The Effectiveness of Two Different Feedbacks in Core Stabilization Education for Chronic Nonspecific Low Back Pain

NCT03099941 | Completed

• 1 other identifier: IstanbulFizyoterapi
• Study Type: interventional
• Target: 38
• Locations: 0 countries
• Sites: N/A

Brief Summary

Abstract. Insufficient motor control mechanism of transversus abdominus and multifidus muscles is the most important cause of the chronic nonspecific low back pain (CNLBP). Recently, applications sre developed that generates audio and vibrant stimuli in response to anteroposterior and mediolateral rotations and can be adapted according to subject-specific movement sensitivity. Objective. The objective of this study was to compare effects of a biofeedback application that is alternative to physiotherapist feedback in core stabilization training of patients with chronic nonspecific low back pain. Design. This study was a parallel group randomized controlled trial with outcome assessment. Patients. The participants were 38 patients with chronic (≥12 weeks) nonspecific low back pain. Interventions. Patients were randomly assigned to receive either physiotherapist feedback or Perfect Practice (Level Belt Pro Inc.) biofeedback. Patients in both groups received 12 sessions, 30 minutes of three weekly graded functional core education trial. Measurements. Primary outcome measures were muscle strength (transversus abdominus and multifidus) pain intensity (Visual Analog Scale) and functional level (Revised Oswestry Disability Index); secondary outcomes were flexibility (modified Schober test), range of motion (universal goniometer), proprioception (Active Reposition Test), patient beliefs (Fear Avoidance Beliefs Questionnaire), psychological status (Beck Depression Index), and quality of life(36 Item Short-Form Health Survey questionnaire \[SF-36\]). Limitations. Outcome measures for muscle strength did not include objective assesment. Keywords. Chronic low back, core stabilization training, biofeedback, pain, function

Conditions

Low Back Pain, Mechanical, Biofeedback, Pain, Chronic

Keywords

Low Back Pain, Mechanical, Biofeedback, Pain, Chronic

Outcome Measures

Primary Outcomes (1)

• Revised Oswestry Disability Index

  Disability

  1 month

Study Arms (2)

Biofeedback group

EXPERIMENTAL

The biofeedback application which helps patient to understand neutral position and how to maintain it in exercises that are prescribed by the physical therapist

Other: Biofeedback

Physical therapist feedback group

ACTIVE COMPARATOR

In physical therapist feedback group feedback applied by oral and tactile stimulation of physical therapist to helps patient to understand neutral position and how to maintain it in exercises that are prescribed

Other: Biofeedback

Interventions

Biofeedback OTHER

The aim of this study is to investigate effects of a biofeedback application that is alternative to physical therapist feedback in core stabilization training of patients with CNLBP.

Biofeedback group; Physical therapist feedback group

Eligibility Criteria

• Age: 25 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age between 25 and 65 years
• Continuous or recurrent episodes of pain in the lower back lasting for more than 12 weeks (chronic)
• No specific cause for pain complaints
• No other pathologic complaints or immobility
• Sufficient auditory and visual communication skills and
• Sufficient knowledge of the Turkish language

You may not qualify if:

• Any chronic disorder that may prevent exercise,
• Personal history of neurologic or rheumatologic disease,
• Pregnant or lactating women,
• Patients with malignancy or a lumbar comorbidity
• Terminal or progressive disease and any other musculoskeletal condition
• Surgery in the last 6 months and
• Any type of treatment for low back pain within past 6 months

Sponsors & Collaborators

• Istanbul University: lead

MeSH Terms

Conditions

Low Back Pain; Pain; Bronchiolitis Obliterans Syndrome

Interventions

Biofeedback, Psychology

Condition Hierarchy (Ancestors)

Back Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Organizing Pneumonia; Bronchiolitis Obliterans; Bronchiolitis; Bronchitis; Bronchial Diseases; Respiratory Tract Diseases; Lung Diseases, Obstructive; Lung Diseases; Graft vs Host Disease; Immune System Diseases

Intervention Hierarchy (Ancestors)

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

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Director Investigator

Study Record Dates

• First Submitted: March 21, 2017
• First Posted: April 4, 2017
• Study Start: May 11, 2015
• Primary Completion: June 1, 2016
• Study Completion: June 1, 2016
• Last Updated: April 6, 2017

Record last verified: 2017-04

Data Sharing

• IPD Sharing: Will not share