Randomized Controlled Trial of Stabilizing Exercises and Effect on Anticipatory Muscle Control in Patients With Subacute and Chronic Low Back Pain
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 99
- 试验地点
- 1
- 主要终点
- Muscle activity onset in transversus abdominal muscle
研究概览
简要总结
Muscular stability is essential to the spinal column to avoid harmful strain and injury to its structures. Sudden postural disturbances impose reactive internal forces through the spine. If the muscles do not react before the internal reactive forces propagate through the spine, there is a short fraction of time where the spinal column may lack sufficient muscular support. Studies have shown that in patients with low back pain deep abdominal and back muscle have a delayed response to reactive forces. The purpose of this study is to verify these findings and to investigate whether tailored interventions can improve the reaction time in stabilizing muscle around the lower spinal column i patients with subacute and chronic low back pain.
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
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 20 Years 至 60 Years(Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Unspecific subacute, subacute remitting and chronic LBP
- •Both sexes, 20-60 yrs of age
- •LBP between 2-8 on a 11-pt numeric rating scale
排除标准
- •Previous back surgery
- •Sick listed more than one year
- •Radiating pain below knee or motor deficits
- •Systemic diseases and "red flags"
- •Diagnosed psychiatric disease
- •Ingoing insurance claim
- •Pregnancy
研究组 & 干预措施
TrA exercise
Isolated Transversus abdominis (TrA) exercises (low load)
干预措施: Isolated Transversus abdominis (TrA) exercise (Behavioral)
sling exercise
Sling exercises (high load)
干预措施: sling exercise (Behavioral)
group exercise
Non-specific group exercises
干预措施: group exercise (Behavioral)
结局指标
主要结局
Muscle activity onset in transversus abdominal muscle
时间窗: 1 year
次要结局
- Pain(2 years)
- Function (Oswestry v2)(2 years)
- Fear of avoidance belief(1 year)
- Assessment of isolated transversus abd. and multifidus control(1 year)
