The Effect of Reducing Sedentary Behaviour in Comparison to Promoting Physical Activity on Chronic Non-specific Low Back Pain in a Sedentary Population
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 入组人数
- 5
- 试验地点
- 1
- 主要终点
- The Brief Pain Inventory (short form)
研究概览
简要总结
The investigators will recruit participants between the age of 18 and 65 with chronic non-specific low back pain and a sedentary lifestyle. The participants will be randomly assigned to one of the three groups. The first group is the control group, the participants will be asked to continue their daily routine. The second group is an intervention group, sedentary behaviour will be reduced. In the third group participants will be asked to increase their physical activity up to 150min/week. The intervention takes place over a period of 6 weeks. After the intervention the pressure pain threshold will be measured, average steps will be measured (accelerometer) and a questionnaire needs to be filled out. These results will be compared to the results before the intervention and to the results of the other groups.
详细描述
The investigators will recruit participants between the age of 18 and 65 with chronic non-specific low back pain and a sedentary lifestyle. The partcipants will be randomly assigned to one of the three groups. The first group is the control group, the participants will be asked to not change their daily routine. In the first intervention group sedentary behaviour will be reduced. The participants will be asked to download an app on their smartphone and computer. This app will ask the participants to stand up and walk during 2 minutes to interrupt their sedentary behaviour during working hours. In the second intervention group participants will be asked to increase their physical activity. More specifically the participants will be asked to be active for a period of 150min/week. The intervention takes place over a period of 6 weeks. During these 6 weeks the participants needs to wear an accelerometer the first and the last week of the intervention. The week before the intervention a pre-measurement will take place, this means that the participant needs to wear an accelerometer during a week, fill out a questionnaire (BPI and SF-36) and the pressure pain threshold will be measured. After the intervention (6 weeks) the pressure pain threshold will be measured, average steps will be measured (accelerometer) and a questionnaire needs to be filled out. These results will be compared to the results before the intervention and to the results of the other groups. With this study the investigators will investigate whether less sedentary behavior or more physical activity are beneficial for 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
- Double (Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •CNLBP, for at least 3days/week for at least 3 months since the first symptoms.
- •Failed back surgery syndrome is allowed (ie, more than 3 years ago, anatomically successful operation without symptom disappearance)
- •Desk job, sedentary lifestyle (i.e. sitting for more than 6 hours per day). Given the greater risk of developing serious health problems when sitting for more than six hours a day.
- •18-65 years old
- •Native Dutch speaker
- •Refraining from analgesics, caffeine, alcohol or nicotine in the previous 48h of the assessments
- •Not undertaking exercise (>3 metabolic equivalents) 3 days before the assessments
- •Both sexes
- •Experiencing chronic neck pain is allowed if CNLBP is the dominant complaint.
排除标准
- •Any specific cause that can explain the CNLBP
- •Physically demanding job (e.g. nurses, paramedics, construction workers,...)
- •Chronic widespread pain (i.e. fibromyalgia, chronic fatigue syndrome)
- •Chronic systematic diseases such as rheumatoid arthritis, diabetes, etc.
- •Neuropathic pain
- •Being pregnant or pregnancy (including giving birth) in the preceding year
- •History of specific spinal surgery
- •Cinical depression
研究组 & 干预措施
Control group
This group will be asked to maintain their daily routine.
Reducing sedentary behavior
This group needs to download an app on their computer and their smartphone. This app will give a notification every 30 minutes to walk during 2 minutes during working hours.
干预措施: Reducing sedentary behaviour (Behavioral)
Increase physical activity
This group will be asked to be more physically active. They need to be active during 150min/week. Additionnaly they need to be active in periods of at least 10 minutes.
干预措施: Increase physical activity (Behavioral)
结局指标
主要结局
The Brief Pain Inventory (short form)
时间窗: 6 month follow-up (go/ no go principe = if there is still a difference in behaviour between the groups after 3 months, we organize a 6m follow-up)
Since chronic pain is a rather fluctuating condition, the question "Please rate your pain by circling the one number that best describes your pain on AVERAGE" is used as primary outcome measure to evaluate pain intensity. The answer to this question is formulated on an 11-point (i.e. 0-10) numeric rating scale (NRS), which is recommended as a core outcome measure in clinical trials of chronic pain. 0 indicates no pain, 10 indicates the worst pain imaginable.
The Brief Pain Inventory (short form)
时间窗: Baseline assessment (T0)
Since chronic pain is a rather fluctuating condition, the question "Please rate your pain by circling the one number that best describes your pain on AVERAGE" is used as primary outcome measure to evaluate pain intensity. The answer to this question is formulated on an 11-point (i.e. 0-10) numeric rating scale (NRS), which is recommended as a core outcome measure in clinical trials of chronic pain. 0 indicates no pain, 10 indicates the worst pain imaginable.
The Brief Pain Inventory (short form)
时间窗: Directly post-intervention (6 weeks after baseline assessement)
Since chronic pain is a rather fluctuating condition, the question "Please rate your pain by circling the one number that best describes your pain on AVERAGE" is used as primary outcome measure to evaluate pain intensity. The answer to this question is formulated on an 11-point (i.e. 0-10) numeric rating scale (NRS), which is recommended as a core outcome measure in clinical trials of chronic pain. 0 indicates no pain, 10 indicates the worst pain imaginable.
The Brief Pain Inventory (short form)
时间窗: 3 month follow-up
Since chronic pain is a rather fluctuating condition, the question "Please rate your pain by circling the one number that best describes your pain on AVERAGE" is used as primary outcome measure to evaluate pain intensity. The answer to this question is formulated on an 11-point (i.e. 0-10) numeric rating scale (NRS), which is recommended as a core outcome measure in clinical trials of chronic pain. 0 indicates no pain, 10 indicates the worst pain imaginable.
次要结局
- Algometry (pressure pain threshold)(6 month follow-up. (go/ no go principe = if there is still a difference in behaviour between the groups after 3 months, we organize a 6m follow-up))
- Accelerometry (objective measures of physical activity and sedentary behavior)(Directly post-intervention (6 weeks after baseline assessement))
- The Brief Pain Inventory (Short form)(6 month follow-up (go/ no go principe = if there is still a difference in behaviour between the groups after 3 months, we organize a 6m follow-up))
- Short Form 36 Health Status Survey (SF-36)(6 month follow-up ( (go/ no go principe = if there is still a difference in behaviour between the groups after 3 months, we organize a 6m follow-up))
- Algometry (pressure pain threshold)(Directly post-intervention (6 weeks after baseline assessement))
- Algometry (pressure pain threshold)(Baseline assessment (T0))
- Algometry (pressure pain threshold)(3 month follow-up)
- The Brief Pain Inventory (Short form)(Baseline Assessment (T0))
- The Brief Pain Inventory (Short form)(Directly post-intervention (6 weeks after baseline assessement))
- The Brief Pain Inventory (Short form)(3 month follow-up)
- Accelerometry (objective measures of physical activity and sedentary behavior)(Baseline assessment (T0))
- Short Form 36 Health Status Survey (SF-36)(Baseline assessment (T0))
- Short Form 36 Health Status Survey (SF-36)(Directly post-intervention (6 weeks after baseline assessement))
- Short Form 36 Health Status Survey (SF-36)(3 month follow-up)
研究者
Malfliet Anneleen
Assistant professor and postdoctoral researcher
Vrije Universiteit Brussel