Comparison of Spinal Kinematics Between Asymptomatic Subjects and Patients With Low Back Pain Using a Multi-segment Model
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 22
- 试验地点
- 1
- 主要终点
- Spinal kinematics
研究概览
简要总结
Low back pain (LBP) is a complex and common problem with major societal repercussions. Clinical evaluations, and especially functional assessments, are necessary for proper diagnosis and decisions on the most appropriate treatment. The assessment of lumbar kinematics has been frequently described. For instance, measures of range of motion (ROM), angular velocities and acceleration of the total lumbar spine (TLx) have demonstrated some differences between healthy subjects and LBP patients. However, recent evidence has suggested that models evaluating the TLx are insufficient. In fact, regional differences in kinematics have been described between the upper lumbar spine and the lower lumbar spine.
The aim of this study is to evaluate the differences in spinal kinematics between healthy subjects and LBP patients using a multi-segment model of the spine that allows regional analysis.
详细描述
A case-controlled study will be performed to compare asymptomatics subjects and patients with low back pain. ROM, angular velocities and coordination of the spine will be collected in a laboratory with a camera-based system (VICON). Subjects will have to perform normal ROM assessment in the three anatomical planes, as well as different functional activities such as sit to stand, step and walking. The measurement session will occur on one occasion for each participant.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 30 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Sufficient French level
- •BMI between 18 and 27
- •Non-specific low back pain for more than 3 months (pain provoked by movements, postures or activities)
排除标准
- •Pregnancy
- •Spondylolisthesis
- •Infection
- •Rheumatological or neurological diseases
- •Spinal fractures
- •Known spinal deformation (scoliosis, ...)
- •Back surgery
- •Radicular symptoms (with neurological signs). Pain irradiating in the lower limbs with decrease strength, sensitivity and reflex.
- •High level of pain (severity and irritability) at the time of experiment that prevents repeated movements.
- •Other concomitant pain or condition that could compromise the evaluation of lumbar kinematics.
结局指标
主要结局
Spinal kinematics
时间窗: Participants will be measured once
kinematics of the spine and pelvis will be measured with a camera-based system. Markers will be placed to have different segments of the spine (lower lumbar spine, upper lumbar spine, lower thoracic spine, upper thoracic spine). Variables such as range of motion, angular velocities or coordination (among others) will be measured.
次要结局
- Score of disability(Participants will be measured once)
- Score of kinesophobia(Participants will be measured once)
- Score of risk of poor outcomes(Participants will be measured once)
- Pain intensity(Participants will be measured once)
研究者
Guillaume Christe
PT
Haute Ecole de Santé Vaud