Effects of Global Postural Reeducation in Patients With Nonspecific Chronic Low Back Pain: A Randomized Controlled Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 26
- 试验地点
- 1
- 主要终点
- pain intensity
研究概览
简要总结
The aim of this study was to compare the effectiveness of GPR associated to conventional reeducation protocol to that of the conventional reeducation protocol alone on pain, mobility, function and psychological symptoms in patients with chronic non-specific LBP.
A monocentric randomized controlled study was carried out, including patients with chronic non specific LBP, who were allocated to two groups: GPR group performed GPR associated to conventional reeducation and control group performed conventional reeducation alone. Two evaluations were performed for both groups: at baseline (T0) and at the end of the 4 weeks' sessions (T1), including pain (by Visual Analog Scale), mobility (by the Fingertip-to-floor test (FFT) and the Schober index), muscle endurance (by the Shirado and the Sorensen tests), function (by the Oswestry Disability index (ODI)) and anxiety-depressive symptoms (by the Hospital Anxiety and Depression (HAD)).
详细描述
The aim of this study was to compare the effectiveness of GPR associated to conventional reeducation protocol to that of the conventional reeducation protocol alone on pain, mobility, function and psychological symptoms in patients with chronic non-specific LBP.
A monocentric randomized controlled trial was carried out between march and september 2024, in the department of physiotherapy and rheumatology of Charles Nicolle Hospital in Tunis, Tunisia.
The study population included patients aged 18 or older, diagnosed by a rheumatologist with chronic (≥ 12 months) non-specific LBP.
Exclusion criteria were acute and sub-acute LBP, neurological complications (motor impairment and cauda equina syndrome), specific causes of LBP (such as tumors, chronic rheumatic diseases infections and vertebral fracture) and pregnancy. Patients who had received other physiotherapeutic interventions or undergone surgical spinal procedures within 6 months prior to the baseline assessment were also excluded.
The included patients were allocated to two groups: GPR group performed GPR associated to conventional reeducation and control group performed conventional reeducation alone.
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
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •patients aged 18 or older
- •diagnosed with chronic (≥ 12 months) non-specific LBP
排除标准
- •acute and sub-acute LBP
- •neurological complications (motor impairment and cauda equina syndrome)
- •specific causes of LBP (such as tumors, chronic rheumatic diseases infections and vertebral fracture)
- •surgical spinal procedures within 6 months
- •pregnancy
研究组 & 干预措施
control group
Conventional reeducation included manual therapy approaches such as spinal mobilization which aims to restore joint mobility and alleviate muscular tension.
It included also exercise therapy focusing on strengthening core muscles, improving lumbar flexibility, and enhancing posture to stabilize the spine and reduce strain on surrounding structures.
Modalities like heat therapy, cold therapy, and transcutaneous electrical nerve stimulation (TENS) were also used to manage pain and promote muscle relaxation. Additionally, education on ergonomic principles was part of the program to adopt healthy habits and prevent recurrence of pain.
干预措施: conventional rehabilitation (Procedure)
GPR group
Global postural reeducation included the following GPR postures according to the Souchard approach: lying on back with the legs extended and arms folded, lying on back with the legs flexed and arms folded, lying on back with the legs extended and arms open, lying on back with the legs flexed and arms open, sitting with legs extended and standing with the back against the wall.
Each posture was performed by the patient under the physiotherapist supervision and was held for 15 to 20 minutes.
Besides, each patient was asked to repeat the exercises daily at home.
干预措施: global postural reeducation (Procedure)
GPR group
Global postural reeducation included the following GPR postures according to the Souchard approach: lying on back with the legs extended and arms folded, lying on back with the legs flexed and arms folded, lying on back with the legs extended and arms open, lying on back with the legs flexed and arms open, sitting with legs extended and standing with the back against the wall.
Each posture was performed by the patient under the physiotherapist supervision and was held for 15 to 20 minutes.
Besides, each patient was asked to repeat the exercises daily at home.
干预措施: conventional rehabilitation (Procedure)
结局指标
主要结局
pain intensity
时间窗: Two evaluations were performed for both groups: one at baseline (T0) and one at the end of the 4 weeks' sessions (T1).
Pain, which was evaluated using the visual analog scale (VAS) of pain, ranging from 0 (painless) to 10 (severe pain)
次要结局
- mobility(Two evaluations were performed for both groups: one at baseline (T0) and one at the end of the 4 weeks' sessions (T1).)
- muscle endurance(Two evaluations were performed for both groups: one at baseline (T0) and one at the end of the 4 weeks' sessions (T1).)
- function(Two evaluations were performed for both groups: one at baseline (T0) and one at the end of the 4 weeks' sessions (T1).)
- anxiety and depression(Two evaluations were performed for both groups: one at baseline (T0) and one at the end of the 4 weeks' sessions (T1).)
研究者
Selma Bouden
assistant doctor
Hopital Charles Nicolle