Kinematical Evaluation of Lumbar Rotation in Chronic Low Back Pain

Low back pain (LBP) is considered one of the most common musculoskeletal disorders in modern society, resulting in substantial costs to society. Factors associated with the development of low back pain include poor posture, strenuous work with the body, inadequate non ergonomic work and traumas.

Rotation movement pattern of the lumbar spine in different positions is essential aspect in understanding the LBP Pathophysiology. Rotation coupled with forward bending (flexion) is a dominant factor which could increase the risk LBP and disc prolapse. There is also a decline in range of motion (ROM) of rotation in forward bending (flexion) compared to neutral position during sitting and standing.

In addition,lumbar rotation movement patterns differ in population with LBP compared to asymptomatic individuals. Healthy individuals exhibit rotation accompanied by consistent coupled movement patterns of lateral bending in the opposite direction at thr upper levels, and by lateral bending in tge same direction at the lower levels . while Chronic LBP patients exhibit non consistent patterns altered from those of the normal population.

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Key information

Conditions

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

Age range

40 year–60 year

Sex eligibility

Male

Study type

Observational

Primary location

Clalit Health Services, Haifa and Western Galilee District

Haifa, Israel

About this study

According to the investigators, Kinematic measures of velocity and acceleration of lumbar rotation in neutral position and full flexion in sitting and standing did not studied yet. Evaluating these parameters, in addition to ROM and plains evaluation in the LBP population, compared to healthy population will contribute a lot in understanding this issue.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

non specific chronic LBP (three months or more)
Insured by Clalit Health Care Services
Signed informed consent

Exclusion criteria

History of spinal /pelvic surgery.
Trauma or fracture of spine /pelvis.
Inflammatory diseases of spine.
radiation to lower extremities .
Neurological disease.
malignancy disease. structural deformity of vertebral structures(scoliosis, kyphosis).

Treatment and study plan

Primary outcomes

Kinematic measures of rotation movement of the lumbar spine

Time frame: one evaluation at enrollement

Kinematic measures of rotation movement of the lumbar spine (plain, range, angular velocity and acceleration) will be measured by using Lumbar motion monitor Industrial (ILMM) .
Disability Questionnaire

Time frame: one evaluation at enrollement

Roland Morris Disability Questionnaire
pain assessment

Time frame: one evaluation at enrollement

Visual analog scale for pain assessment

Sponsors and collaborators

Lead sponsor

Clalit Health Services

Other

Registry information

Official study title

Kinematical Evaluation of Lumbar Rotation in Neutral Position and Full Flexion in Sitting and Standing in Patients With Non-specific Chronic Low Back Pain

Important dates

Study start: 2011
Primary completion: 2012
Study completion: 2012
First posted: Oct 8, 2010
Registry last updated: Feb 9, 2012

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.

Published trials that share one or more normalized conditions with this study.

Completed