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

Not Applicable

Completed

Interventions: Other: Supervised exercise program
Other: Non supervised exercise program

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

Inclusion Criteria

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.

Arm && Interventions

Group	Intervention	Description
Supervised Rehabilitation program	Supervised exercise program	It will be consist in a supervised exercise program by physical therapist, including the following structures: diaphragm, tranverse abdominis muscle, pelvic, gluteus, CORE and spinal mobility
Nonsupervised rehabilitation program	Non supervised exercise program	It will consist in an exercise program for home, nonsupervised, including the following structures: diaphragm, tranverse abdominis muscle, pelvic, gluteus, CORE and spinal mobility. The patients will perform an exercise program at home.

Primary Outcome Measures

Name	Time	Method
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

Name	Time	Method
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 flexion	at 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 Test	at 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.