Multiplanar Lumbopelvic Control in Patients With Low Back Pain

NCT02089321 | Completed

• 1 other identifier: NelsonWong_LBP2013
• Study Type: observational
• Target: 38
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study was to investigate whether combined assessment of lumbopelvic control during sagittal and frontal plane motion (using two common clinical observational assessments) discriminates between people with and without LBP than single plane assessment alone. It was hypothesized that the two tests used in combination (multiplanar) would perform better than each test used independently (single planar) in accurately discriminating patient cases from healthy controls.

Conditions

Low Back Pain

Keywords

low back pain; lumbopelvic assessment; active straight leg raise; active hip abduction

Outcome Measures

Primary Outcomes (2)

• Performance on Active Hip Abduction Test

  Examiner scores movement pattern (ability to retain lumbopelvic neutral) during performance of active hip abduction in sidelying using an ordinal scale (0-3) with 0-1 considered a negative test and 2-3 considered a positive test.

  Assessed on data collection day

• Performance on Active Straight Leg Raise Test

  Participant self-rates degree of difficulty (0-5) to perform active straight leg raise in supine with any non-zero score considered a positive test result.

  Assessed on data collection day

Study Arms (2)

Patients with Low Back Pain

n= 19 Inclusion Criteria: Between the ages of 18 and 70 years Currently seeking, but not yet initiated, treatment from a health care professional (PT, MD, DO, DC) for a chief complaint of pain between the level of the twelfth thoracic vertebrae and the coccyx Able to transition between standing, sitting, supine, prone and sidelying independently Exclusion Criteria: Signs of neurological impairment including diminished myotatic reflex, sensory impairment or strength deficits in a myotomal pattern No previous spine or hip surgery Serious spinal or systemic pathology Pregnancy within previous 12 months Inability to understand and follow verbal instructions in English

Healthy Controls

n= 19 Inclusion Criteria: Between the ages of 18 and 70 years No LBP episodes requiring clinical care by a health professional and/or greater than 3 days absence from work/school/recreation within the previous 5 years Able to transition between standing, sitting, supine, prone and sidelying independently Exclusion Criteria: No previous spine or hip surgery Serious spinal or systemic pathology Pregnancy within previous 12 months Inability to understand and follow verbal instructions in English

Eligibility Criteria

• Age: 18 Years - 70 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Participants with low back pain were recruited from the physical therapy clinic located at Regis University as well as clinical practices from the surrounding area. Control subjects were a community sample.

You may qualify if:

• Patients with LBP
• Age 18-70 years old
• Ability to understand and follow written and verbal instruction in English
• Seeking treatment from a physical therapist for LBP (pain below T12-L1 vertebral segment), prior to initial evaluation (no treatment provided)
• Matched Controls: Control subjects will be matched for age, gender, and BMI category to patients with LBP.
• Ability to understand and follow written and verbal instruction in English
• No history of LBP during the past 5 years requiring:
• \> 3 day absence from work/school/recreation
• Clinical Care (MD, DC, DPT, MT) for LBP

You may not qualify if:

• Patients with LBP
• Pregnancy within past 12 months
• Previous spine or hip surgery
• Serious spinal or systemic pathology
• Inability to transfer from standing to supine to sidelying to prone
• Inability to stand \> 20 minutes
• Matched Controls
• Pregnancy within the past 12 months
• Previous spine or hip surgery
• Inability to transfer from standing to supine to side-lying to prone
• Inability to stand \> 20 minutes

Sponsors & Collaborators

• Regis University: lead

Study Sites (1)

Regis University

Denver, Colorado, 80221, United States

Location

MeSH Terms

Conditions

Low Back Pain

Condition Hierarchy (Ancestors)

Back Pain; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Study Record Dates

• First Submitted: March 13, 2014
• First Posted: March 17, 2014
• Study Start: November 1, 2011
• Primary Completion: August 1, 2012
• Study Completion: August 1, 2012
• Last Updated: March 17, 2014

Record last verified: 2014-03

Locations

US (1)