Global Posture Reeducation (GPR) Compared To Isostretching in Chronic Low Back Pain Patients

Early Phase 1

• Conditions: Low Back Pain
• Interventions: Other: Isostretching; Other: Global Posture Reeducation

• Registration Number: NCT01468298
• Lead Sponsor: Centro Universitario de Maringa

Brief Summary

The aim of this study was to investigate the changes in posture, flexibility, muscle strength, functional capacity, heart rate(HR), peripheral oxygen saturation, systolic blood pressure, diastolic blood pressure and intensity of pain in chronic low back pain underwent to Isostretching and GPR.

Detailed Description

It was selected 40 patients, from 40 to 59 years old, with chronic low back pain from CESUMAR Physiotherapy Clinic-Schoo. These were evaluated before and after treatment regarding posture by SAPO computer program; flexibility for lumbar Schober testing, sit and reach; muscle strength by dynamometry for trunk extensors and the maximum repetition test in a minute to abdominal and trunk extensors; functional capacity by Rolland-Morris Questionnaire; pain by visual analog scale; heart rate(HR) by polar frequencymetric; peripheral oxygen saturation by Finger Pulse Oximeter; and systolic and diastolic blood pressure with a Sphygmomanometer. The sample was divided in two groups (1-GPR with 11 patients, 2-Isostretching with 10 patients). All patients were accompanied by an individual treatment program composed by 12 sessions of 45 minutes, twice a week. It was considered statistically significant p values \<0.05 obtained from the Student's t test.

Study Timeline

• Study Start: 2010-08
• Status Verified: 2011-10
• Primary Completion: 2011-10
• Study First Submitted: 2011-10-25
• Study First Submitted QC: 2011-11-07
• Last Update Submitted: 2011-11-07
• Study First Posted: 2011-11-09
• Last Update Posted: 2011-11-09
• Study Completion: 2011-12

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

• patients with non-specific LBP in its chronic phase (pain lasting more than 12 weeks), from 40 to 60 years old.

Exclusion Criteria

• scheduling conflicts
• lack of transportation
• disease that compromises their health during the treatment
• uncontrolled hypertension
• fibromyalgia
• history of spinal surgery in the last six months
• patients with neurological diseases
• individuals who demonstrate inability to understand or physical restraint for the exercises.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Isostretching	Isostretching	-
Global Posture Reeducation	Global Posture Reeducation	-

Primary Outcome Measures

Name	Time	Method
functional capacity	Patients will be followed for the duration of 10 sessions, an expected average of 5 weeks.	Low back patients functional capacity were evaluated before and after 10 sesssions treatment regarding by Rolland-Morris Questionnaire.

Secondary Outcome Measures

Name	Time	Method
Intensity of Pain	Patients will be followed for the duration of 10 sessions, an expected average of 5 weeks.	The low back intensity of pain were evaluated before and after 10 sessions treatment regarding pain by visual analog scale.
flexibility	Patients will be followed for the duration of 10 sessions, an expected average of 5 weeks.	These were evaluated before and after 10 sessions treatment regarding posture, flexibility for lumbar Schober testing and sit and reach.
muscle strength	Patients will be followed for the duration of 10 sessions, an expected average of 5 weeks.	These were evaluated before and after 10 sessions treatment regarding muscle strength by dynamometry for trunk extensors and the maximum repetition test in a minute to abdominal and trunk extensors.
heart rate(HR)	Patients will be followed for the duration of 10 sessions, an expected average of 5 weeks.	It was measured heart rate (HR)by polar frequencymetric at start and for every 15 minutes in 10 sessions therapy.
Posture	Patients will be followed for the duration of 10 sessions, an expected average of 5 weeks.	Posture were evaluated before and after 10 sessions treatment regarding posture by computer SAPO (Softwere Avaluation Posture Online) program.
peripheral oxygen saturation	Before and after 10 sessions and for every 15 minutes in therapyPatients will be followed for the duration of 10 sessions, an expected average of 5 weeks..	It was measured peripheral oxygen saturation (SpO2) by Finger Pulse Oximeter at start and for every 15 minutes in therapy.
systolic blood pressure	Patients will be followed for the duration of 10 sessions, an expected average of 5 weeks..	It was measured systolic blood pressure (SBP) with a Sphygmomanometer at start and for every 15 minutes in 10 sessions therapy. Blood pressure measurement was obtained by arterial occlusion by inflation of the cuff, correlating to the auscultation of the heartbeat with the values recorded in the column of mercury. The sounds perceived during the blood pressure measurement procedure are called Korotkoff sounds, and classified into five phases, with phase 1 (first sound) corresponding to the value of systolic blood pressure (SBP).
diastolic blood pressure	Patients will be followed for the duration of 10 sessions, an expected average of 5 weeks.	It was measured diastolic blood pressure (DBP) with a Sphygmomanometer at start and for every 15 minutes in 10 sessions therapy.Blood Ppressure measurement was obtained by arterial occlusion by inflation of the cuff, correlating to the auscultation of the heartbeat with the values recorded in the column of mercury. The sounds perceived during the blood pressure measurement procedure are called Korotkoff sounds, and classified into five phases, with phase 5 (muffling or disappearance of sound) corresponding value of diastolic blood pressure (DBP).

Trial Locations

Locations (1)

Centro Universitário de Maringá; 🇧🇷 Maringá, Paraná, Brazil