The Effect of Secondary Prevention in Patients With Recurrent Low Back Pain
NCT ID: NCT03852667
Last Updated: 2021-11-30
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
76 participants
INTERVENTIONAL
2019-09-29
2020-06-30
Brief Summary
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Detailed Description
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60 individuals with recurrent non-specific LBP were recruited through advertisement in sport facilities, social media and among friends and family.
Testing:
The testing was performed before and after a six week period by three blinded 2nd master students of physiotherapy of University of Ghent. The pre and post testing were almost identical and lasted 1 hour, only for the first testing an anamnesis was conducted to evaluate inclusion and exclusion criteria. The identical parts were tests for motor control, muscle performance and psychosocial factors.
Intervention:
The subjects were divided into 3 groups, only group B and C were given treatment. Group B had 2 sessions PNE over a period of two weeks. Group C received 2 sessions of PNE and 5 sessions of exercise therapy over a period of six weeks. Each of the sessions lasted 30 minutes and took place at the clinical practice room at the university of Ghent. Group C began the exercise therapy a week after the second session of PNE.
Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
PREVENTION
DOUBLE
Study Groups
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Control
No intervention between the two test sessions
No interventions assigned to this group
Pain Neuroscience Education
Two sessions (30 min) of Pain Neuroscience Education
Pain Neuroscience Education
The PNE intervention consisted of 2 sessions of 30 minutes. In the first session, the main goal is to explain the patient why pain is important and why people can't live without it. Besides it is explained why objective findings such as x-rays, MRI, CT scans, etc. often lack significant findings despite the pain that the patient experiences. This first session of pain education might help the patient understand that pain is necessarily a result from tissue damage. Furthermore, the session explains the right approach to conquer pain and to avoid going down in this vicious circle of low back pain. The second session of PNE, is a revision of the first session, continuing on what was unclear from the first session.
Pain neuroscience education - exercise
2 sessions of PNE and 5 sessions of exercise therapy.
Pain Neuroscience Education
The PNE intervention consisted of 2 sessions of 30 minutes. In the first session, the main goal is to explain the patient why pain is important and why people can't live without it. Besides it is explained why objective findings such as x-rays, MRI, CT scans, etc. often lack significant findings despite the pain that the patient experiences. This first session of pain education might help the patient understand that pain is necessarily a result from tissue damage. Furthermore, the session explains the right approach to conquer pain and to avoid going down in this vicious circle of low back pain. The second session of PNE, is a revision of the first session, continuing on what was unclear from the first session.
Exercise therapy
The exercise therapy varies form analytical exercises in the first sessions, to functional and sports related exercises near the following sessions. The first session focuses on the lumbar neuromuscular control of the patients: first a voluntary contraction of the Transversus Abdominis muscle, the Multifidus muscle and the pelvic floor muscles is learned. When the subject is able to maintain the combined contraction for 10 times, the exercises evolve to more complicated tasks. In the final stage, more functional and sport specific tasks will be exercised.
Interventions
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Pain Neuroscience Education
The PNE intervention consisted of 2 sessions of 30 minutes. In the first session, the main goal is to explain the patient why pain is important and why people can't live without it. Besides it is explained why objective findings such as x-rays, MRI, CT scans, etc. often lack significant findings despite the pain that the patient experiences. This first session of pain education might help the patient understand that pain is necessarily a result from tissue damage. Furthermore, the session explains the right approach to conquer pain and to avoid going down in this vicious circle of low back pain. The second session of PNE, is a revision of the first session, continuing on what was unclear from the first session.
Exercise therapy
The exercise therapy varies form analytical exercises in the first sessions, to functional and sports related exercises near the following sessions. The first session focuses on the lumbar neuromuscular control of the patients: first a voluntary contraction of the Transversus Abdominis muscle, the Multifidus muscle and the pelvic floor muscles is learned. When the subject is able to maintain the combined contraction for 10 times, the exercises evolve to more complicated tasks. In the final stage, more functional and sport specific tasks will be exercised.
Eligibility Criteria
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Inclusion Criteria
* recurrent low back pain (RLBP) \>6months
* 2 or more episodes in the past year
* Pain flare of ≥24 hours, characterized by an increase of ≥2 on an Numeric Rating Scale (NRS) scale and/or ≥5 on the Roland Morris Disability Questionnaire
* Followed by a pain-free episode of ≥1 month, characterized by a 0/10 on an NRS scale and/or \<2 on the Roland Morris Disability Questionnaire
* Non-specific RLBP (no cause for Low back pain (LBP); \>3y post discus herniation)
* 1 year or more post-natal
Exclusion Criteria
* Neurologic, respiratory, circulatory, or severe orthopedic diseases
* Pregnancy
* Specific LBP causes
* A history of cognitive exercise therapy and/or specific motor control training
* current treatment or new therapies starting \<6 weeks before baseline assessment
18 Years
65 Years
ALL
No
Sponsors
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University Ghent
OTHER
Responsible Party
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Principal Investigators
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Lieven Danneels, PhD
Role: STUDY_CHAIR
University Ghet
Locations
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Vakgroep Revalidatiewetenschappen
Ghent, Oost-Vlaanderen, Belgium
Countries
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Other Identifiers
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EC/GK2017/1508
Identifier Type: -
Identifier Source: org_study_id