chronic low back pain
Conditions
Interventions
Intervention group (n=20): The intervention group will consist of a multifaceted weekly group training program for eight weeks. The intervention protocol includes the following components: pain educat
Other
G11.427.410.698.277
I02.233.332
Sponsors
Universidade Federal do Ceará
Universidade Federal do Ceará
Eligibility
Age
60 Years to No maximum
Inclusion criteria
Inclusion criteria: Patients with low back pain as their primary musculoskeletal complaint (pain between the 12th thoracic vertebra to the gluteal fold) for three or more months; with or without irradiation of symptoms to lower limbs; aged 60 and over; both sexes; residents of Regional III in the city of Fortaleza CE; cell phone owners, and score greater than 3 points on START Back Screening Tool (SBST)
Exclusion criteria
Exclusion criteria: Patients who present complaints of pain in the lumbar region with specific diagnosed origin (history of cancer, recent history of spinal trauma or fracture, spinal stenosis); either acute or decompensated systemic or neurological disease; rheumatic diseases; thoracoabdominal surgery in the previous 12 months, history of spine surgery; who enrolled in physical therapy treatment in the previous 12 months for LBP; severe visual deficits and severe cognitive deficits detected by the Mini Mental State Examination (MMSE).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Recruitment rate (time Frame: during the enrollment): registries of the number of people recruited in twelve months and registries of the number of eligible participants who agreed to participate in the study in 12 months. ;Retention rate (time Frame: each week until follow-up assessment after the intervention): retention of participants enrolled into the trial. ;Adherence to treatment (time frame: each week until week 8 of intervention): frequency of attendance of intervention sessions. The adherence criterion will be the presence of 75% or more attendance registries. ;Adherence to home exercise (time frame: follow-up assessment one week after the intervention): 0-24 Exercise adherence rating scale, where the cutoff point for adherence is 17 points. ;Difficulty in understanding the intervention(time frame: follow up assessment 1 week after the intervention): participants answered the question: "How difficult did you have to understand any information/content at the time of training?" The answers will be on a 0-10 scale, where 0 = no difficulty; 10 = extreme difficulty. The percentage of individuals with response equal to or less than 5 will be presented.;Difficulty in executing home exercises (time frame: follow-up assessment one week after the intervention): participants answered two questions: "How much difficulty did you have to perform the exercises at home?" The answers will be on a 0-10 scale, where 0 = no difficulty; 10 = extreme difficulty. The percentage of individuals with response equal to or less than 5 will be presented. ;Safety to perform exercises at home (time Frame: follow-up assessment one week after the intervention): Participants will answer the question: "how safe did you feel to perform the exercises at home?" The responses will be on a 0-10 scale, where 0 = totally unsafe; 10 = totally secure. The percentage of individuals with response equal to or greater than 5 will be presented. ;Perception about the use of mobile technology (time Frame | — |
Secondary
| Measure | Time frame |
|---|---|
| Pain intensity (Time Frame: before and after the intervention): 0-10 Numeric Rating Scale, where 0 is pain-free, and 10 is the worst imaginable pain;Low back pain-related disability (Time Frame: before and one week after the intervention): 0-24 Roland Morris Disability Questionnaire, the greater the score, the greater the disability;Patient specific functional limitation (time Frame: before and after the intervention): 0-30 Patient specific functional scale. Self-report of three relevant daily activities impacted by chronic low back pain, each activity scores from 0 to 10 points, where the lower the score, the greater the disability to perform the tasks.;Functional capacity (time Frame:before and after the intervention): Short Physical Performance Battery - SPPB, 0-12 points, where the greater the score, the greater the functional capacity.;Self-efficacy for pain (Time Frame: before and one week after the intervention): 30-300 Chronic Pain Self-Efficacy Scale, the higher the score, the better the self-efficacy;Physical activity levels (Time Frame: before and one week after the intervention): assessed by the short form International Physical Activity Questionnaire (IPAQ). Its result is computed in METs, and individuals are classified as insufficiently active, moderately active, or very active;Depressive symptoms (time Frame: before and one week after the intervention): the 0-60 Scale of the Center for Epidemiological Studies, the higher the score, the greater the presence of depressive symptoms ;Concomitant Care-seeking (time Frame: before and one week after the intervention): registries of self-reported extra care for LBP. | — |
Countries
Brazil
Contacts
Public ContactAna Ellen;Fabianna Santos;Moraleida
Universidade Federal do Ceará;Universidade Federal do Ceará
Outcome results
None listed