Effects of Segmental Stabilization on the Anticipatory Postural Adjustment of Subjects With Lumbar Pain

NCT ID: NCT02815358

Last Updated: 2019-06-13

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 40 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2016-06-30
• Study Completion Date: 2016-11-30

Brief Summary

This study aims to verify the effects of a segmental stabilization exercise program on the anticipatory postural adjustment of subjects with chronic lumbar pain. The effects will be assessed by means of superficial electromyography focused on the registry of the onset of multifidius and deltoid (anterior and posterior) activity during a repetitive shoulder flexion/extension.

Conditions

Lumbar Pain

Study Design

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

Study Groups

Segmental Stabilization Group

Patients receiving segmental stabilization exercises.

Group Type: EXPERIMENTAL

Segmental Stabilization Exercises

Intervention Type: OTHER

The stabilization program focuses on the reestablishment of motor control and coordination between deep and superficial trunk muscles. The exercise program is based on the following criteria progression: 1) Precise contraction of the transverse abdominal and multifidus muscles, keeping the lumbar spine in a neutral position (as the middle way between maximum flexion and extension, repeated three times); 2) Keep the neutral position for 10 repetitions of 10 seconds; 3) Perform exercises with lower limbs in different postures.

Control Group

Patients receiving home exercises.

Group Type: ACTIVE_COMPARATOR

Home Exercises

Intervention Type: OTHER

Home exercises include passive stretching and active mobilization of the spine.

Interventions

Segmental Stabilization Exercises

The stabilization program focuses on the reestablishment of motor control and coordination between deep and superficial trunk muscles. The exercise program is based on the following criteria progression: 1) Precise contraction of the transverse abdominal and multifidus muscles, keeping the lumbar spine in a neutral position (as the middle way between maximum flexion and extension, repeated three times); 2) Keep the neutral position for 10 repetitions of 10 seconds; 3) Perform exercises with lower limbs in different postures.

Intervention Type: OTHER

Home Exercises

Home exercises include passive stretching and active mobilization of the spine.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• women aged between 18 and 65 years old
• chronic lumbar pain (at least 3 months)
• average pain intensity of ≥3 on a 10-point scale

Exclusion Criteria

• presence of red flags (i.e.,tumor, known fractures, diagnosed inflammatory joint disease, etc);
• history of back surgery
• pregnancy
• less than 3 months of therapeutic treatment (physiotherapy) for low back pain

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 65 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: No

Sponsors

Federal University of Health Science of Porto Alegre

OTHER

Sponsor Role: lead

Responsible Party

Aline de Souza Pagnussat

PhD

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Federal University of Health Sciences of Porto Alegre

Porto Alegre, Rio Grande do Sul, Brazil

Countries

Brazil

Other Identifiers

923.642

Identifier Type: -

Identifier Source: org_study_id