Specific Stabilization Exercise With Ultrasound Feedback For Patient With Recurrent Low Back Pain

1. Specific aim 1:Identify factors that influence muscle performance by use of ultrasound imaging.

Hypothesis: Gender, age, and BMI affect the muscle performance of deep trunk muscles. 2. Specific aim 2. To compare the performance of trunk deep muscles (transversus abdominis and multifidus) and the sensation and pain thresholds of patients with recurrent low back pain with asymptomatic subjects.

Hypothesis: patients with recurrent low back pain have:

(A) less activation of the transversus abdominis and multifidus, (B) peripheral and central sensitization, with decreased sensation and pain thresholds in the lumbar and foot areas. 3. Specific aim 3. To determine the performance of the transversus abdominis and multifidus, and the sensation and pain thresholds by use of ultrasound feedback training in asymptomatic adults, and to compare these results with the traditional training protocols for trunk stabilization.

Hypothesis: Specific stabilization exercise using ultrasound feedback training is more effective in activating deep trunk muscles and increasing sensation and pain thresholds than the traditional stabilization training protocol in asymptomatic adults. 4. Specific aim 4. To determine the performance of the transversus abdominis and multifidus, and the sensation and pain thresholds by using the ultrasound feedback training in adults with low back pain, and to compare these results with the traditional training protocols for trunk stabilization.

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Key information

Conditions

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

Age range

20 year–50 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

School of Physical Therapy, National Taiwan University

Taipei, ZhongZeng District, 10060, Taiwan

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

recurrent low back pain for at least the past year
lumbar region discomfort more than one day in the past three months
recurrent discomfort more than one time in the past three months

Exclusion criteria

pregnancy
carcinoma
systematic disease (rheumatic arthritis, ankylosing spondylitis etc)
had surgery on lumbar region or lower extremities
neurological symptom on lower extremities(numbness, pain etc)
spondylolisthesis

Treatment and study plan

specific stabilization exercise

Other

The specific stabilization exercise refers to an exercise that targets the deep trunk muscle, including the multifidus and transversus abdominis with ultrasound feedback.

Primary outcomes

Increased change of sliding of transversus abdominis muscle and change of thickness on multifidus muscle in asymptomatic and low back pain group

Time frame: pre treatment (0 week), post treatment(6 week)

Secondary outcomes

Decrease cold sensation threshold on left back and hot sensation threshold on left leg in both group

Time frame: pre treatment (0 week), post treatment(6 week)

Sponsors and collaborators

Lead sponsor

National Taiwan University Hospital

Other

Collaborators

National Health Research Institutes, Taiwan

Registry information

Important dates

Study start: 2011
Primary completion: 2012
First posted: Apr 14, 2014
Registry last updated: Apr 14, 2014

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