Lumbar Segmental Stabilization and TENS in Lumbar Disc Herniation

NCT ID: NCT01640431

Last Updated: 2012-07-13

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-03-31

Study Completion Date

2013-07-31

Brief Summary

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The purpose of this study was to compare the efficacy of method Lumbar Segmental Stabilization and transcutaneous electrical nerve stimulation (TENS) on pain, functional disability and ability to activate the transversus abdominis (TrA) of individuals with chronic back pain caused by disc herniation.

Detailed Description

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Objective: To contrast the efficacy efficacy of method Lumbar Segmental Stabilization and TENS on pain, functional capacity and ability to activate the TrA of individuals with chronic back pain caused by disc herniation.

Design: Sixty patients are being randomized into two groups namely: Lumbar Segmental Stabilization (LS ) (specific exercises for the muscles transversus abdominis and lumbar multifidus) (n = 30) and TENS group (TG) (n = 30) receiving assistance under a current of transcutaneous electrical nerve stimulation (TENS). Groups were contrasted regarding pain (visual analogical scale and McGill pain questionnaire), functional disability (Oswestry disability questionnaire) and TrA muscle activation capacity (Pressure Biofeedback Unit = PBU). The program lasts for 8 weeks, and sessions happen twice a week, with duration of one hour each. Evaluations will be performed before, after and with a follow-up six months after treatment. Significance level is established at 5%.

Conditions

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Lumbar Spine Disc Herniation

Keywords

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lumbar disc herniation clinical trial exercise therapy TENS

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Investigators

Study Groups

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Lumbar stabilization exercises

In the Segmental Stabilization group exercises the focus is on the transversus abdominis and lumbar multifidus muscles.

Group Type EXPERIMENTAL

Lumbar stabilization exercises

Intervention Type OTHER

The patients performed exercises for the transversus abdominis and lumbar multifidus muscles for an hour twice a week.

TENS group

In this group, patients are treated with TENS in the lumbar region for an hour.

Group Type EXPERIMENTAL

Lumbar stabilization exercises

Intervention Type OTHER

The patients performed exercises for the transversus abdominis and lumbar multifidus muscles for an hour twice a week.

Interventions

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Lumbar stabilization exercises

The patients performed exercises for the transversus abdominis and lumbar multifidus muscles for an hour twice a week.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* chronic low back pain (pain for more than three months) or sciatica caused by disc herniation diagnosed by magnetic resonance imaging or computed tomography

Exclusion Criteria

* prior back surgery,
* cancer,
* rheumatic diseases or infection.

Patients involved in sports or resistance training for the lumbar spine during the three months prior to the beginning of treatment or other causes of pain and sciatica such as lumbar spinal canal stenosis and lumbar spondylolisthesis have also been excluded.
Minimum Eligible Age

25 Years

Maximum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fundação de Amparo à Pesquisa do Estado de São Paulo

OTHER_GOV

Sponsor Role collaborator

University of Sao Paulo General Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Fabio R França, MsC

Role: PRINCIPAL_INVESTIGATOR

University of Sao Paulo

Locations

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University of Sao Paulo General Hospital

São Paulo, São Paulo, Brazil

Site Status RECRUITING

Countries

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Brazil

Central Contacts

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Luiz V Ramos, PT

Role: CONTACT

Phone: 55 11 30918423

Email: [email protected]

Amelia P Marques, PhD

Role: CONTACT

Phone: 55 11 30918423

Email: [email protected]

Facility Contacts

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Fábio R França, MsC

Role: primary

Luiz V Ramos, MsC

Role: backup

References

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Rackwitz B, de Bie R, Limm H, von Garnier K, Ewert T, Stucki G. Segmental stabilizing exercises and low back pain. What is the evidence? A systematic review of randomized controlled trials. Clin Rehabil. 2006 Jul;20(7):553-67. doi: 10.1191/0269215506cr977oa.

Reference Type BACKGROUND
PMID: 16894798 (View on PubMed)

Franca FJR, Callegari B, Ramos LAV, Burke TN, Magalhaes MO, Comachio J, CarvalhoSilva APMC, Almeida GPL, Marques AP. Motor Control Training Compared With Transcutaneous Electrical Nerve Stimulation in Patients With Disc Herniation With Associated Radiculopathy: A Randomized Controlled Trial. Am J Phys Med Rehabil. 2019 Mar;98(3):207-214. doi: 10.1097/PHM.0000000000001048.

Reference Type DERIVED
PMID: 30247159 (View on PubMed)

Other Identifiers

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Fisio2011

Identifier Type: -

Identifier Source: org_study_id