Effects of Resistance Training on Pain, Function and Work Ability in Patients With Moderate to Severe Low Back Pain

Not Applicable

Completed

• Conditions: Low Back Pain
• Interventions: Behavioral: High-intensity resistance training; Behavioral: General physical activity; Behavioral: Multidisciplinary rehabilitation program

• Registration Number: NCT02420236
• Lead Sponsor: Norwegian University of Science and Technology

Brief Summary

The purpose of this study is to investigate if high-intensity resistance training can induce additional beneficial effects, for patients with moderate to severe long term pain in the low back, when added to a multidisciplinary treatment program.

Detailed Description

Not available

Study Timeline

• Study Start: 2015-01
• Study First Submitted: 2015-03-18
• Study First Submitted QC: 2015-04-14
• Study First Posted: 2015-04-17
• Primary Completion: 2017-01-04
• Study Completion: 2017-03-15
• Status Verified: 2018-06
• Last Update Submitted: 2018-06-14
• Last Update Posted: 2018-06-18

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 99

Inclusion Criteria

• Referred to the multidisciplinary clinic for treatment of pain in low back
• Long term (≥ 3months) or recurrent (≥ 2 periods of ≥ 4 weeks the past year) non-specific low back pain
• Pain intensity ≥ 4 on numerical rating scale (0-10)

Exclusion Criteria

• Severe somatic condition (unstable injury, malignity, infectious disease, active rheumatic disease, severe osteoporosis)
• Psychiatric condition/disease that severely impairs group functioning
• Insufficient comprehension of Norwegian language to participate in group sessions and fill out questionnaires
• Awaiting surgery of back
• Alcohol or drug abuse
• Ongoing compensation case or applying for disability benefits due to pain in the back
• Engaged in high-intensity resistance training on a regular basis the last 6 months

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
High-intensity resistance training	High-intensity resistance training	Full body, progressive strength training with Theraband® Elastic bands. Three times per week for 12 weeks - 3 weeks with supervised sessions at the clinic, and 9 weeks of home training. Three guided sessions will be offered during the home training period.
High-intensity resistance training	Multidisciplinary rehabilitation program	Full body, progressive strength training with Theraband® Elastic bands. Three times per week for 12 weeks - 3 weeks with supervised sessions at the clinic, and 9 weeks of home training. Three guided sessions will be offered during the home training period.
General physical activity	General physical activity	12 weeks of general physical activity - 3 weeks with supervised sessions at the clinic, and 9 weeks of individually adjusted home training. This include circle-training, low-intensity resistance exercises, endurance exercises, ball playing, body awareness, stretching, and relaxation techniques, and similar activities. Neither moderate nor high-intensity resistance exercise is included for participants in this group.Three guided sessions will be offered during the home training period.
General physical activity	Multidisciplinary rehabilitation program	12 weeks of general physical activity - 3 weeks with supervised sessions at the clinic, and 9 weeks of individually adjusted home training. This include circle-training, low-intensity resistance exercises, endurance exercises, ball playing, body awareness, stretching, and relaxation techniques, and similar activities. Neither moderate nor high-intensity resistance exercise is included for participants in this group.Three guided sessions will be offered during the home training period.

Primary Outcome Measures

Name	Time	Method
Low back-related disability as assessed by the oswestry disability index	12 weeks	Oswestry disability index

Secondary Outcome Measures

Name	Time	Method
Fear avoidance beliefs assessed by Fear Avoidance Beliefs Questionnaire	3 and 12 weeks + 6 and 12 months
Anxiety and depression assessed by Hopkins symptom checklist	3 and 12 weeks + 6 and 12 months
Patients' perceived effect of the treatment assessed by the Global rating of change scale	3 and 12 weeks + 6 and 12 months
Use of analgesics assessed by a questionnaire from the HUNT study	3 and 12 weeks + 6 and 12 months
Grip strength using a handheld dynamometer	3 and 12 weeks + 6 and 12 months
Pain assessed by the Numerical Pain Rating Scale	3 and 12 weeks + 6 and 12 months
Work ability assessed by Work ability index	3 and 12 weeks + 6 and 12 months
Patients' perceived effect of the treatment assessed by the Patient specific functioning scale	3 and 12 weeks + 6 and 12 months
Quality of life assessed by EQ-5D-5L	3 and 12 weeks + 6 and 12 months
Physical activity level assessed by a questionnaire from the HUNT study	3 and 12 weeks + 6 and 12 months
Low back-related disability as assessed by the oswestry disability index	3 weeks + 6 and 12 months
Strength in the low back during maximal isometric contractions of the back extensors	3 and 12 weeks + 6 and 12 months

Trial Locations

Locations (1)

St. Olavs University Hospital - Department of Physical Medicine and Rehabilitation; 🇳🇴 Trondheim, Norway