Does the Therapist's Assessment of Movement Control in Low Back Pain Patients Correspond to an Objective Kinematic Modification

NCT05511012 | Unknown

• 1 other identifier: 29BRC22.0128
• Study Type: interventional
• Target: 50
• Locations: 1 country
• Sites: 1

Brief Summary

• Exercise-based treatment is part of the recommendations for good practice in the treatment of low back pain (acute, sub-acute and chronic).
• The low back pain population is heterogeneous. This heterogeneity would cause the positive effects of a treatment to be canceled out by the negative effects of another part of the population.
• This polymorphism has led several authors to classify low back pain into subgroups. These subgroups constitute more homogeneous clinical pictures and would facilitate the adaptation of treatments.
• The recommendations of the American Physical Therapy Association suggest 5 subgroups of low back pain. One of them is "low back pain with movement coordination defect". In this subgroup, Luomajoki studied the reliability of different functional tests used in clinical practice. 6 out of 10 motion control fault tests show good reliability.
• The quantified analysis of the movement of low back pain patients would make it possible to determine the sensitivity of detecting an anomaly in the 6 lumbar movement control tests.

Conditions

Chronic Low-back Pain

Keywords

Low back pain; Movement control; Kinematic analysis; Clinical assessment

Outcome Measures

Primary Outcomes (6)

• Range of compensation motion : "waiters bow" test

  Lumbar flexion measured for test number 1 "waiters bow". Patients are filmed during the test. Videos are watched by three physiotherapists. They going to establish a diagnostic normal or abnormal

  Day 0

• Range of compensation motion : "pelvic tilt" test

  thoracic flexion measured for test number 2 "pelvic tilt". Patients are filmed during the test. Videos are watched by three physiotherapists. They going to establish a diagnostic normal or abnormal.

  Day 0

• Range of compensation motion : "One leg stance" test

  Pelvic shift measured for test number 3 "One leg stance ". Patients are filmed during the test. Videos are watched by three physiotherapists. They going to establish a diagnostic normal or abnormal.

  Day 0

• Range of compensation motion : "sitting knee extension" test

  Lumbar flexion measured for test number 4 "sitting knee extension". Patients are filmed during the test. Videos are watched by three physiotherapists. They going to establish a diagnostic normal or abnormal.

  Day 0

• Range of compensation motion : "rocking 4 point kneeling" test

  Lumbar flexion and extension measured for test number 5 "rocking 4 point kneeling ". Patients are filmed during the test. Videos are watched by three physiotherapists. They going to establish a diagnostic normal or abnormal.

  Day 0

• Range of compensation motion : "prone knee bend" test

  Lumbar extension measured for test number 6 "prone knee bend". Patients are filmed during the test. Videos are watched by three physiotherapists. They going to establish a diagnostic normal or abnormal

  Day 0

Secondary Outcomes (6)

• Speed of execution for test 1

  Day 0

• Speed of execution for test 2

  Day 0

• Speed of execution for test 3

  Day 0

• Speed of execution for test 4

  Day 0

• Speed of execution for test 5

  Day 0

Study Arms (1)

motion control fault testing

OTHER

Each patient make six motion control fault tests in the same order : 1. "waiters bow" 2. "pelvic tilt" 3. "one leg stance" 4. "sitting knee extension" 5. "rocking 4 point kneeling" 6. "prone knee bend" This tests are performed three times.

Other: motion control fault tests

Interventions

motion control fault tests OTHER

Patients make 6 motion control fault tests, in the same order. Each test is performed three times

motion control fault testing

Eligibility Criteria

• Age: 18 Years - 99 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Aged more than 18 years
• Common low back pain with medical prescription for rehabilitation
• Signed consent
• Be affiliated to a social security scheme
• Be able to perform the lumbar motion control failure tests

You may not qualify if:

• Body Mass Index greater than 30 (obesity)
• Person who does not understand French
• Pregnant woman
• Refusal to participate
• Volunteer under guardianship or curatorship

Sponsors & Collaborators

• University Hospital, Brest: lead

Study Sites (1)

CHU de Brest

Brest, Finistère, 29609, France

RECRUITING

MeSH Terms

Conditions

Low Back Pain

Condition Hierarchy (Ancestors)

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

Central Study Contacts

Vincent CREAC'H

CONTACT

+33(0)298017935; vincent.creach@univ-brest.fr

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: DIAGNOSTIC
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: It is a prospective, monocentric, exploratory study

Study Record Dates

• First Submitted: August 19, 2022
• First Posted: August 22, 2022
• Study Start: December 15, 2022
• Primary Completion: December 15, 2024
• Study Completion: December 15, 2024
• Last Updated: July 13, 2023

Record last verified: 2023-07

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL
• Time Frame: Data will be available after the publication of result and ending fifteen years following the last visit of the last patient
• Access Criteria: Data access requests will be reviewed by the internal committee of Brest University Hospital. Requestors will be required to sign and complete a data access agreement.

Locations

FR (1)