Global Postural Reeducation in Chronic Low Back Pain

NCT ID: NCT01557049

Last Updated: 2012-03-19

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 61 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2008-06-30
• Study Completion Date: 2012-02-29

Brief Summary

The purpose of this study is to evaluate the effectiveness of a Global Postural Reeducation (GPR) program in subjects with chronic low back pain.

Detailed Description

Approximately 80-85% of individuals will experience low back pain during their lifetime. It is one of the major concerns of current health care. There is evidence for the effectiveness of exercise therapy in patients with chronic low back pain. GPR is a physical therapy method developed in France by Philippe Emmanuel Souchard. Although this method is largely used as form of treatment in most countries, few studies showed its clinical effectiveness in chronic low back pain. This is the first randomized controlled trial, with assessor blind that evaluate the GPR effects in chronic low back pain. All outcome measurements are reliability, validated and sensitivity for statistical changes using the Visual Analogic Scale- VAS (0-10cm), Roland Morris Questionary, SF36 (Quality Life Questionary) and Beck Scale (Depression Symptoms).

Conditions

Back Pain; Mechanical Low Back Pain

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Postural Reeducation Group

The participants, after obtaining a written informed consent, were randomized for one of the two groups: In the Global Postural Reeducation group (GPR), they were submitted 1 time per week, during 12 weeks, at GPR sessions. The duration of sessions was 60 minutes each, with the same physical Therapist of the study. After the intervention, subjects returned to assessment 3 months after, with the blinded assessor. All the 6 postures from GPR were used during the study. All outcomes measurements, in both groups, were validated for Portuguese language and applicable at baseline, 3 months and 6 months after baseline.

Group Type: EXPERIMENTAL

Global Reeducation Group

Intervention Type: OTHER

They were treated with medication if necessary and performed GPR session once a week, during 12 weeks. All the 6 postures from GPR were used during the study.

Control Group

In the control group, no physical intervention was given during the study. After the study, 6 months after, all participants from control group received the same treatment given in GPR group, according to the Unifesp Ethics Committee orientations. All participants, of both groups, have a doctor from the study, if necessary.

Group Type: NO_INTERVENTION

Control Group

Intervention Type: OTHER

No physical intervention was given, patients were treated only with medication if necessary.

Interventions

Control Group

No physical intervention was given, patients were treated only with medication if necessary.

Intervention Type: OTHER

Global Reeducation Group

They were treated with medication if necessary and performed GPR session once a week, during 12 weeks. All the 6 postures from GPR were used during the study.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• between 18-65 years age,
• low back pain (more than 12 weeks) without legs irradiation,
• pain between 3-8 cm on a visual Analogue scale (0-10cm).

Exclusion Criteria

• fibromyalgia,
• pregnancy,
• osteoporosis severe,
• disc herniation,
• patients who had undergone spinal surgical or physiotherapeutic interventions within 3 months prior to baseline assessment.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Federal University of São Paulo

OTHER

Sponsor Role: lead

Responsible Party

Priscila Maria Mendonca de Almeida Lawand

physical therapeutic

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Priscila Maria Lawand, Author

Role: PRINCIPAL_INVESTIGATOR

Federal University of São Paulo

Locations

São Paulo Federal University UNIFESP

São Paulo, São Paulo, Brazil

Countries

Brazil

Related Links

http://www.sbrpg.com.br/

Postural Global Reeducation Society

http://www.unifesp.br

São Paulo Federal University

http://www.unifesp.br/dmed/reumato

Department of Rheumatology from UNIFESP

Other Identifiers

1324/07

Identifier Type: -

Identifier Source: org_study_id