Efficacy of Postural Reeducation in Elite Gymnasts With Back Pain. A Randomized Clinical Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- Back status
研究概览
简要总结
Introduction: Low back pain is a musculoskeletal disorder that is associated with symptoms such as pain, limitation of joint range and postural problems in athletes. Postural control is a key factor in disciplines with high biomechanical demands, such as rhythmic gymnastics. In addition, the potential influence of occlusal splints on body posture has been discussed, although evidence remains inconclusive. Methods: The study design is a randomized controlled clinical trial with a minimum of 35 elite gymnasts with back pain. Two postural treatments will be implemented, Mezieres Method and Isostretching, to verify whether there is improvement in low back pain in gymnasts and to compare both procedures. Postural variables will also allow exploratory analysis of factors potentially associated with postural regulation, including the possible influence of occlusal-byte use. Discussion: This trial could generate a greater understanding of the importance of posture related to low back pain and its possible treatments. It may also contribute to clarifying the relationship between postural therapeutic approaches and other factors influencing postural control.
详细描述
A randomized controlled clinical trial with two groups (intervention and placebo) will be implemented. The intervention group will receive the Mezieres technique as postural treatment, while the placebo group will perform a total of six Isostretching positions. Both interventions will consist of 30-minute sessions delivered twice weekly over a 12-week period. All treatments will be administered by the same certified therapist with at least five years of experience in postural therapy. Outcome measurements will be obtained immediately after the first session, and at 2, 6, and 12 weeks. Assessments will be conducted by a blinded researcher who will not participate in the treatments and who has prior experience in postural evaluation. Postural measurements will additionally permit exploratory analyses of factors potentially influencing postural regulation, including the possible impact of occlusal-byte use.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Triple (Participant, Care Provider, Outcomes Assessor)
入排标准
- 年龄范围
- 15 Years 至 30 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Elite gymnastic athletes with low back pain
- •Active participation in the national competition
- •Practice at least three times a week for 60 minutes
- •Minimum training time of 7 hours a week
排除标准
- •Gymnast whom suffer from chronic disease or acute musculoskeletal injury
- •Herniated disc
- •Spondylolisthesis
研究组 & 干预措施
Mezieres Group
This intervention includes a total of three postures of the Mézières therapy. Specifically, the postures maintained for 12 weeks consist of: supine dancer; in supine position with the upper extremities abducted 120 °; and dancer in a sitting position.
干预措施: Mezieres Postural Treatment (Other)
Isostretching Group
This study aims to follow a total of 6 isostretching postures, the most similar to the Mezieres method. In each of the isostretching positions, if it is symmetric, 3, 6 or 9 repetitions will be performed and if it is asymmetric, 2, 4, or 8 repetitions.
干预措施: Mezieres Postural Treatment (Other)
结局指标
主要结局
Back status
时间窗: 12 weeks
Measured with Oswestry questionaire. It consists of 10 categories. Each category consists of 6 items scored from 0 to 5 with the first statement scoring 0 until the last statement scoring 5.
Back disability
时间窗: 12 weeks
Measured with Roland Morris Questionaire wich consist in 24 points of back disability actual phrases
Range of motion
时间窗: 12 weeks
Measured with Baiobit software
Pain intensity
时间窗: 12 weeks
Measured with Numeric Rating Scale wich consist in measure pain intensity with a score of 0-10
次要结局
- Subjetive tension perception(12 weeks)
- Stiffness test(12 weeks)
- Spinal curvature evaluation(12 weeks)
- Posture stability(12 weeks)
研究者
Juan Martínez Fuentes
Study Director
Universidad Católica San Antonio de Murcia