The Effects Of Equal Breathing On Pain Pressure Thresholds

NCT03353142 | Unknown

• 1 other identifier: MGD-004-20171016
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Recent research has found that there is moderate evidence for the use of breathing exercises for treating chronic, non-specific low back pain. Researchers have found that there were significant improvements in pain and quality of life in those suffering with low back pain who completed a breathing program intervention. Researchers also found that healthy individuals had higher pain thresholds and tolerance following deep and slow breathing exercises. There are numerous formats of breathing interventions, some interventions that have been used with individuals with chronic, non-specific low back pain include: deep breathing, yoga breathing, resisted inspiration, and breathe holding. There is moderate evidence to suggest the use of these interventions for managing chronic low back pain Another common breathing format is Equal-Ratio Breathing. This format requires an individual to inhale and exhale with the same duration while gradually increasing the duration of both. This breathing format can be easier for patients to perform given the simplicity of the equal inhalation to exhalation ratio. This research is being done because Equal-Ratio Breathing has yet to be studied in individuals with chronic low back pain.

Conditions

Chronic Low Back Pain

Outcome Measures

Primary Outcomes (1)

• Difference in pain pressure threshold

  Measured using the pressure algometer device

  Pre-visit and Post-visit - same day

Secondary Outcomes (2)

• Difference in heart rate

  Pre-visit and Post-visit - same day

• Difference in blood pressure values

  Pre-visit and Post-visit - same day

Study Arms (1)

Equal Breathing

EXPERIMENTAL

Other: Equal Breathing

Interventions

Equal Breathing OTHER

* Blood pressure recorded at baseline, immediately pre- and post-trial * Maximum Tolerable Breathing Ratio: Test run to determine the maximum tolerable time for inhalation and exhalation. * PRESSURE TOLERANCE: Pressure algometer device used to determine pain pressure tolerance. It will be applied to the first dorsal interosseous and deltoid, and pain pressure tolerance will be measured and recorded. Pressure will be applied at 1kg per second until the patient indicates that the pressure has become painful. Pain pressure tolerance will be performed 3 times at each anatomical location and an average will be determined for each location. * TRIAL: Participants will begin 5 minutes of Equal Breathing at their maximum tolerable equal breathing ratio that was previously determined. Immediately after 5 minutes of breathing, the pain pressure tolerance will be measured using pressure algometry

Equal Breathing

Eligibility Criteria

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

You may qualify if:

• Aged ≥ 18
• Chronic low back pain
• OHIP patient

You may not qualify if:

• Peripheral pain
• Peripheral neuropathy
• Chronic regional pain syndrome
• Alpha and Beta blocker medication use
• Patient does not wish to participate
• Completed or participated in a psychoeducational program at the clinic

Sponsors & Collaborators

• Hamilton Health Sciences Corporation: lead

Study Sites (1)

Michael G. DeGroote Pain Clinic, Hamilton Health Sciences

Hamilton, Ontario, L8N3Z5, Canada

RECRUITING

Central Study Contacts

Gurpreet Palak

CONTACT

905-521-2100; gurpreet.palak@medportal.ca

Lisa Patterson, BA

CONTACT

905-521-2100; pattersl@hhsc.ca

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: Physician - Fellow

Model Details: Consecutive participants meeting eligibility criteria will be enrolled

Study Record Dates

• First Submitted: November 6, 2017
• First Posted: November 27, 2017
• Study Start: February 1, 2018
• Primary Completion: February 1, 2019
• Study Completion: February 1, 2019
• Last Updated: June 14, 2018

Record last verified: 2018-06

Data Sharing

• IPD Sharing: Will not share

Locations

CA (1)