months from baseline assessment. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline in disability as measured by the Core Outcome Measures Index (COMI) at 3 months | 3 months | In the core COMI-back, 1 question consists of 2 numerical rating scales to be answered from 0 to 10 and 5 questions to be answered by selecting 1 of 5 response options. The average of the 2 disability scores forms the disability dimension subscore. A total COMI score is determined by averaging the 5 dimension scores. |
| Change from baseline in Quality of Life as measured by the European Quality of Life-5 Dimensions Questionnaire (EQ-5D) at 12 months | 12 months | Change from baseline in Quality of Life as measured by the European Quality of Life-5 Dimensions Questionnaire (EQ-5D) at 12 months |
| Change from baseline in disability as measured by the Core Outcome Measures Index (COMI) at 12 months | 12 months | In the core COMI-back, 1 question consists of 2 numerical rating scales to be answered from 0 to 10 and 5 questions to be answered by selecting 1 of 5 response options. The average of the 2 disability scores forms the disability dimension subscore. A total COMI score is determined by averaging the 5 dimension scores. |
| Change from baseline in disability as measured by the Core Outcome Measures Index (COMI) at 6 months | 6 months | In the core COMI-back, 1 question consists of 2 numerical rating scales to be answered from 0 to 10 and 5 questions to be answered by selecting 1 of 5 response options. The average of the 2 disability scores forms the disability dimension subscore. A total COMI score is determined by averaging the 5 dimension scores. |
| Change from baseline in Back Pain as measured by the Numeric Pain Rating Scale (NPRS) at 3 months | 3 months | The change will be defined on the Minimal Clinically Important Difference in treatment response defined as a decrease of ≥2 point in NRPS (range: 0 - 10 points). |
| Change from baseline in Back Pain as measured by the Numeric Pain Rating Scale (NPRS) at 6 months | 6 months | The change will be defined on the Minimal Clinically Important Difference in treatment response defined as a decrease of ≥2 point in NRPS (range: 0 - 10 points). |
| Change from baseline in Back Pain as measured by the Numeric Pain Rating Scale (NPRS) at 12 months | 12 months | The change will be defined on the Minimal Clinically Important Difference in treatment response defined as a decrease of ≥2 point in NRPS (range: 0 - 10 points). |
| Change from baseline in disability as measured by the Oswestry Disability Index (ODI) at 3 months | 3 months | The change will be defined on the Minimal Clinically Important Difference in treatment response defined as a decrease of ≥27% in ODI (range: 0-50 and higher scores are indicative of more disability). |
| Change from baseline in disability as measured by the Oswestry Disability Index (ODI) at 6 months | 6 months | The change will be defined on the Minimal Clinically Important Difference in treatment response defined as a decrease of ≥27% in ODI (range: 0-50 and higher scores are indicative of more disability). |
| Change from baseline in disability as measured by the Oswestry Disability Index (ODI) at 12 months | 12 months | The change will be defined on the Minimal Clinically Important Difference in treatment response defined as a decrease of ≥27% in ODI (range: 0-50 and higher scores are indicative of more disability). |
| Change from baseline in Quality of Life as measured by the European Quality of Life-5 Dimensions Questionnaire (EQ-5D) at 3 months | 3 months | Change from baseline in Quality of Life as measured by the European Quality of Life-5 Dimensions Questionnaire (EQ-5D) at 3 months |
| Change from baseline in Quality of Life as measured by the European Quality of Life-5 Dimensions Questionnaire (EQ-5D) at 6 months | 6 months | Change from baseline in Quality of Life as measured by the European Quality of Life-5 Dimensions Questionnaire (EQ-5D) at 6 months |
Countries
Portugal