Motor Control Exercises Versus a General Exercise Program in Patients With Nonspecific Chronic Low Back Pain
NCT ID: NCT05422079
Last Updated: 2023-12-15
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
81 participants
INTERVENTIONAL
2022-06-20
2023-11-15
Brief Summary
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Exercise is recommended for the treatment of chronic low back pain because of significant improvements in pain and disability over other therapies, but the evidence is low in the treatment of subacute or acute pain, as exercise appears to be equally effective over rest. Motor control is based on the contraction of the deep and stabilising muscles of the lumbar spine (multifidus and transverse abdominis), performing simple voluntary contraction exercises and increasing (without losing this contraction) their difficulty and functionality. At the beginning, the patient must be able to maintain the isometric contraction of the deep muscles while breathing normally. On the other hand, there is great difficulty in voluntarily contracting the multifidus muscles, especially for subjects with chronic non-specific low back pain, where arthrogenic inhibition hinders their contraction. The application of ultrasound as feedback may help patients to correctly contract this musculature.
Our main objective in the study will be to measure and compare pain, disability, global impression of effect, in patients with non-specific mechanical chronic low back pain after applying a motor control exercise programme with and without ultrasound feedback.
In addition, the investigators will compared this type of exercise with a conventional exercise programme.
Detailed Description
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For the ultrasound feedback, a video will be recorded where the participant will be able to see how the core muscles contract when each of the motor control exercises is performed.
The participants will be divided into three groups. The first group will perform a general exercise plan for the lower back. The second group will perform a plan of specific motor control exercises aimed at activating the lumbar multifidus and transversus abdominis muscles, and the third group will perform a plan of specific motor control exercises aimed at activating the lumbar multifidus and transversus abdominis muscles using ultrasound as a feedback method.
Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Non-specific lumbar exercise group
Subjects perform a conventional lumbar exercise program twice a week for four weeks.
Non-specific lumbar exercise group
Subjects perform a conventional lumbar exercise program twice a week.
Group motor control lumbar exercises
Subjects perform a lumbar stabilization exercise program twice a week for four weeks.
motor control lumbar exercises
Subjects perform a lumbar stabilization exercise program.
Group motor control lumbar exercises with ultrasound echography feedack
Subjects perform a lumbar stabilization exercise program in conjunction with a video where participants can see how the muscles contract.
motor control lumbar exercises with ultrasound echography feedack
Subjects perform a lumbar stabilization exercise program in conjunction with a video where participants can see how the muscles contract.
Interventions
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Non-specific lumbar exercise group
Subjects perform a conventional lumbar exercise program twice a week.
motor control lumbar exercises
Subjects perform a lumbar stabilization exercise program.
motor control lumbar exercises with ultrasound echography feedack
Subjects perform a lumbar stabilization exercise program in conjunction with a video where participants can see how the muscles contract.
Eligibility Criteria
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Inclusion Criteria
* Subjects who are not receiving other types of treatment or participating in parallel research.
Exclusion Criteria
* Tumour and/or bone diseases of the dorsolumbar spine.
* Diagnosis of lumbar radiculopathy.
* Women in the process of pregnancy or breastfeeding.
* Consumption of tobacco, alcohol or other substances.
* BMI \> 30.
18 Years
70 Years
ALL
No
Sponsors
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University of Alcala
OTHER
Responsible Party
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Prof. Dr. Daniel Pecos Martín
Physiotherapy and Pain Group member
Principal Investigators
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Daniel Pecos-Martin, PhD
Role: STUDY_CHAIR
Alcala University
Locations
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Centro Investigación Fisioterapia y Dolor
Alcalá de Henares, Madrid, Spain
Physioterapy and Pain center research
Alcalá de Henares, Madrid, Spain
Countries
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Other Identifiers
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CEIM/HU/2019/40
Identifier Type: -
Identifier Source: org_study_id