Comparison of the Strength of Maximum Glute and Medium Glutenum Muscles Of Latin and Active Lombar Guidelines

NCT03118063 | Completed

• 1 other identifier: 62769916.6.0000.5479
• Study Type: interventional
• Target: 600
• Locations: 1 country
• Sites: 1

Brief Summary

Contextualization: Trigger points are muscle nodules found in muscles. We can observe five different types of trigger point, in clinical practice two of them stand out, the active trigger point; Which is painful; And latent; Asymptomatic; Both of which are sensitive to palpation. Once the individual present these muscle nodules can develop pain and motor dysfunction. Studies indicate that the prevalence of trigger points is 95% of individuals with chronic musculoskeletal pain, but this prevalence is not yet clear in individuals with low back pain. Objective: To compare the pain and function levels of patients with acute and chronic low back pain who, when asymptomatic, had trigger points compared to the pain and function levels of patients with acute and chronic low back pain who, when asymptomatic, had no trigger points. Study design: Cohort study, two arms, blind evaluator, prospectively enrolled at baseline. Location: This research will be conducted in the physiotherapy department at the Rehabilitation Center of the Brotherhood of Santa Casa de Misericórdia de São Paulo (ISCMSP). Patients: 400 asymptomatic individuals Follow-up: Asymptomatic individuals will be assessed at baseline and over 3 years. You will be asked to contact the research department within 6 weeks of low back pain (acute) and after 12 weeks of low back pain (chronic). Participants will be allocated to two groups, trigger point group (n = 200) and group without trigger point (n = 200). Outcomes: The pain intensity, function level and trigger point pain intensity outcomes will be evaluated at the baseline, within 6 weeks for the patient to present pain in the lumbar (acute) and after 12 weeks the pain persists (chronic)

Conditions

Spinal Injuries; Low Back Pain

Outcome Measures

Primary Outcomes (2)

• Function

  Evaluation of Function evaluation by the roland morris questionnaire

  24 hours

• Pain scale

  Evaluation of pain by algometry

  24 hours

Study Arms (3)

Active trigger point

EXPERIMENTAL

Evaluation of the dynamometry of the maximum and medium gluteus muscles and correlate with the presence or not of trigger point

Diagnostic Test: Evaluation of pain by algometry

Latent trigger point

ACTIVE COMPARATOR

Assessment of the level of pain and function of asymptomatic individuals, compared with the time that they evolve with acute and chronic low back pain

Diagnostic Test: Evaluation of pain by algometry

No trigger point

ACTIVE COMPARATOR

Assessment of the level of pain and function of asymptomatic individuals, compared with the time that they evolve with acute and chronic low back pain

Diagnostic Test: Evaluation of pain by algometry

Interventions

Evaluation of pain by algometry DIAGNOSTIC_TEST

Assessment of the level of pain and function of asymptomatic individuals, compared with the time that they evolve with acute and chronic low back pain

Active trigger point; Latent trigger point; No trigger point

Eligibility Criteria

• Age: 18 Years - 40 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Men and women;
• Age between 18 - 40 years;
• Asymptomatic;
• There is no treatment for lumbar spine, hip or knee.

You may not qualify if:

• Anterior lumbar spine surgeries;
• Severe spinal diseases (fracture, tumor, ankylosing spondylitis);
• Root conditions (herniated disc, spondylolisthesis);
• Congenital malformation;
• Pregnant women.

Sponsors & Collaborators

• Faculdade de Ciências Médicas da Santa Casa de São Paulo: lead

Study Sites (1)

Claudio Cazarini Júnior

São Paulo, São Paulo, 03156001, Brazil

Location

MeSH Terms

Conditions

Spinal Injuries; Low Back Pain

Condition Hierarchy (Ancestors)

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

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Purpose: DIAGNOSTIC
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Physical therapist

Study Record Dates

• First Submitted: April 10, 2017
• First Posted: April 18, 2017
• Study Start: February 10, 2017
• Primary Completion: January 2, 2018
• Study Completion: April 10, 2022
• Last Updated: May 2, 2022

Record last verified: 2021-02

Locations

BR (1)