"Examination of the Impact of a Dynamic Flexion Orthosis (Dynaflex®Ottobock) or of a Back Bandage (Lumbo Sensa®Ottobock) on the Voluntary Activation of the Back Muscles in Patients With Specific Back Pain"

NCT ID: NCT02536274

Last Updated: 2015-08-31

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

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-09-30

Brief Summary

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Aim of the study is to analyze systematically by using surface EMG the effect of the dynamic flexion orthosis Dynaflex® and the back bandage Lumbo Sensa® on the voluntary activation of the low back muscles and thereby on the muscles' stiffness.

Patients have to pass a course with 6 different exercises in which they have to carry out certain activities of daily life under controlled conditions to examine, if the particular technical aid has a positive impact on pain-related activation of the back muscles.

Detailed Description

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Usually low back pain is accompanied by male and prolonged activation of the back muscles through the Central Nervous System. It has been proved that this male innervation pattern are often related to a to the spine asymmetrical muscular activation. Biomechanically, both the asymmetric muscular activation as well as the prolonged activation of the muscles causes additional stress to the already damaged structures resulting in additional pain. Technical aids like back orthoses or bandages are supposed to relax the painful muscles and reduce pain in this way. However, no studies are available which analyze systematically the effect of such technical aids on the activation pattern of the back muscles.

Aim of the study is to analyze systematically the effect of the dynamic flexion orthosis Dynaflex® and of the back bandage Lumbo Sensa® on the activation of the back muscles via surface EMG. On the one hand it shall be proven that the analyzed technical aids have an immediate impact on the activation of the back muscles which reduces the pain symptoms continuously. On the other hand it shall be demonstrated that surface EMG is a suitable approach to examine the effect of technical aids on the muscular activation of the back muscles focusing everyday situations or movements for the first time. From the results it shall be concluded on the everyday effect of orthosis or bandages for the discharge of the back muscles.

Conditions

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Back Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Schwertbad Aachen

20 Patients with specific back pain will get Lumbo Sensa® bandage. Study related procedures include a course with 6 exercises which shall be performed at the beginning and completion of the intervention: standing upright for 60s, keeping the upper body statically bent forward 40 degrees for 30s, carrying weight (1 kg) over a circular trajectory 3 times, stairs up and down for 60s, Chair rising test for 30s and 6 minutes walking test at the beginning and the end of the course. In addition, surface electromyogram (EMG) of the back muscles via surface electrodes during the course exercises will be recorded. Study procedures are the same for all study groups.

Group Type EXPERIMENTAL

Lumbo Sensa® bandage

Intervention Type DEVICE

Patients have to wear it over 21-28 days for at least 8 hours a day

Schön Klinik Fürth

20 Patients with specific back pain will get Dynaflex® flexion orthosis. Study related procedures include a course with 6 exercises which shall be performed at the beginning and completion of the intervention: standing upright for 60s, keeping the upper body statically bent forward 40 degrees for 30s, carrying weight (1 kg) over a circular trajectory 3 times, stairs up and down for 60s, Chair rising test for 30s and 6 minutes walking test at the beginning and the end of the course. In addition, surface electromyogram (EMG) of the back muscles via surface electrodes during the course exercises will be recorded. Study procedures are the same for all study groups.

Group Type EXPERIMENTAL

Dynaflex® flexion orthosis

Intervention Type DEVICE

Patients have to wear it over 21-28 days for at least 8 hours a day

Schön Klinik Fürth & Schwertbad Aachen

20 Patients with specific back pain will get no intervention. Study related procedures include a course with 6 exercises which shall be performed at the beginning and completion of the intervention: standing upright for 60s, keeping the upper body statically bent forward 40 degrees for 30s, carrying weight (1 kg) over a circular trajectory 3 times, stairs up and down for 60s, Chair rising test for 30s and 6 minutes walking test at the beginning and the end of the course. In addition, surface electromyogram (EMG) of the back muscles via surface electrodes during the course exercises will be recorded. Study procedures are the same for all study groups.

Group Type NO_INTERVENTION

No interventions assigned to this group

RPE

20 healthy Subjects of the same age without back pain participate in the course for one time to prove the significance of the procedures. (control group) Study related procedures include a course with 6 exercises: standing upright for 60s, keeping the upper body statically bent forward 40 degrees for 30s, carrying weight (1 kg) over a circular trajectory 3 times, stairs up and down for 60s, Chair rising test for 30s and 6 minutes walking test at the beginning and the end of the course. In addition, surface electromyogram (EMG) of the back muscles via surface electrodes during the course exercises will be recorded. Study procedures are the same for all study groups.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Lumbo Sensa® bandage

Patients have to wear it over 21-28 days for at least 8 hours a day

Intervention Type DEVICE

Dynaflex® flexion orthosis

Patients have to wear it over 21-28 days for at least 8 hours a day

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

for the application with Dynaflex®:

* central or foraminal lumbar stenosis, Claudicatio spinalis pathology
* degenerative lumbar instability (e.g. Spondylolisthesis) with lumboischialgia or Claudicatio spinalis pathology
* herniated vertebral disk with forms of ischialgia pain
* age: 18-80 years

additionally for the application with LumboSensa®:

* scoliosis
* osteoporosis
* inflammatory rheumatic back pain
* Failed Back Surgery Syndrome
* painful conditions after stabilizing or reinforcing surgeries

Exclusion Criteria

* paresis of the lower extremity
* contact allergy to orthotic material
* diseases in body regions with contact to orthosis, which become manifest neurologically/dermatologically
* acute Spondylodiscitis
* tumor diseases
* recent vertebral body fractures
* pregnant and lactating females
* subject has been committed to an institution by legal or regulatory order
* dependency or working relationship with the investigator
* participation in a parallel interventional clinical study
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Reha-Klinik Schwertbad

UNKNOWN

Sponsor Role collaborator

Schön Klinik Nürnberg Fürth

UNKNOWN

Sponsor Role collaborator

RWTH Aachen University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Catherine Disselhorst-Klug, Univ.-Prof. Dr. rer. nat.

Role: PRINCIPAL_INVESTIGATOR

Head: Dept. of Rehabilitation and Prevention Engineering, Institute of Applied Medical Engineering RWTH Aachen University

Locations

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Rehaklinik Schwertbad Aachen

Aachen, , Germany

Site Status

Dept. of Rehabilitation- and Prevention Engineering, Institute of Applied Medical Engineering, Helmholtz Institute of RWTH Aachen University & Hospital

Aachen, , Germany

Site Status

Spinal Surgery Center, Schön Klinik Nürnberg Fürth

Fürth, , Germany

Site Status

Countries

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Germany

Central Contacts

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Catherine Disselhorst-Klug, Univ.-Prof. Dr. rer. nat.

Role: CONTACT

Phone: +49 241 80 87011

Email: [email protected]

Facility Contacts

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V Misch, Dr.med.

Role: primary

Klaus J. Schnake, Dr. med.

Role: primary

Other Identifiers

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14-164

Identifier Type: -

Identifier Source: org_study_id