Effects and Mechanisms of Specific Trunk Exercises in Low Back Pain
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Low Back Pain
- Sponsor
- University of Vermont
- Enrollment
- 58
- Locations
- 1
- Primary Endpoint
- Change From Baseline to 11 Weeks in Oswestry Disability Scale (0-100%)
- Status
- Completed
- Last Updated
- 8 years ago
Overview
Brief Summary
Low back pain affects 80% of Americans at some time during their lives. Although recovery usually occurs within 6 months, there is a 50% recurrence within one year's time. It has long been thought that poor control of trunk muscle may lead to abnormal forces across the spine, which then damage local spinal structures, thus, leading to low back pain. However, the investigators know little about the function of specific trunk muscles in healthy subjects during various activities of daily life. Furthermore, the precise muscle dysfunction associated with low back pain has not been well characterized at all. In addition, the investigators know little about which exercise protocol is most beneficial for particular subgroups of people with low back pain. Thus, the purposes of this study are to learn more about: 1) how trunk muscles are affected by low back pain; 2) which exercises might be most beneficial for people with certain kinds of low back pain; and 3) how these exercises influence trunk muscle function. By having a better understanding of which trunk muscles are affected by low back pain, rehabilitation specialists can design exercise programs and therapeutic interventions that are more specific and more effective.
Investigators
Sharon M. Henry
Professor
University of Vermont
Eligibility Criteria
Inclusion Criteria
- •a history of chronic LBP with or without recurrences for a minimum of 12 months
- •between 21 - 55 years of age
- •able to stand and walk without assistance
- •have an Oswestry Disability Score of 19% or higher
Exclusion Criteria
- •any major structural spinal deformity including scoliosis, kyphosis, or stenosis
- •spinal fracture or dislocation
- •osteoporosis
- •ankylosing spondylitis
- •rheumatoid arthritis
- •disc herniation with corroborating clinical signs and symptoms
- •serious spinal complications such as tumor or infection
- •previous spinal surgery
- •frank neurological loss, i.e., weakness and sensory loss
- •pain or paresthesia below the knee
Outcomes
Primary Outcomes
Change From Baseline to 11 Weeks in Oswestry Disability Scale (0-100%)
Time Frame: Baseline and 11 weeks
Disability; Scale 0-100% Lower score is considered better/improved Negative value indicates improvement
Change From Baseline to 6 Months in Oswestry Disability Scale (0-100%)
Time Frame: Baseline and 6 Months
Disability; Sacle 0-100% Lower score is considered better/improved; Negative value indicates improvement
Change From Baseline to 6 Months in Numeric Pain Rating Scale (0-10 Points)
Time Frame: Baseline and 6 months
Current Pain Scale 0-10 Lower score is better/improved; Negative value indicates improvement
Change From 11 Weeks to 6 Months in Oswestry Disability Scale (0-100%)
Time Frame: 11 Weeks and 6 Months
Disability; Sacle 0-100% Lower score is considered better/improved; Negative value indicates improvement
Change From Baseline to 11 Weeks in Numeric Pain Rating Scale (0-10 Points)
Time Frame: Baseline and 11 weeks
Current Pain Scale 0-10 Lower score is better/improved; Negative value indicates improvement
Change From 11 Weeks to 6 Months in Numeric Pain Rating Scale (0-10 Points)
Time Frame: 11 weeks and 6 months
Current Pain Scale 0-10 Lower score is better/improved; Negative value indicates improvement