Low Back Pain: Unveiling the Contribution of Motor Control Adaption Using Biomechanical Modeling and Neuroimaging
1 other identifier
interventional
80
1 country
1
Brief Summary
This project aims to reveal the potential sensorimotor reorganization of sensory input in low back pain patients and its association with different motor control strategies in LBP.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable low-back-pain
Started Apr 2019
Longer than P75 for not_applicable low-back-pain
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
August 14, 2017
CompletedFirst Posted
Study publicly available on registry
August 21, 2017
CompletedStudy Start
First participant enrolled
April 1, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 17, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
January 17, 2023
CompletedJanuary 18, 2023
January 1, 2023
3.8 years
August 14, 2017
January 17, 2023
Conditions
Outcome Measures
Primary Outcomes (6)
Blood oxygenation level dependent (BOLD) responses
supraspinal BOLD responses induced by mechanical and vibrotactile stimulations of the back recorded by means of functional magnetic resonance imaging (fMRI)
MR assessment, 30 minutes
Spine kinematics
Sagittal and frontal plane lumbar and thoracic spinal curvature angles
Spinal kinematics assessment, 120 minutes
Spine biomechanics: muscle forces
segmental muscle forces (N/mm) during dynamic tasks
Spinal kinematics assessment, 120 minutes
Spine biomechanics: segmental loading
segmental loading (N) during dynamic tasks
Spinal kinematics assessment, 120 minutes
Proprioceptive repositioning errors
Sagittal plane repositioning errors assessed through lumbar and thoracic spinal curvature angles
Proprioceptive assessment, 10 minutes
Center of pressure displacements
Center of pressure displacements during vibrotactile stimulation while standing on a force plate
Postural stability assessment, 20 minutes
Secondary Outcomes (8)
Segmental movement
MR assessment, 20 minutes
Fear of movement
Medical assessment, 5 minutes
Fear Avoidance Beliefs
Medical assessment, 5 minutes
Level of disability
Medical assessment, 3 minutes
Pain characteristics
Medical assessment, 1 minutes
- +3 more secondary outcomes
Study Arms (2)
Healthy subjects
EXPERIMENTALSpine kinematics assessment during daily activities and brain responses to thoracolumbar mechanical and vibrotactile stimulation
Low back pain patients
EXPERIMENTALSpine kinematics assessment during daily activities and brain responses to thoracolumbar mechanical and vibrotactile stimulation
Interventions
mechanical non-painful low- and high pressure stimuli to thoracolumbar segments of healthy subjects and low back pain patients
non-painful vibrotactile stimulation within a frequency range between 20-150Hz to thoracolumbar segments of healthy subjects and low back pain patients
Eligibility Criteria
You may qualify if:
- Aged between 18 and 60
- Written informed consent after being informed
- Aged between 18 and 60
- Low back pain for more than 1 week
You may not qualify if:
- Consumption of alcohol, drugs, analgesics within the last 24 h
- Pregnancy
- acute and/or low recurrent back pain within the last 3 months
- Prior spine surgery
- Other chronic pain condition
- history of psychiatric or neurological disorders
- MR-contraindications
- Body mass index (BMI) \> 30 kg/m2
- Consumption of alcohol, drugs, analgesics within the last 24 h
- Pregnancy
- Specific causes for the back pain (ruled out by the clinician)
- Prior spine surgery
- History of psychiatric or neurological disorders
- MR-contraindications
- Body mass index (BMI) \> 30 kg/m2
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Balgrist University Hospitallead
- Psychiatric University Hospital, Zurichcollaborator
- Bern University of Applied Sciencescollaborator
Study Sites (1)
Balgrist University Hospital
Zurich, 8008, Switzerland
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Michael Meier, PhD
Balgrist University Hospital
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- BASIC SCIENCE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
August 14, 2017
First Posted
August 21, 2017
Study Start
April 1, 2019
Primary Completion
January 17, 2023
Study Completion
January 17, 2023
Last Updated
January 18, 2023
Record last verified: 2023-01