Use of Biofeedback Training to Correct Abnormal Neuromechanical Pattern in Chronic Low Back Pain Patients

NCT02239289 | Completed Results

• 1 other identifier: FIR UQTR 2013-2014
• Study Type: interventional
• Target: 21
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of the present study is to evaluate the benefit of biofeedback training on the capacity of chronic low back pain patients to decrease their lumbar paraspinal muscles activity during trunk full flexion and its relationship with changes in clinical outcomes. To do so, twenty patients with nonspecific mechanical low back pain will be recruited and all participants will take part in four sessions of supervised biofeedback training, consisting of 5 blocks with at least 12 trunk flexion-extension tasks. It is hypothesized that participants will have improved neuromechanical parameters with the biofeedback training and that this improvement will be positively associated to changes in clinical outcomes. This study will also allow for generation of preliminary data, in order to plan for a larger randomized control trial.

Conditions

Chronic Low Back Pain; Mechanical Low Back Pain

Keywords

Low back pain; Rehabilitation; Biofeedback; Electromyography; Kinematic

Outcome Measures

Primary Outcomes (4)

• Flexion-relaxation Ratio

  Flexion-relaxation ratio is calculated by dividing muscle activity (EMG) during trunk flexion by muscle activity during full-flexed position. EMG of lumbar paraspinal muscles is recorder through surface EMG during every trials of each session.

  Week 1

• Flexion-relaxation Ratio

  Flexion-relaxation ratio is calculated by dividing muscle activity (EMG) during trunk flexion by muscle activity during full-flexed position. EMG of lumbar paraspinal muscles is recorder through surface EMG during every trials of each session.

  Week 2

• Flexion-relaxation Ratio

  Flexion-relaxation ratio is calculated by dividing muscle activity (EMG) during trunk flexion by muscle activity during full-flexed position. EMG of lumbar paraspinal muscles is recorder through surface EMG during every trials of each session.

  Week 3

• Flexion-relaxation Ratio

  Flexion-relaxation ratio is calculated by dividing muscle activity (EMG) during trunk flexion by muscle activity during full-flexed position. EMG of lumbar paraspinal muscles is recorder through surface EMG during every trials of each session.

  Week 4

Secondary Outcomes (12)

• Lumbo-pelvic Range of Motion During Trunk Flexion-extension

  Week 1

• Disability Level

  Week 4

• Pain Intensity in the Past Week

  Week 2

• Current Pain Intensity

  Week 3

• Fear of Movement Level

  Week 4

Study Arms (1)

Biofeedback

EXPERIMENTAL

Subjects will be provided with four sessions of supervised biofeedback training

Other: Biofeedback

Interventions

Biofeedback OTHER

Idem as described in the arm section (above)

Biofeedback

Eligibility Criteria

• Age: 18 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Being between 18 and 60 years of age.
• Presence of non-specific chronic low back pain.

You may not qualify if:

• Prior surgery or major spine trauma.
• Lumbar scoliosis greater than 20°.
• Neuromuscular disease.
• Malignant tumor.
• Uncontrolled hypertension.
• Infection.
• Neurological deficit.
• Symptomatic lumbar disc herniation.
• Pregnancy.
• Recent lumbar cortisone injection.
• Active lower body injury and/or disabling pain limiting the capacity to complete the experimentation.
• Being under medications known to impair physical effort and pain perception.

Sponsors & Collaborators

• Université du Québec à Trois-Rivières: lead

Study Sites (1)

Université du Québec à Trois-Rivières

Trois-Rivières, Quebec, G9A 5H7, Canada

Location

Related Publications (4)

• Giggins OM, Persson UM, Caulfield B. Biofeedback in rehabilitation. J Neuroeng Rehabil. 2013 Jun 18;10:60. doi: 10.1186/1743-0003-10-60.

  PMID: 23777436 BACKGROUND

• Frank DL, Khorshid L, Kiffer JF, Moravec CS, McKee MG. Biofeedback in medicine: who, when, why and how? Ment Health Fam Med. 2010 Jun;7(2):85-91.

  PMID: 22477926 BACKGROUND

• Hodges PW. Pain and motor control: From the laboratory to rehabilitation. J Electromyogr Kinesiol. 2011 Apr;21(2):220-8. doi: 10.1016/j.jelekin.2011.01.002.

  PMID: 21306915 BACKGROUND

• Demoulin C, Crielaard JM, Vanderthommen M. Spinal muscle evaluation in healthy individuals and low-back-pain patients: a literature review. Joint Bone Spine. 2007 Jan;74(1):9-13. doi: 10.1016/j.jbspin.2006.02.013. Epub 2006 Nov 13.

  PMID: 17174584 BACKGROUND

MeSH Terms

Conditions

Low Back Pain

Interventions

Biofeedback, Psychology

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Mind-Body Therapies; Complementary Therapies; Therapeutics; Behavior Therapy; Psychotherapy; Behavioral Disciplines and Activities; Feedback, Psychological

Results Point of Contact

• Title: Martin Descarreaux
• Organization: Université du Québec à Trois-Rivières

martin.descarreaux@uqtr.ca

1-819-376-5011

Study Officials

• Martin Descarreaux, DC, PhD

  Université du Québec à Trois-Rivières

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: September 4, 2014
• First Posted: September 12, 2014
• Study Start: March 1, 2014
• Primary Completion: September 1, 2014
• Study Completion: November 1, 2014
• Last Updated: July 23, 2015
• Results First Posted: July 23, 2015

Record last verified: 2015-07

Locations

CA (1)