Motor Control Exercise and Patient Education for the Management of Chronic Low Back Pain in a Low-Resource Rural Nigerian Community: A Pilot Randomized Controlled Trial.
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Chronic Low Back Pain
- Sponsor
- Bayero University Kano, Nigeria
- Enrollment
- 30
- Locations
- 1
- Primary Endpoint
- Change in functional disability
- Status
- Completed
- Last Updated
- 7 years ago
Overview
Brief Summary
The main purpose of this pilot single-blind randomized clinical trial is to assess the feasibility of implementing motor control exercise and patient education for the management of chronic low back pain (CLBP) in a low resource rural Nigerian community.
Detailed Description
This study will determine whether supervised exercise training emphasizing motor control exercise (MCE) approach and a designed patient education (PE) program based on the psychosocial approach will be feasible and acceptable in reducing pain intensity and functional disability among rural dwellers with CLBP in Nigeria. Participants will be recruited and assigned to one of three intervention groups that include MCE group, PE group, or MCE plus PE gr using a simple random technique based on an electronic randomization table generated by a computer software program. Blinded assessment of all clinical outcomes will be performed at baseline and 6 weeks after randomization. Primary outcomes include pain intensity and functional disability while secondary outcomes include overall treatment satisfaction. Data will be analyzed using descriptive statistics, paired t-test, and ANOVA. All statistical analyses will be performed on SPSS (version 24.00) at an alpha level of 0.05.
Investigators
Aminu A. Ibrahim
Doctoral Student
Bayero University Kano, Nigeria
Eligibility Criteria
Inclusion Criteria
- •Male and female between 18 and 65 years old.
- •Primary complaint of LBP experienced at least over the previous 3-month duration.
- •Ability to read/understand English or Hausa language.
Exclusion Criteria
- •Previous history of thoracic spine or lumbosacral spine surgery.
- •Any neurological findings indicating radiculopathy.
- •Evidence of serious spine pathology (e.g. tumor, infection, fracture, spinal stenosis, inflammatory disease).
- •Unstable or severe disabling chronic cardiovascular and pulmonary disease.
- •History of serious psychological or psychiatric illness.
- •Current pregnancy
Outcomes
Primary Outcomes
Change in functional disability
Time Frame: Baseline and 6 weeks after beginning treatment.
Functional disability will be measured by Oswestry disability index (ODI). The questionnaire consists of 10 items with each item having six statements. All scores are summed, then multiplied by two to obtain the index (range 0 to 100) with higher score indicating greater disability.
Change in pain Intensity
Time Frame: Baseline and 6 weeks after beginning treatment.
Pain Intensity will be measured by an 11-point (0-10) Numerical Pain Rating Scale (NPRS).
Secondary Outcomes
- Patient satisfaction(6 weeks after beginning treatment.)