WiSPA: Walking and Balance Related to Sagittal Spinal Posture and Alignment
Trial Snapshot
- Phase
- Not Applicable
- Status
- Terminated
- Sponsor
- University of Oxford
- Enrollment
- 41
- Locations
- 1
- Primary Endpoint
- Change in sagittal spinal alignment
Study Overview
Brief Summary
This study aims to improve understanding of the relationship between spinal alignment and walking and balance in people who have degenerative spinal conditions.
Detailed Description
This prospective cohort study will include people who are attending physiotherapy to address a degenerative spinal condition and measure them longitudinally. The investigators will measure spinal alignment, walking capacity and pattern, dynamic balance, and back muscle strength along with self-reported measures that reflect the person's functional self-efficacy, quality of life, and general health. Physical and self-reported outcome measures will be assessed at baseline before the physiotherapy-led exercise class commences, after completion at 6 weeks, and 6 months post baseline.
Study Design
- Study Type
- Observational
- Observational Model
- Cohort
- Time Perspective
- Prospective
Eligibility Criteria
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Participant is diagnosed with a degenerative spinal condition.
- •Participant is willing and able to give informed consent for participation in the study.
- •Men and women aged 18 years or older.
- •Participant is able to understand and participate safely in a physiotherapy measurement assessment.
- •Participant is enrolled in physiotherapy.
Exclusion Criteria
- •Participant is unable to stand independently.
- •Participant has a neurological condition which alters motor function and/or postural control.
Outcomes
Primary Outcomes
Change in sagittal spinal alignment
Time Frame: 6 weeks post-baseline
Alignment of the spine in the sagittal plane measured by a surface topography method
Secondary Outcomes
- Sagittal spinal alignment(Within 2 weeks of baseline)
- 2 minute walk test(6 weeks and 6 months)
- Gait analysis(6 weeks and 6 months)
- Tragus to wall distance(6 weeks and 6 months)
- 36-item Short Form Health Survey (SF-36)(6 weeks and 6 months)
- Timed loaded standing test(6 weeks and 6 months)
- Visual analogue pain scale(6 weeks and 6 months)
- Four Square Step Test(6 weeks and 6 months)
- Activities-specific Balance Confidence Scale(6 weeks and 6 months)
- Modified gait efficacy scale(6 weeks and 6 months)