Responsiveness of the Bridge Tests in Non-specific Low Back Pain

NCT ID: NCT03879031

Last Updated: 2019-12-19

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

Total Enrollment

139 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-03-20

Study Completion Date

2019-11-30

Brief Summary

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This observational study aims to investigate the internal responsiveness and external responsiveness of the Bridge Tests (supine bridge test, prone bridge test, and side bridge test) in relation to pain and disability, in subjects with subacute and chronic non-specific low back pain submitted to a physical therapy program.

Detailed Description

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Time 0 (first session of the physical therapy treatment program)

The physical therapist will explain to each patient the purpose of the study and request informed consent and data processing consent. In the informed consent form will be specified that the study will concern some diagnostic tests and the study protocol will not influence the physical therapy treatment strategy in any way. Only those who give their consent will be included in the study and will fill in a booklet containing:

* socio-demographical, anthropometric and pain data;
* the Italian version of the Oswestry Disability Index (ODI-I);
* the Italian version of the 0-100 Numerical Rating Scale (NRS). Once completed, the questionnaires will be placed in a sealed envelope and delivered to the examiner.

The physical therapist will perform the following tests, without being aware of the results collected during the initial clinical evaluation and will record the tests results on a pre-printed sheet, which will then be inserted in the same envelope as well.

The tests performed are (in order of execution):

* Aberrant Movements (AM) Test,
* Active Straight Leg Raise (ASLR) Test,
* Supine Bridge Test (SuBT),
* Right Side Bridge Test (RBT),
* Left Side Bridge Test (LBT),
* Prone Bridge Test (PrBT),
* Passive Lumbar Extension (PLE) Test,
* Prone Instability Test (PIT).

The envelope containing the patient's data and the results of the tests will be sent to an independent subject, who will take care of the data collection and their insertion into the electronic database, assigning to each patient a numerical code as the only identification element.

The patients will be submitted to a physical therapy treatment for eight 30-minutes sessions, once a week.

Time 1 (at the end of the last session of the physical therapy treatment)

Those who have completed the physical therapy treatment will receive a final booklet containing the Italian version of the Oswestry Disability Index (ODI-I), the Numerical Rating Scale (NRS) and the Global Perceived Effect (GPE) Questionnaire. Once completed, these questionnaires will be placed in a sealed envelope and delivered to the examiner.

Without being aware of the outcome of the questionnaires contained in the final booklet, the same tests will be repeated:

* Aberrant Movements (AM) Test,
* Active Straight Leg Raise (ASLR) Test,
* Supine Bridge Test (SuBT),
* Right Side Bridge Test (RBT),
* Left Side Bridge Test (LBT),
* Prone Bridge Test (PrBT),
* Passive Lumbar Extension (PLE) Test,
* Prone Instability Test (PIT).

Test results will be recorded on a pre-printed sheet, which will then be inserted in the same envelope and send to the independent subject who is responsible for data collection.

Conditions

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Low Back Pain

Keywords

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lumbar physical endurance pain disability assessment

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Outpatients with low back pain

All outpatients with non-specific subacute or chronic low back pain will be submitted to a physical therapy program including:

* information on pain mechanisms and the favorable nature of non-specific low back pain;
* advice on positions, movements and activities recommended or advised against in people with low back pain, both at work and during leisure time;
* active postural correction exercises, overactive muscles lengthening and weak musculature strengthening;
* passive manual techniques, aimed at muscle relaxation and recovery of lumbar joint mobility.

A cluster of Clinical tests to measure lumbar stability will be administrated before the starting of the first session and at the ending of the last session of the physical therapy program.

Cluster of Clinical tests to measure lumbar stability

Intervention Type DIAGNOSTIC_TEST

All subjects will be submitted to a cluster of clinical test before the starting of the first session, and at the ending of the last session of the physical therapy program. This cluster will include:

* Aberrant Movements (AM) Test,
* Active Straight Leg Raise Test (ASLR) Test,
* Supine Bridge Test (SuBT),
* Right Side Bridge Test (RBT),
* Left Side Bridge Test (LBT),
* Prone Bridge Test (PrBT),
* Passive Lumbar Extension (PLE) Test,
* Prone Instability Test (PIT).

Interventions

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Cluster of Clinical tests to measure lumbar stability

All subjects will be submitted to a cluster of clinical test before the starting of the first session, and at the ending of the last session of the physical therapy program. This cluster will include:

* Aberrant Movements (AM) Test,
* Active Straight Leg Raise Test (ASLR) Test,
* Supine Bridge Test (SuBT),
* Right Side Bridge Test (RBT),
* Left Side Bridge Test (LBT),
* Prone Bridge Test (PrBT),
* Passive Lumbar Extension (PLE) Test,
* Prone Instability Test (PIT).

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* Non-specific subacute or chronic low back pain (low back pain from 1 month or more, not related to specific pathologies);
* Low back pain, with or without irradiation to the lower limb, noted as ≥2 on a scale of 0-10;
* Good comprehension of written and spoken Italian Language;
* Informed consent.

Exclusion Criteria

* Acute low back pain;
* Specific causes of low back pain (truma, herniated disc, vertebral deformity, fractures, dislocations);
* Central or peripheral neurologic signs;
* Systemic pathologies;
* Rheumatic disorders;
* Neuromuscular pathologies;
* Tumors;
* Cognitive deficits;
* Surgical interventions in the last six months prior to the study;
* Osteoporosis.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Bologna

OTHER

Sponsor Role lead

Responsible Party

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Paolo Pillastrini

Full professor - Director of the Masters in Musculoskeletal Physiotherapy - University of Bologna

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Paolo Pillastrini, PT

Role: PRINCIPAL_INVESTIGATOR

University of Bologna

Locations

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Policlinico S.Orsola-Malpighi

Bologna, Emilia-Romagna, Italy

Site Status

Countries

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Italy

References

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Other Identifiers

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1/Bridge

Identifier Type: -

Identifier Source: org_study_id