Postural Re-education in Low Back Pain

NCT ID: NCT00789204

Last Updated: 2009-09-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-05-31

Study Completion Date

2009-09-30

Brief Summary

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The Global Postural Re-Education is a global approach for the treatment of musculoskeletal disease. Using specific progressive posture for stretching particular shortened chain muscle the method wants to equilibrate the never-ending war between static and dynamic muscles by guiding the patient in a particular breathing pattern to maintain a correct posture and feeling it.

Detailed Description

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In some countries there is a physical therapy method called "Global Posture Reeducation" (GPR), which was developed by Philippe Emmanuel Souchard based on 20 years of clinical experience.The method consist to balance the miofascial tension probably responsible for an articular overloading. The method stretches the shortened antigravity muscles that are inside a different static muscles chains. GPR is a global approach that search the biomechanics cause in the near areas, and involves actively the patient in the postural and gestural changes.

Conditions

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Low Back Pain

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Investigators

Study Groups

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GPR

Global Postural Re-Education

Group Type EXPERIMENTAL

Global Postural Re-education

Intervention Type OTHER

The treatment in Global Postural Re-education is a global approach that seeks to identify the biomechanical cause of the problem also in other parts of the body and involves actively the patient in the postural change. Using principles like causality, globality and individuality, the treatment consists of the use for one hour of progressive active stretching posture for specific muscular chain that are shortened. Every posture is maintained for 20 minutes with controlled breathing and the use of manual traction

SEP

Standard Exercise Programm

Group Type ACTIVE_COMPARATOR

Standard Exercise Training

Intervention Type OTHER

The exercise programme included passive lumbar flexion, pelvic tilt, strengthening of flexor muscles, strengthening of extensor muscles, spine mobilization and stretching exercises.

Interventions

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Global Postural Re-education

The treatment in Global Postural Re-education is a global approach that seeks to identify the biomechanical cause of the problem also in other parts of the body and involves actively the patient in the postural change. Using principles like causality, globality and individuality, the treatment consists of the use for one hour of progressive active stretching posture for specific muscular chain that are shortened. Every posture is maintained for 20 minutes with controlled breathing and the use of manual traction

Intervention Type OTHER

Standard Exercise Training

The exercise programme included passive lumbar flexion, pelvic tilt, strengthening of flexor muscles, strengthening of extensor muscles, spine mobilization and stretching exercises.

Intervention Type OTHER

Other Intervention Names

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GPR SEP

Eligibility Criteria

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Inclusion Criteria

* Lumbalgia Diagnosis
* Age 18-80

Exclusion Criteria

* Migrated hernia
* Calcified disc hernia
* Spondylolisthesis
* Other physiotherapeutic interventions within 6 months of the baseline assessment.
* Surgical operation within six months of baseline
* Cancer syndrome, Neurological and rheumatic diseases
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Bologna

OTHER

Sponsor Role lead

Responsible Party

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University of Bologna

Principal Investigators

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Francesca Bonetti, Laurea

Role: PRINCIPAL_INVESTIGATOR

Locations

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Ecm Eur Centro Medico

Rome, Lazio, Italy

Site Status

Countries

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Italy

References

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Vanti C, Generali A, Ferrari S, Nava T, Tosarelli D, Pillastrini P. [ General postural rehabilitation in musculoskeletal diseases: scientific evidence and clinical indications]. Reumatismo. 2007 Jul-Sep;59(3):192-201. Italian.

Reference Type BACKGROUND
PMID: 17898878 (View on PubMed)

Fernandez-de-Las-Penas C, Alonso-Blanco C, Morales-Cabezas M, Miangolarra-Page JC. Two exercise interventions for the management of patients with ankylosing spondylitis: a randomized controlled trial. Am J Phys Med Rehabil. 2005 Jun;84(6):407-19. doi: 10.1097/01.phm.0000163862.89217.fe.

Reference Type BACKGROUND
PMID: 15905654 (View on PubMed)

Hayden JA, van Tulder MW, Malmivaara A, Koes BW. Exercise therapy for treatment of non-specific low back pain. Cochrane Database Syst Rev. 2005 Jul 20;2005(3):CD000335. doi: 10.1002/14651858.CD000335.pub2.

Reference Type BACKGROUND
PMID: 16034851 (View on PubMed)

Bonetti F, Curti S, Mattioli S, Mugnai R, Vanti C, Violante FS, Pillastrini P. Effectiveness of a 'Global Postural Reeducation' program for persistent low back pain: a non-randomized controlled trial. BMC Musculoskelet Disord. 2010 Dec 16;11:285. doi: 10.1186/1471-2474-11-285.

Reference Type DERIVED
PMID: 21162726 (View on PubMed)

Other Identifiers

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FB001022008

Identifier Type: -

Identifier Source: org_study_id

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