A Pilot Study of Motor Control Exercise and Patient Education for the Management of Chronic Low Back Pain in Rural Nigerian Community.
NCT ID: NCT03398174
Last Updated: 2018-11-15
Study Results
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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COMPLETED
NA
30 participants
INTERVENTIONAL
2018-01-20
2018-05-01
Brief Summary
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Detailed Description
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Participants will be recruited and assigned to one of three intervention groups that include MCE group, PE group, or MCE plus PE gr using a simple random technique based on an electronic randomization table generated by a computer software program. Blinded assessment of all clinical outcomes will be performed at baseline and 6 weeks after randomization.
Primary outcomes include pain intensity and functional disability while secondary outcomes include overall treatment satisfaction.
Data will be analyzed using descriptive statistics, paired t-test, and ANOVA. All statistical analyses will be performed on SPSS (version 24.00) at an alpha level of 0.05.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Motor Control Exercise Plus Patient Education
Participants will receive a total of 12 sessions (2 sessions per week) of exercise program consisting of motor control training and group patient education session once a week (6 sessions) all over 6-weeks.
The motor control training will be aiming at improving function of specific muscles of the lumbopelvic region and the control of posture and movement.
The patient education program will be aiming to provide non-threatening information to enable patients to better understand their pain, change any unhelpful beliefs about LBP, and integrate self-management and active coping strategies that deals with fear avoidance behavior and catastrophic thought.
In addition, participants will also perform stretching exercises and instructed to perform continuous overground walk.
Motor Control Exercise
Exercise aiming at improving function of specific muscles of the lumbopelvic region and the control of posture and movement.
In addition, participants will perform stretching exercises aiming at targeting the postural muscles and connective tissue around the lower back, pelvis and lower limb that tend to get shortened in chronic LBP, and they will be advised to perform aerobic exercise in the form of overground walking at desirable speed at home.
Patient Education
Patient education to enable patients to better understand their pain, change any unhelpful beliefs about LBP, and integrate self-management and active coping strategies that deals with fear avoidance behavior and catastrophic thought.
In addition, participants will perform stretching exercises aiming at targeting the postural muscles and connective tissue around the lower back, pelvis and lower limb that tend to get shortened in chronic LBP, and they will be advised to perform aerobic exercise in the form of overground walking at desirable speed at home.
Motor Control Exercise
Participants will receive the same motor control exercise program described in the patient education and motor control exercise group.
In addition, participants will also perform stretching exercises and instructed to perform continuous overground walk.
Motor Control Exercise
Exercise aiming at improving function of specific muscles of the lumbopelvic region and the control of posture and movement.
In addition, participants will perform stretching exercises aiming at targeting the postural muscles and connective tissue around the lower back, pelvis and lower limb that tend to get shortened in chronic LBP, and they will be advised to perform aerobic exercise in the form of overground walking at desirable speed at home.
Patient Education
Participants will receive the same patient education program described in the motor control exercise plus patient education group.
In addition, participants will also perform stretching exercises and instructed to perform continuous overground walk.
Patient Education
Patient education to enable patients to better understand their pain, change any unhelpful beliefs about LBP, and integrate self-management and active coping strategies that deals with fear avoidance behavior and catastrophic thought.
In addition, participants will perform stretching exercises aiming at targeting the postural muscles and connective tissue around the lower back, pelvis and lower limb that tend to get shortened in chronic LBP, and they will be advised to perform aerobic exercise in the form of overground walking at desirable speed at home.
Interventions
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Motor Control Exercise
Exercise aiming at improving function of specific muscles of the lumbopelvic region and the control of posture and movement.
In addition, participants will perform stretching exercises aiming at targeting the postural muscles and connective tissue around the lower back, pelvis and lower limb that tend to get shortened in chronic LBP, and they will be advised to perform aerobic exercise in the form of overground walking at desirable speed at home.
Patient Education
Patient education to enable patients to better understand their pain, change any unhelpful beliefs about LBP, and integrate self-management and active coping strategies that deals with fear avoidance behavior and catastrophic thought.
In addition, participants will perform stretching exercises aiming at targeting the postural muscles and connective tissue around the lower back, pelvis and lower limb that tend to get shortened in chronic LBP, and they will be advised to perform aerobic exercise in the form of overground walking at desirable speed at home.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Primary complaint of LBP experienced at least over the previous 3-month duration.
* Ability to read/understand English or Hausa language.
Exclusion Criteria
* Any neurological findings indicating radiculopathy.
* Evidence of serious spine pathology (e.g. tumor, infection, fracture, spinal stenosis, inflammatory disease).
* Unstable or severe disabling chronic cardiovascular and pulmonary disease.
* History of serious psychological or psychiatric illness.
* Current pregnancy
18 Years
65 Years
ALL
No
Sponsors
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Bayero University Kano, Nigeria
OTHER
Responsible Party
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Aminu A. Ibrahim
Doctoral Student
Principal Investigators
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Aminu A Ibrahim, BPT, MPT
Role: PRINCIPAL_INVESTIGATOR
Physiotherapy Department, Faculty of Allied Health Sciences, Bayero University, Kano. Nigeria
Locations
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Tsakuwa Primary Healthcare Center
Kano, , Nigeria
Countries
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References
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Ibrahim AA, Akindele MO, Ganiyu SO. Motor control exercise and patient education program for low resource rural community dwelling adults with chronic low back pain: a pilot randomized clinical trial. J Exerc Rehabil. 2018 Oct 31;14(5):851-863. doi: 10.12965/jer.1836348.174. eCollection 2018 Oct.
Other Identifiers
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SPS/PPT/15/00009
Identifier Type: -
Identifier Source: org_study_id
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