Lumbar Kinematics in People With the Low Back Pain

Completed

• Conditions: Extrusion of Migrated Disc; Hernia; Lumbar Disc Herniation; Protrusion

• Registration Number: NCT04417855
• Lead Sponsor: Wroclaw University of Health and Sport Sciences

Brief Summary

This study evaluates the effect of lumbar disc herniation on kinematics in the lumbopelvic region during daily living activities.

Detailed Description

Lumbar disc herniation (LDH) is one of the causes of low back pain and contributes to increasing the socio-economic problem. Depending on the reason for the dysfunction, various classifications describing the level of advancement are used. The literature on the subject commonly uses the division into protrusion and extrusion of the intervertebral disc, as approved by the American Society of Neuroradiology.

The lumbopelvic kinematics, including gait and daily living activities, can be affected by the LDH: protrusion or extrusion. This pathology may be different due to the direction of disc migration: centre, left, right or all mentioned. Therefore, we believe that from the different direction of the disc migration the different symptoms can be observed.

Study Timeline

• Study First Submitted: 2020-06-02
• Study First Submitted QC: 2020-06-02
• Study First Posted: 2020-06-05
• Study Start: 2020-06-08
• Primary Completion: 2020-07-20
• Status Verified: 2020-08
• Study Completion: 2020-08-04
• Last Update Submitted: 2020-08-09
• Last Update Posted: 2020-08-11

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 30

Inclusion Criteria

• disc disease located in the lumbar region of the spine confirmed in the MRI
• subacute stage of the disease
• age 18-35 years

Exclusion Criteria

• advanced degenerative-deformation changes of the spine
• previous fracture of the spine
• neurologic deficits in lower limbs or pelvis
• spondylolisthesis
• transitional vertebra
• rheumatic diseases

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
6-meter walking test	5 minutes	The sensor mounted on the belt in lumbar 5th (L5) vertebra. Following data will be obtained: Total distance travelled general spatio-temporal parameters, variation in spatio-temporal parameters during the 6 minutes walking, pelvis kinematics
Timed Up and Go test (TUG)	5 minutes	The sensor mounted on the belt in lumbar 2nd (L2) vertebra. Following data will be obtained: Spatio-temporal parameters standing phase, sitting phase and rotations, trunk kinematics (flexion and/or extension angle) will be collected.

Secondary Outcome Measures

Name	Time	Method
Oswestry Disability Index (ODI)	15 minutes	The Oswestry Disability Index (ODI) is a valid and reliable assessment tool used by clinicians and researchers to quantify disability for low back pain. The self-completed questionnaire contains ten sections concerning intensity of pain, lifting, ability to care for oneself, ability to walk, ability to sit, sexual function, ability to stand, social life, sleep quality, and ability to travel.; For each section the total possible score is 5: if the first statement is marked the section score = 0; if the last statement is marked, it = 5. After completing, the score is calculated by by summing scores from all sections (total maximum points=50). Total results are calculated as a percentage. The higher the score, the subject's condition is worse.; The results are interpreted as follows: 0% to 20%: minimal disability 21%-40%: moderate disability 41%-60%: severe disability 61%-80%: crippled 81%-100%:These patients are either bed-bound or exaggerating their symptoms.

Trial Locations

Locations (1)

theMedicine; 🇵🇱 Wrocław, Dolnośląskie, Poland