Prognostic Factors of Disabling Low Back Pain in Patients With Chronic Low Back Pain

NCT02226692 | Completed

• 1 other identifier: UQTR-2011-PFAC
• Study Type: observational
• Target: 53
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of the present study is to quantify the relative contribution of variables obtained during a physical fitness evaluation and a short screening questionnaire in determining the short-term and long term risk of persistent disabling low back pain in patients with chronic low back pain. It has been hypothesized that patients with higher physical fitness will present a lower risk of persistent disabling low back pain and so, a lower score on the questionnaire.

Conditions

Chronic Low Back Pain; Mechanical Low Back Pain

Keywords

chronic low back pain; prognostic factors; disabling low back pain; lumbar muscle activity; start back screening tool; physical evaluation

Outcome Measures

Primary Outcomes (4)

• Disability level

  Oswestry disability index

  2 months

• Disability level

  Oswestry disability index

  4 months

• Disability level

  Oswestry disability index

  6 months

• Disability level

  Oswestry disability index

  12 months

Secondary Outcomes (11)

• Pain intensity in the past 2 months

  2 months

• Fear of movement level

  2 months

• Patient's global impression of change from baseline

  6 months

• Patient's global impression of change from 6 months

  12 months

• Pain intensity in the past 2 months

  4 months

Study Arms (1)

nonspecific chronic low back pain

Physical examination and follow-up assessment by questionnaires at 2, 4, 6, and 12 months

Eligibility Criteria

• Age: 18 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)
• Sampling Method: Non-Probability Sample

Study Population

volunteer with chronic nonspecific low back pain will be recruited among the university's community, its outpatients' chiropractic clinic and through advertisements in the local newspaper. They will first be screened by clinicians at the outpatients' chiropractic clinic in order to assess for the various inclusion and exclusion criteria.

You may qualify if:

• adults between 18 and 60 years old
• nonspecific low back pain : pain located between the twelfth rib and the inferior gluteal fold for which no specific source of pain could be identified
• chronic low back pain : pain present for 12 weeks or more, and included both constant and recurrent patterns of pain
• able to read and understand French

You may not qualify if:

• History of surgery or major trauma to the spine
• Current use of medication known to impair physical effort and pain perception
• Lumbar scoliosis of more than 20°
• Collagenosis, severe osteoporosis
• Neuromuscular disease
• Malignant tumor
• Non-controlled hypertension
• Infection
• Radiculopathy
• Progressive neurologic defect
• Myelopathy
• Lumbar disc hernia
• Pregnancy
• Active lower body injury and/or severe and disabling pain limiting the capacity to undergo the evaluation.

Sponsors & Collaborators

• Université du Québec à Trois-Rivières: lead
• Fonds de la Recherche en Santé du Québec: collaborator
• Institut de Recherche Robert-Sauvé en Santé et en Sécurité du Travail: collaborator

Study Sites (1)

Université du Québec à Trois-Rivières

Trois-Rivières, Quebec, G9A 5H7, Canada

Location

Related Publications (1)

• Page I, Abboud J, O Shaughnessy J, Laurencelle L, Descarreaux M. Chronic low back pain clinical outcomes present higher associations with the STarT Back Screening Tool than with physiologic measures: a 12-month cohort study. BMC Musculoskelet Disord. 2015 Aug 19;16:201. doi: 10.1186/s12891-015-0669-0.

  PMID: 26286385 DERIVED

MeSH Terms

Conditions

Low Back Pain

Condition Hierarchy (Ancestors)

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

Study Officials

• Martin Descarreaux, PhD

  Université du Québec à Trois-Rivières

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Dr Martin Descarreaux DC, PhD

Study Record Dates

• First Submitted: August 12, 2014
• First Posted: August 27, 2014
• Study Start: October 1, 2011
• Primary Completion: July 1, 2014
• Study Completion: September 1, 2014
• Last Updated: May 27, 2015

Record last verified: 2015-05

Locations

CA (1)