Musculoskeletal disorders Chronic low back pain Central sensitization Physical functioning
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Mentally competent adults between 18 and 65 years of age. - Referred to Pain rehabilitation with chronic low back pain (without radiation below the knee) as primary diagnosis. - Admitted to Pain rehabilitation according to the Pain rehabilitation guidelines. - Voluntarily signed written informed consent.
Exclusion criteria
Exclusion criteria: - Unwillingness to participate in the study. - No or not sufficient understanding of Dutch language, and/or incapacity to follow instructions. - Manifest neuralgia; Pregnancy; Psychiatric disorders or other relevant co-morbidities. - Specific contraindications of the tests according to the center for rehabilitation guidelines.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Central Sensitization measurements: - Bedside Examination (BSE): DFNS protocol. - Quantitative Sensory Test (QST): NASQ protocol. - Heart-Rate Variability (HRV): 5 min Heartmath protocol. - Central Sensitization Inventory (CSI): questionnaire in Dutch. Physical Functioning measurements: - Lift test: FCE WorkWell protocol. - Cardiopulmonary Exercise Test (CPET): . - Accelerometer: 7 days. Questionnaires: - Work Ability (WAS). - Pain Disaability (PDI). - Physical Functioning (Rand36-PF). | — |
Secondary
| Measure | Time frame |
|---|---|
| Pain characteristics: Intensity - VAS; Response to exercise - PRQ. Patients Characteristics: Age, Sex, BMI (Height, Weight), Nationality, Educational level, Employment Status, Pain location, Psychological traits (Catastrophizing - PCS, Injustice - IEQ, and Symptoms - BSI). Test characteristics: patient and assessor perceived exertion during capacity tests - Borg CR-10 and RPE. | — |
Contacts
University of Groningen Department of Rehabilitation Medicine, Center for Rehabilitation, University Medical Center Groningen,