Low Back Pain
Conditions
Interventions
The allocation of the members will be performed by a researcher not involved in the recruitment using the Excel® random number sequence (Microsoft Corporation, Redmond, WA, United States Release 12.0.
G2: Pilates (n = 30)
G3: Conventional exercises (n = 30).
G1: electroanalgesia
G2: conventional therapeutic exercises
G3: Pilates exercises
The protocol was developed based on exercises and electroanalgesia, and will be
Device
Procedure/surgery
E02.779.474
E02.331.800
C05.116.900.800
Sponsors
Universidade de Pernambuco
Universidade de Pernambuco
Eligibility
Age
18 Years to 59 Years
Inclusion criteria
Inclusion criteria: Age between 18 and 59 years; Symptoms of pain or stiffness in the pelvic loin region with or without irradiation symptoms to the lower limbs; Pain on most days of the week for more than 3 months; Good understanding of written and spoken Portuguese.
Exclusion criteria
Exclusion criteria: Lumbar disc herniation with or without loss of sphincter control or saddle paresthesia; Equine tail lesion; Spinal surgery; fever; infection; Night sweats or chills; Unexplained loss of weight or appetite; History of cancer or malignancy; Pregnancy or the possibility of pregnancy in the next 6 months; Spinal fractures or diagnosed osteoporosis; Inflammatory disease of the spine such as ankylosing spondylitis and rheumatoid arthritis; Chronic obstructive pulmonary disease and restrictive diseases; Comorbidity that may prevent exercise; Participation in any exercise program in the last six months.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome of the study is pain. The perception of pain intensity will be evaluated in a one-dimensional way, by applying the Visual Analog Scale (EAV), and in a multidimensional way, using the McGill Questionnaire. The perception of pain intensity, evaluated from VAS, is scored from 0 (absence of pain) to 10 (worst pain imaginable), which will be categorized using median 5, thus, scores smaller or equal to 5 will be considered as Pain absent or mild, while scores greater than 5 will indicate moderate to severe pain. Next, the McGill Questionnaire will be applied in a validated version for use in Brazil to assess the sensitivity, discriminative, affective-emotional and cognitive-evaluative dimensions of pain. The questionnaire presents 78 descriptors distributed in 4 major domains - sensorial, affective, evaluative and miscellaneous. From these descriptors three indexes emerge: The quantitative index of pain, obtained through the sum of the values ??assigned to the chosen descriptors; The index of the number of words chosen, obtained by summing the number of words chosen to qualify the pain and the index of the current pain intensity obtained by means of a verbal scale of 5 points (1 - mild pain; Uncomfortable, 3 - disturbing pain, 4 - horrible pain and 5 - excruciating pain). | — |
Secondary
| Measure | Time frame |
|---|---|
| The assessment of lumbar spine mobility will be performed from the modified version of the Schober test (MTSM) recommended for DLCI patients.15 Participants should be barefoot and dressed in bathing suits, the test will follow the following steps: Palpation of the posterior superior iliac spines (EIPS) and horizontal dashed line demarcation between these bone accidents with the patient in orthostasis; Marking a second line distant 15 cm above the initial mark and effecting a new measurement between the upper and lower marks with the patient in anterior trunk flexion. The difference between the initial distance between the two marks (neutral position) and the new measurement (trunk flexion) will indicate the mobility of the lumbar spine in the flexion movement, in centimeters.;The Roland-Morris Disability Questionnaire (RMDQ) 16, in its version validated in the Brazilian population, will be applied to the functional disability test related to low back pain (DL). It is a simple application instrument that has 24 items with Score of 0 or 1, corresponding yes or no, respectively. The total score is obtained by adding the items with "yes" answers and ranges from 0 (no disability) to 24 (severe disability).;In the evaluation of kinesiophobia, the Cover Scale for Kinesiophobia (TKS) 18 will be used as a validated version for the Brazilian population.19 It is a questionnaire composed of 17 statements that address the pain and intensity of symptoms, the scores vary according to The individual's agreement to each statement: "I totally disagree", equivalent to 1 point, "partially disagree", 2 points, "partially agree", 3 points and "totally agree", 4 points. The final score may be at least 17 and 68 at the most, where the higher the score, the higher the degree of kinesiophobia.;In the evaluation of general health and quality of life, the Outcomes Study 36-Item Short-Form Health Survey (SF-36) 20 will be used in the Brazilian population-validated version.21 The SF-36 consists | — |
Countries
Brazil
Contacts
Public ContactRita Angelo
Universidade de Pernambuco
Outcome results
None listed