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Efficacy of a Supervised Physical Therapy Rehabilitation Program vs Nonsupervised in Non-specific Low Back Pain

Not Applicable
Completed
Conditions
Physical Activity
Low Back Pain
Registration Number
NCT03420196
Lead Sponsor
Universidad de Almeria
Brief Summary

This study compares the efficacy of a supervised rehabilitation program vs a non supervised rehabilitation program on pain, disability, quality of life and kinesiophobia in patients with non-specific low back pain.

Detailed Description

Low back pain is one of the most common problems of population, being a priority for health systems. It has got a high prevalence and recurrence, affecting in a social and economic way, and, it is one of principal causes of laboral absenteism. A randomized clinical trial will be conducted comparing a supervised physical therapy rehabilitation program vs a non supervised rehabilitation program.

Objective: to compare the efficacy of a supervised rehabilitation program vs a non supervised rehabilitation program in patients with non-specific low back pain.

Methods: Sixt-four subjects with chronic non-specific low back pain will be assigned to supervised rehabilitation program or non supervised rehabilitation program during 4 weeks (5 sessions/week). Outcomes measures will be the following: disability, pain intensity, fear of movement, quality of life, McQuade Test, and lumbar mobility flexion.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
64
Inclusion Criteria
  • Chronic non-specific low back pain persisting ≥ 3 months.
  • Age between 18 and 65 years.
  • A score ≥ 4 in Roland Morris Disability Questionnaire.
  • Not currently receiving physical therapy.
Exclusion Criteria
  • Presence of lumbar stenosis.
  • Presence of clinical signs of radiculopathy.
  • Diagnosis of spondylolisthesis.
  • Diagnosis of fibromyalgia.
  • Treatment with corticosteroid or pharmachological medication within the paset 2 weeks.
  • A history of spinal surgery.
  • Central or peripheral nervous system disease.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Change from baseline in Roland Morris Disability Questionnaire (RMDQ)at baseline,immediate post-treatment and at 6 months

This is a self-reported questionnaire consisting in 24 items reflecting limitations in different activities of daily living attributed to low back pain including walking, vending over, sitting, lying down, dressing, sleeping, self-care and daily activities

Secondary Outcome Measures
NameTimeMethod
Change from baseline in disability. Oswestry Low Back Pain Disability Index.At baseline, immediate post-treatment and at 6 months

It has 10 items associated to activities of daily living, each item has a puntuation fron 0 to 5 points

Change from baseline in pain intensity (Visual Analogue Scale).At baseline, immediate post-treatment and at 6 months

A 10-point Numerical Pain Scale (0: no pain, 10: maximum pain) assesses the intensity of pain

Change from baseline in lumbar mobility flexionat baseline, immediate post-treatment and at 6 months

It is determined by measuring the finger-to-floor distance.

Change from baseline in Fear of Movement. Tampa Scale of kinesiophobia.At baseline, immediate post-treatment and at 6 months

It is a 17-item questionnaire that measures the fear of movement and (re)injury

Change from Mcquade Testat baseline, immediate post-treatment and at 6 months

It measures the isometric endurance of trunk flexion muscles

Change from baseline on Quality of Life.At baseline, immediate post-treatment and at 6 months

SF-36 Health questionnaire scores range from 0 to 100% and indicate the self-perceived health-related quality of life.

Trial Locations

Locations (1)

Universidad de Almería

🇪🇸

Almería, Andalucía, Spain

Universidad de Almería
🇪🇸Almería, Andalucía, Spain

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