Efficacy of a Supervised Physical Therapy Rehabilitation Program vs Nonsupervised in Non-specific Low Back Pain

NCT ID: NCT03420196

Last Updated: 2019-10-14

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

COMPLETED

Clinical Phase

NA

Total Enrollment

64 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-02-01

Study Completion Date

2019-04-01

Brief Summary

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This study compares the efficacy of a supervised rehabilitation program vs a non supervised rehabilitation program on pain, disability, quality of life and kinesiophobia in patients with non-specific low back pain.

Detailed Description

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Low back pain is one of the most common problems of population, being a priority for health systems. It has got a high prevalence and recurrence, affecting in a social and economic way, and, it is one of principal causes of laboral absenteism. A randomized clinical trial will be conducted comparing a supervised physical therapy rehabilitation program vs a non supervised rehabilitation program.

Objective: to compare the efficacy of a supervised rehabilitation program vs a non supervised rehabilitation program in patients with non-specific low back pain.

Methods: Sixt-four subjects with chronic non-specific low back pain will be assigned to supervised rehabilitation program or non supervised rehabilitation program during 4 weeks (5 sessions/week). Outcomes measures will be the following: disability, pain intensity, fear of movement, quality of life, McQuade Test, and lumbar mobility flexion.

Conditions

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Low Back Pain Physical Activity

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors
Single-Blind

Study Groups

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Supervised Rehabilitation program

It will be consist in a supervised exercise program by physical therapist, including the following structures: diaphragm, tranverse abdominis muscle, pelvic, gluteus, CORE and spinal mobility

Group Type EXPERIMENTAL

Supervised exercise program

Intervention Type OTHER

It will consist in a supervised exercise program, including the following exercises:

* Diaphragmatic breathing.
* Transverse abdomLateral leg raise for gluteus mediuminis muscle activation.
* Pelvic swing.
* Gluteus bridge.
* Spinal mobility.
* Spinal extensor muscles strengthening
* Frontal plank
* Side plank.
* Lateral leg raise for gluteus medium

Nonsupervised rehabilitation program

It will consist in an exercise program for home, nonsupervised, including the following structures: diaphragm, tranverse abdominis muscle, pelvic, gluteus, CORE and spinal mobility. The patients will perform an exercise program at home.

Group Type ACTIVE_COMPARATOR

Non supervised exercise program

Intervention Type OTHER

It will consist in a non supervised exercise program, including the following exercises:

* Diaphragmatic breathing.
* Transverse abdomLateral leg raise for gluteus mediuminis muscle activation.
* Pelvic swing.
* Gluteus bridge.
* Spinal mobility.
* Spinal extensor muscles strengthening
* Frontal plank
* Side plank.
* Lateral leg raise for gluteus medium

Interventions

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Supervised exercise program

It will consist in a supervised exercise program, including the following exercises:

* Diaphragmatic breathing.
* Transverse abdomLateral leg raise for gluteus mediuminis muscle activation.
* Pelvic swing.
* Gluteus bridge.
* Spinal mobility.
* Spinal extensor muscles strengthening
* Frontal plank
* Side plank.
* Lateral leg raise for gluteus medium

Intervention Type OTHER

Non supervised exercise program

It will consist in a non supervised exercise program, including the following exercises:

* Diaphragmatic breathing.
* Transverse abdomLateral leg raise for gluteus mediuminis muscle activation.
* Pelvic swing.
* Gluteus bridge.
* Spinal mobility.
* Spinal extensor muscles strengthening
* Frontal plank
* Side plank.
* Lateral leg raise for gluteus medium

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Chronic non-specific low back pain persisting ≥ 3 months.
* Age between 18 and 65 years.
* A score ≥ 4 in Roland Morris Disability Questionnaire.
* Not currently receiving physical therapy.

Exclusion Criteria

* Presence of lumbar stenosis.
* Presence of clinical signs of radiculopathy.
* Diagnosis of spondylolisthesis.
* Diagnosis of fibromyalgia.
* Treatment with corticosteroid or pharmachological medication within the paset 2 weeks.
* A history of spinal surgery.
* Central or peripheral nervous system disease.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Universidad de Almeria

OTHER

Sponsor Role lead

Responsible Party

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Adelaida María Castro-Sánchez

PhD (Lecturer)

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Universidad de Almería

Almería, Andalusia, Spain

Site Status

Countries

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Spain

References

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Delitto A, George SZ, Van Dillen L, Whitman JM, Sowa G, Shekelle P, Denninger TR, Godges JJ; Orthopaedic Section of the American Physical Therapy Association. Low back pain. J Orthop Sports Phys Ther. 2012 Apr;42(4):A1-57. doi: 10.2519/jospt.2012.42.4.A1. Epub 2012 Mar 30.

