Effects of Exercise Intervention in Patients With Low Back Pain Due to Spondylolytic Spondylolisthesis
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Low Back Pain
- Sponsor
- University of Primorska
- Enrollment
- 48
- Locations
- 4
- Primary Endpoint
- Changes in measures of neuromuscular functions of the trunk
- Status
- Completed
- Last Updated
- 8 years ago
Overview
Brief Summary
The first purpose of this study is to define parameters of the trunk neuromuscular functions that are pathologically altered in patients with low back pain due to spondylolytic spondylolisthesis. The second and also the main purpose of the study is to examine the effects of exercise intervention on patients with low back pain due to spondylolytic spondylolisthesis. Our overall hypothesis is that specific exercise intervention will improve neuromuscular functions of the trunk in patients with low back pain due to spondylolytic spondylolisthesis.
Detailed Description
Low back pain is known to affect a considerable portion (\> 75%) of the society, causing enormous financial burden for the healthcare systems. Exercise interventions incorporated into low back pain patients rehabilitation protocols are known as successful treatment strategies, but ore often focused on strength training and not on functional stabilization. Spondylolytic spondylolisthesis is one of the most known types of spine instabilities. To date, no studies examined the effects of exercise intervention on patients with low back pain due to spondylolytic spondylolisthesis. Research will be carried out as a cross-sectional study, where patients with spondylolytic spondylolisthesis will be randomly arranged in one controlled and two experimental groups. For the forth group healthy asymptomatic participants will be recruited. Exercise intervention will last 12 weeks with a frequency of three times a week and duration of 60 minutes per training unit. Exercise intervention will include congregated set of trunk stabilisation exercises, starting with simple isometric tasks. Dynamic and more complex movements will be added progressively to achieve whole body tasks involving fast and sudden movements. Neuromuscular functions of the trunk will be measured before and after the intervention.
Investigators
Nejc Sarabon
Assoc. Prof. Dr. Sc.
University of Primorska
Eligibility Criteria
Inclusion Criteria
- •Low back pain presence for at least three months.
- •Age between 20 and 60 years.
- •Isthmic Spondylolisthesis (1st and 2nd level according to Meyerding) at L5/S1 and L4/L
- •Body mass index below
- •without neurological pathological conditions.
Exclusion Criteria
- •Intermittent claudication pain.
- •History of operational treatment of the lumbar spine.
- •Traumatic, oncological, infectional pathology of the spine
- •Degenerative stenosis of the lumbar spinal canal.
Outcomes
Primary Outcomes
Changes in measures of neuromuscular functions of the trunk
Time Frame: Change from baseline values at 9 weeks
Set of tests that objectively evaluate the neuromuscular functions of the trunk. * Ability to reposition the trunk position during forward bent * Maximal voluntary contraction during trunk flexion, extension and lateral flexion * Muscle endurance during isometric trunk extension. * Trunk's muscles activation during sudden loading and fast arm movement * Single leg stance * Leg symmetry during squat * Hip and spine flexibility
Secondary Outcomes
- Changes in Oswestry questionnaire score(Change from baseline values at 9 weeks)
- Change in Posture parameters(Change from baseline values at 9 weeks)