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NCT Number: NCT05511012

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

* 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.

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Key information

Age range

18 year–99 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

CHU de Brest

Brest, Finistère, 29609, France

Location status: Recruiting

Location contact

Fanny GARGADENNEC

SUB_INVESTIGATOR

Marine BOURHIS

SUB_INVESTIGATOR

Thimothée HOUGRON

SUB_INVESTIGATOR

Vincent CREAC'H

CONTACT

[email protected]

+33(0)298017935

About this study

  • 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 control impairment". 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.

LoBaCoM is a monocentric, exploratory prospective study.

The purpose is to define a kinematic (angular) threshold corresponding to an anomaly detected clinically by three therapists for each test.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • 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

Exclusion criteria

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

Treatment and study plan

motion control fault tests

Other

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

Primary outcomes

  1. Range of compensation motion : "waiters bow" test

    Time frame: Day 0

    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

  2. Range of compensation motion : "pelvic tilt" test

    Time frame: Day 0

    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.

  3. Range of compensation motion : "One leg stance" test

    Time frame: Day 0

    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.

  4. Range of compensation motion : "sitting knee extension" test

    Time frame: Day 0

    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.

  5. Range of compensation motion : "rocking 4 point kneeling" test

    Time frame: Day 0

    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.

  6. Range of compensation motion : "prone knee bend" test

    Time frame: Day 0

    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

Secondary outcomes

  1. Speed of execution for test 1

    Time frame: Day 0

    It is measured with a camera. The camera can film one hundred pictures per second. Speed of execution is measured in seconds.

  2. Speed of execution for test 2

    Time frame: Day 0

    It is measured with a camera. The camera can film one hundred pictures per second. Speed of execution is measured in seconds.

  3. Speed of execution for test 3

    Time frame: Day 0

    It is measured with a camera. The camera can film one hundred pictures per second. Speed of execution is measured in seconds.

  4. Speed of execution for test 4

    Time frame: Day 0

    It is measured with a camera. The camera can film one hundred pictures per second. Speed of execution is measured in seconds.

  5. Speed of execution for test 5

    Time frame: Day 0

    It is measured with a camera. The camera can film one hundred pictures per second. Speed of execution is measured in seconds.

  6. Speed of execution for test 6

    Time frame: Day 0

    It is measured with a camera. The camera can film one hundred pictures per second. Speed of execution is measured in seconds.

Study contacts

Contact information is provided by the study sponsor or research team.

Vincent CREAC'H

CONTACT

[email protected]

+33(0)298017935

Sponsors and collaborators

Lead sponsor

University Hospital, Brest

Other

Registry information

Acronym: LOBACOM

Important dates

Study start
2022
Primary completion
2026
Study completion
2026
First posted
Aug 22, 2022
Registry last updated
Jun 11, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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