Reference Type BACKGROUND
PMID: 22466247 (View on PubMed)

Manchikanti L, Singh V, Falco FJ, Benyamin RM, Hirsch JA. Epidemiology of low back pain in adults. Neuromodulation. 2014 Oct;17 Suppl 2:3-10. doi: 10.1111/ner.12018.

Reference Type BACKGROUND
PMID: 25395111 (View on PubMed)

Balague F, Mannion AF, Pellise F, Cedraschi C. Non-specific low back pain. Lancet. 2012 Feb 4;379(9814):482-91. doi: 10.1016/S0140-6736(11)60610-7. Epub 2011 Oct 6.

Reference Type BACKGROUND
PMID: 21982256 (View on PubMed)

GBD 2015 Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet. 2016 Oct 8;388(10053):1545-1602. doi: 10.1016/S0140-6736(16)31678-6.

Reference Type BACKGROUND
PMID: 27733282 (View on PubMed)

Hu H, Zheng Y, Wang X, Chen B, Dong Y, Zhang J, Liu X, Gong D. Correlations between lumbar neuromuscular function and pain, lumbar disability in patients with nonspecific low back pain: A cross-sectional study. Medicine (Baltimore). 2017 Sep;96(36):e7991. doi: 10.1097/MD.0000000000007991.

Reference Type BACKGROUND
PMID: 28885356 (View on PubMed)

Jubany J, Danneels L, Angulo-Barroso R. The influence of fatigue and chronic low back pain on muscle recruitment patterns following an unexpected external perturbation. BMC Musculoskelet Disord. 2017 Apr 19;18(1):161. doi: 10.1186/s12891-017-1523-3.

Reference Type BACKGROUND
PMID: 28420353 (View on PubMed)

Marshall PWM, Schabrun S, Knox MF. Physical activity and the mediating effect of fear, depression, anxiety, and catastrophizing on pain related disability in people with chronic low back pain. PLoS One. 2017 Jul 7;12(7):e0180788. doi: 10.1371/journal.pone.0180788. eCollection 2017.

Reference Type BACKGROUND
PMID: 28686644 (View on PubMed)

Roland M, Morris R. A study of the natural history of back pain. Part I: development of a reliable and sensitive measure of disability in low-back pain. Spine (Phila Pa 1976). 1983 Mar;8(2):141-4. doi: 10.1097/00007632-198303000-00004. No abstract available.

Reference Type BACKGROUND
PMID: 6222486 (View on PubMed)

Roland M, Morris R. A study of the natural history of low-back pain. Part II: development of guidelines for trials of treatment in primary care. Spine (Phila Pa 1976). 1983 Mar;8(2):145-50. doi: 10.1097/00007632-198303000-00005.

Reference Type BACKGROUND
PMID: 6222487 (View on PubMed)

Roland M, Fairbank J. The Roland-Morris Disability Questionnaire and the Oswestry Disability Questionnaire. Spine (Phila Pa 1976). 2000 Dec 15;25(24):3115-24. doi: 10.1097/00007632-200012150-00006. No abstract available.

Reference Type BACKGROUND
PMID: 11124727 (View on PubMed)

Fairbank JC, Pynsent PB. The Oswestry Disability Index. Spine (Phila Pa 1976). 2000 Nov 15;25(22):2940-52; discussion 2952. doi: 10.1097/00007632-200011150-00017.

Reference Type BACKGROUND
PMID: 11074683 (View on PubMed)

Ware JE Jr. SF-36 health survey update. Spine (Phila Pa 1976). 2000 Dec 15;25(24):3130-9. doi: 10.1097/00007632-200012150-00008. No abstract available.

Reference Type BACKGROUND
PMID: 11124729 (View on PubMed)

Alonso J, Prieto L, Anto JM. [The Spanish version of the SF-36 Health Survey (the SF-36 health questionnaire): an instrument for measuring clinical results]. Med Clin (Barc). 1995 May 27;104(20):771-6. Spanish.

Reference Type BACKGROUND
PMID: 7783470 (View on PubMed)

Other Identifiers

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UAL-476

Identifier Type: -

Identifier Source: org_study_id

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