Influence of Kinesiophobia on the Outcome of Chronic Low Back Pain Condition

NCT ID: NCT05079893

Last Updated: 2021-10-15

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

UNKNOWN

Total Enrollment

600 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-10-15

Study Completion Date

2022-01-31

Brief Summary

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Though large body of evidence reported association between pain and kinesiophobia, there are paucity of studies in associating kinesiophobia to muscle endurance and position sense in patients with Chronic lower back pain \[CLBP\]. To the best of Investigator's knowledge, till date there is no studies assessing the relationship between kinesiophobia and endurance and position sense in subjects with CLBP. Therefore, the current study aims to compare the impact of kinesiophobia on lumbar extensor endurance, position sense in patient with CLBP and asymptomatic individuals.

Detailed Description

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Background:

Patients with chronic low back pain (CLBP) frequently present with kinesiophobia. Recent high quality studies reported a moderate to strong evidence of associations between a greater degree of kinesiophobia and greater levels of pain, greater levels of disability and poorer quality of life. However, there are paucity of studies in associating kinesiophobia to muscle endurance and position sense in patients with CLBP.

Objective:

The primary aim of the study is to compare the impact of kinesiophobia on lumbar extensor endurance, position sense in patient with CLBP and asymptomatic individuals. Secondarily, to examine the association between kinesiophobia and lumbar extensor endurance, position sense, pain intensity and functional ability in patients with CLBP. Thirdly to assess the degree of association with various factors on CLBP, lumbar endurance and position sense.

Material and Methods:

This case-control study will have 200 patients with CLBP and 400 controls. Kinesiophobia will be assessed with Tampa Scale for Kinesiophobia. Lumbar endurance will be assessed with Soren's lumbar extensor test and lumbar position sense with neutral and target lumbar re-positioning tests. Secondarily, the pain intensity will be assessed with visual analog scale, functional ability with patient-specific Functional Scale in patients with CLBP. Kinesiophobia, lumbar endurance, and joint position sense will be compared between patients and controls. Kinesiophobia scores will be correlated with lumbar extensor endurance and proprioception joint position errors, pain intensity, and functional ability. Simple and multiple binary logistic regression will be used to determine crude and adjusted Odd's Ratio for kinesiophobia, lumbar position sense and kinesiophobia, lumbar endurance.

Conditions

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Low Back Pain

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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Cases

The cases will be the patients suffering from low back pain for at least three months and referred by an orthopedic doctor or general physician.

Case control study

Intervention Type OTHER

Observational case control study

Controls

The controls will be the patients matched for age, sex, handedness who had no complaints of lower back pain

Case control study

Intervention Type OTHER

Observational case control study

Interventions

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Case control study

Observational case control study

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Adults aged between 18 and 50 years.
* Suffering from low back pain for at least three months and referred by an orthopedic doctor or general physician.
* Enough physical autonomy to participate in the physical activities required by the study.

Exclusion Criteria

* Low back pain patients with radiculopathy, post fractures, stenosis and history of tumors, cauda equina syndrome and infection.

* H/o previous lower back injury.
* H/o lower limb or trunk pathology.
* Presence of deformity, or condition that may alter motor control.
* History of inflammatory, infectious disease and malignancy in the spine
* Patient under anti depressive medication
Minimum Eligible Age

18 Years

Maximum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Gulf Medical University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Dr. Praveen Kumar Kandakurthi, PhD

Role: STUDY_CHAIR

College of Health Sciences, Gulf Medical University

Dr. Watson Arulsingh Daniel Ragland, PhD

Role: PRINCIPAL_INVESTIGATOR

College of Health Sciences, Gulf Medical University

Sharad Patil, MPT

Role: PRINCIPAL_INVESTIGATOR

Thumbay Physical Therapy and Rehabilitation Hospital

Central Contacts

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Dr. Praveen Kumar Kandakurthi, PhD

Role: CONTACT

+971 6 7431333 ext. 1386

References

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Kandakurti PK, de Sa Ferreira A, Calazans Nogueira LA, Arulsingh Daniel Ragland W, Patil SS. Influence of kinesiophobia on lumbar position sense in patients with chronic low back pain-a case-control study. J Back Musculoskelet Rehabil. 2025 Sep;38(5):1158-1164. doi: 10.1177/10538127251326152. Epub 2025 Mar 20.

Reference Type DERIVED
PMID: 40111910 (View on PubMed)

Kandakurti PK, Arulsingh W, S Patil S. Influence of kinesiophobia on pain intensity, disability, muscle endurance, and position sense in patients with chronic low back pain-a case-control study. Trials. 2022 Jun 6;23(1):469. doi: 10.1186/s13063-022-06406-6.

Reference Type DERIVED
PMID: 35668498 (View on PubMed)

Related Links

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Other Identifiers

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IRB/COHS/FAC/03/May-2021

Identifier Type: -

Identifier Source: org_study_id