Graded Activity Versus Supervised Exercises in Patients With Chronic Non-specific Low Back Pain
EFFECT OF COGNITIVE-BEHAVIORAL THERAPY AND EXERCISE VERSUS SUPERVISED EXERCISE PROGRAM IN PATIENTS WITH CHRONIC PAIN LUMBAR NO SPECIFIC: RANDOMIZED CONTROLLED TRIAL
1 other identifier
interventional
66
1 country
1
Brief Summary
The purpose of this study is to compare the efficacy of graded activity program and supervised exercise on pain, functional disability, quality of life, global perceived effect, return to work, physical activity, physical capacity and strength of the lower limbs in patients with chronic non-specific low back pain
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable low-back-pain
Started Feb 2013
Longer than P75 for not_applicable low-back-pain
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
October 26, 2012
CompletedFirst Posted
Study publicly available on registry
November 1, 2012
CompletedStudy Start
First participant enrolled
February 1, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2015
CompletedJune 16, 2014
June 1, 2014
11 months
October 26, 2012
June 13, 2014
Conditions
Outcome Measures
Primary Outcomes (2)
Pain
Pain Numerical Rating Scale (NRS) and McGill Pain Questionnaire
6 weeks
Functional Disability
Roland Morris Disability Questionnaire
6 weeks
Secondary Outcomes (6)
Quality of life
6 weeks
Global Perceived Effect
6 weeks
Return to work
6 weeks
Habitual physical activity
6 weeks
Physical Capacity
6 weeks
- +1 more secondary outcomes
Study Arms (2)
Graded Activity
ACTIVE COMPARATORExercise treadmill, Strengthening of the lower limbs and trunk
Supervised exercises
ACTIVE COMPARATORStretching, Strengthening, Motor Control
Interventions
The graded activity program to increase activity tolerance by performing individualized and submaximal exercises.
The group will perform stretching exercises (gluteus maximus, hamstrings, triceps surae, lumbar paraspinal), strengthening muscles (rectus abdominus, obliques and lower rectus abdominis internal and external) and motor control exercises (muscle transversus abdominis and lumbar multifidus.
Eligibility Criteria
You may qualify if:
- Patients with non-specific chronic low back pain for at least three months, age between 18 and 65 year of both genders and with a minimum pain intensity score of three in the 11-point Pain Numerical Rating Scale (ranging from 0 to 10 points).
You may not qualify if:
- Known or suspected serious spinal pathology (fractures, tumors, inflammatory or infective diseases of the spine);
- Nerve root compromise;
- Comorbid health conditions that would prevent active participation in the exercise programs;
- Pregnancy;
- Cardio Respiratory illnesses;
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Medicine School of the University Of São Paulo
São Paulo, São Paulo, 01246903, Brazil
Related Publications (1)
Magalhaes MO, Franca FJ, Burke TN, Ramos LA, de Moura Campos Carvalho e Silva AP, Almeida GP, Yuan SL, Marques AP. Efficacy of graded activity versus supervised exercises in patients with chronic non-specific low back pain: protocol of a randomised controlled trial. BMC Musculoskelet Disord. 2013 Jan 21;14:36. doi: 10.1186/1471-2474-14-36.
PMID: 23336703DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Amelia P Marques, PHD
University of Sao Paulo
- PRINCIPAL INVESTIGATOR
Mauricio O Magalhaes, MSc
University of Sao Paulo
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Mauricio Oliveira Magalhães
Study Record Dates
First Submitted
October 26, 2012
First Posted
November 1, 2012
Study Start
February 1, 2013
Primary Completion
January 1, 2014
Study Completion
December 1, 2015
Last Updated
June 16, 2014
Record last verified: 2014-06