aspecifieke lagerugpijn chronic low back pain lumbago
Conditions
Interventions
The participants will undergo once a week an isolated dynamic resistance
training during ten weeks, in which the lumbal multifidus muscle will be
trained. They will undergo no other back muscle ther
Sponsors
Sint Antonius Ziekenhuis
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: - Sex: man - Age: 30 years or older - Symptoms: non-specific low back pain since 12 week or longer .
Exclusion criteria
Exclusion criteria: - Sex: woman - Age: younger than 30 years - History of surgical lumbal intervention, myopathy, muscledystrophia, spinal deformaty, idiopathic scoliosis, vertebral fractures, congenital malformations, severe hernia in need of a surgical intervention, spondylolysis, osteoporosis, vertebral metastasis and morbus Bechterew. Physical effort leads to extra exclusion criteria: angina pectoris, untreatable hypertension, untreatable diabetes mellitus, epilepsia, active rheumatic disease, severe neurologic degenerative diseases like multiple sclerosis and severe coagulation disorders. - MRI contra-indications: claustrophobia, metal in the body (e.g. pacemaker, splinter in the eye).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The lumbal multifidus muscle may be imaged by ultrasound, CT and MRI. Ultrasound is only suitable for superficial muscles and the resolution is low, which will lead to inferior tissue discrimination. CT and MRI have a highter resolution and therefore good tissue discrimination. Given the radiation exposure of CT, MRI is the most appriorate method for this study. The measurements will be performed by manually drawing the circumference of the muscle. Software will calculate the cross sectional area. Fat infiltration will be divided according to standard criteria: - Normal/mild (fat infiltration 10% and 50% of the cross sectional area) The functional cross-sectional area (FCSA) of the muscle will be calculated to quantify the condition of the muscle. The FCSA is the cross sectional area of the muscle isolated from fat. | — |
Secondary
| Measure | Time frame |
|---|---|
| To quantify the level of functional (ADL) limitations caused by low back pain, all participants will fill in validated questionaire at the time they undergo the MRI scans: the Roland-Morris Disability Questionnaire (RDQ) and the Patiënt Specifieke Klachten (PSK). Fysiotherapie MTG uses these questionaire for all patients. | — |
Countries
Netherlands
Outcome results
None listed