Effects of Segmental Stabilization on the Anticipatory Postural Adjustment of Subjects With Lumbar Pain

NCT02815358 | Completed

• 1 other identifier: 923.642
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to verify the effects of a segmental stabilization exercise program on the anticipatory postural adjustment of subjects with chronic lumbar pain. The effects will be assessed by means of superficial electromyography focused on the registry of the onset of multifidius and deltoid (anterior and posterior) activity during a repetitive shoulder flexion/extension.

Conditions

Lumbar Pain

Outcome Measures

Primary Outcomes (1)

• Anticipatory Postural Adjustment by means of Electromyography

  Assessed by means of superficial electromyography

  change from pre to post-treatment (8 weeks)

Secondary Outcomes (4)

• Disability level via the Oswestry Low Back Pain Questionnaire

  change from pre to post-treatment (8 weeks)

• Fear of pain and avoidance of physical activity via the Fear-avoidance beliefs Questionnaire

  change from pre to post-treatment (8 weeks)

• Prognosis or risk of poor clinical outcome via the STarT Back Screening Tool

  change from pre to post-treatment (8 weeks)

• Pain level via visual analogue scale

  change from pre to post-treatment (8 weeks)

Study Arms (2)

Segmental Stabilization Group

EXPERIMENTAL

Patients receiving segmental stabilization exercises.

Other: Segmental Stabilization Exercises

Control Group

ACTIVE COMPARATOR

Patients receiving home exercises.

Other: Home Exercises

Interventions

Segmental Stabilization Exercises OTHER

The stabilization program focuses on the reestablishment of motor control and coordination between deep and superficial trunk muscles. The exercise program is based on the following criteria progression: 1) Precise contraction of the transverse abdominal and multifidus muscles, keeping the lumbar spine in a neutral position (as the middle way between maximum flexion and extension, repeated three times); 2) Keep the neutral position for 10 repetitions of 10 seconds; 3) Perform exercises with lower limbs in different postures.

Segmental Stabilization Group

Home Exercises OTHER

Home exercises include passive stretching and active mobilization of the spine.

Control Group

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: female
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• women aged between 18 and 65 years old
• chronic lumbar pain (at least 3 months)
• average pain intensity of ≥3 on a 10-point scale

You may not qualify if:

• presence of red flags (i.e.,tumor, known fractures, diagnosed inflammatory joint disease, etc);
• history of back surgery
• pregnancy
• less than 3 months of therapeutic treatment (physiotherapy) for low back pain

Sponsors & Collaborators

• Federal University of Health Science of Porto Alegre: lead

Study Sites (1)

Federal University of Health Sciences of Porto Alegre

Porto Alegre, Rio Grande do Sul, Brazil

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: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD

Study Record Dates

• First Submitted: June 22, 2016
• First Posted: June 28, 2016
• Study Start: June 1, 2016
• Primary Completion: September 1, 2016
• Study Completion: November 1, 2016
• Last Updated: June 13, 2019

Record last verified: 2019-06

Locations

BR (1)