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Completed

NCT Number: NCT02815358

Effects of Segmental Stabilization on the Anticipatory Postural Adjustment of Subjects With Lumbar Pain

This study aims to verify the effects of a segmental stabilization exercise program on the anticipatory postural adjustment of subjects with chronic lumbar pain. The effects will be assessed by means of superficial electromyography focused on the registry of the onset of multifidius and deltoid (anterior and posterior) activity during a repetitive shoulder flexion/extension.

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Key information

Conditions

Lumbar Pain Back Pain Low Back Pain Neurologic Manifestations Pain Pathological Conditions, Signs and Symptoms Signs and Symptoms

Age range

18 year–65 year

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

Federal University of Health Sciences of Porto Alegre

Porto Alegre, Rio Grande do Sul, Brazil

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • women aged between 18 and 65 years old
  • chronic lumbar pain (at least 3 months)
  • average pain intensity of ≥3 on a 10-point scale

Exclusion criteria

  • presence of red flags (i.e.,tumor, known fractures, diagnosed inflammatory joint disease, etc);
  • history of back surgery
  • pregnancy
  • less than 3 months of therapeutic treatment (physiotherapy) for low back pain

Treatment and study plan

Segmental Stabilization Exercises

Other

The stabilization program focuses on the reestablishment of motor control and coordination between deep and superficial trunk muscles. The exercise program is based on the following criteria progression: 1) Precise contraction of the transverse abdominal and multifidus muscles, keeping the lumbar spine in a neutral position (as the middle way between maximum flexion and extension, repeated three times); 2) Keep the neutral position for 10 repetitions of 10 seconds; 3) Perform exercises with lower limbs in different postures.

Home Exercises

Other

Home exercises include passive stretching and active mobilization of the spine.

Primary outcomes

  1. Anticipatory Postural Adjustment by means of Electromyography

    Time frame: change from pre to post-treatment (8 weeks)

    Assessed by means of superficial electromyography

Secondary outcomes

  1. Disability level via the Oswestry Low Back Pain Questionnaire

    Time frame: change from pre to post-treatment (8 weeks)

  2. Fear of pain and avoidance of physical activity via the Fear-avoidance beliefs Questionnaire

    Time frame: change from pre to post-treatment (8 weeks)

  3. Prognosis or risk of poor clinical outcome via the STarT Back Screening Tool

    Time frame: change from pre to post-treatment (8 weeks)

  4. Pain level via visual analogue scale

    Time frame: change from pre to post-treatment (8 weeks)

Sponsors and collaborators

Lead sponsor

Federal University of Health Science of Porto Alegre

Other

Registry information

Important dates

Study start
2016
Primary completion
2016
Study completion
2016
First posted
Jun 28, 2016
Registry last updated
Jun 13, 2019

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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