The Effectiveness of Perturbation Exercises in Elderly Back Pain
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 24
- 试验地点
- 2
- 主要终点
- Fall risk
研究概览
简要总结
The aim of this study was to compare the effectiveness of land based versus water based perturbation exercises on the pain, disability, fear of falling, and fear avoidance beliefs in elderly participants. Overweight/obese subgroup was compared with healthy weight with chronic low back pain participants to investigate any effect on BMI on both interventions. The results of the study revealed that both exercise groups i.e., land and water based exercise had a significant reduction in pain level, fear of falling, fear avoidance belief related to work, disability and improved SLR.
详细描述
Twenty-four grouped into 12 per group participated water based and land based exercise protocol. Both groups were given McKenzie Method of exercises in 1st week based on the treatment-based classification (TBC) approach or personalized to the need of participants as per TBC.
Perturbation-based postural exercises were given to participants, which were performed on land or water for 6 weeks.
The perturbation based exercises were categorized into four levels, where level 1:static postural control, 2:dynamic postural control 3:Extremity loaded postural control and 4: cognitive task associated postural control. The perturbation were provided at shoulder and hip level, by intervention providers progressive enough to initiate anticipatory or compensatory postural adjustments.
Both groups were educated on pain assurance and spinal ergonomics feedback. The Outcomes were measured using a Visual analog scale, Oswestry disability index, Fear avoidance belief questionnaire, Straight leg raise, Modified fall efficacy scale, and Borg scale. The pain level were assessed for personalized progression from level 1 to level 4 progression of perturbation exercises.
Both the exercise groups of land and water showed improvement in measured clinical outcomes in terms of reduction in pain level, fear of falling, fear avoidance belief related to work, SLR, and disability. Water-based group showed additional benefits and significant improvement in fear avoidance belief related to physical activity and exercised with low rate of perceived exertion.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Care Provider, Outcomes Assessor)
盲法说明
Outcome assessor unaware of what care was provided, and care was provided by other providers. Possibility of sequential trail is considered. The value of p will be adjusted depending the number of analysis made and stopping rule will be followed.
入排标准
- 年龄范围
- 55 Years 至 85 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Pain history of minimum 12 weeks duration in below labels
- •Participants with the diagnostic labels of spondylosis
- •Non-specific chronic low back pain
- •Back pain radiating to leg or sciatica
- •Subacute back pain
排除标准
- •Unstable blood pressure
- •Cardiac failure
- •Incontinence
- •Uncontrolled epilepsy
- •Open wounds
- •Acute infections
- •Neurological disorders
- •Orthopedic conditions affecting exercise participation in pool and land
- •Cardio-respiratory conditions affecting exercise participation in pool and land.
结局指标
主要结局
Fall risk
时间窗: 6 weeks
Fall risk of participants was assessed using the Modified fall efficacy scale (MFES), where Higher scores reflect more confidence and less fear of falling while lower scores reflect less confidence and more fear of falling.
Low back pain
时间窗: 6 weeks
Visual Analogue Scale (VAS) was used where 0 indicates no pain and 10 indicate extremely painful.
Physical activity associated fear avoidance behavior
时间窗: 6 weeks
The percentage of fear avoidance of behavior ranges from 0 to 100% where 0%-indicates no fear and 100%-indicate highest level of fear avoidance behavior.
Disability caused by the chronic low back pain
时间窗: 6 weeks
A standard Oswestry Disability Index (ODI) was used to evaluate the disability caused by the chronic low back pain. The lower the score lower disability and higher scores indicates that high level of disability associated with back pain.
次要结局
- Rate of perceived exertion(6 weeks)
- Impairment - Straight Leg Raise as hip joint range of motion(6 weeks)
研究者
Rania Zaarour
Assistant Professor
Gulf Medical University