Effect of Lumbar Stabilization Exercises and Circular Dances in Chronic Non Specific Low Back Pain in Middle-aged Women: Single-blind Randomized Clinical Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 38
- 试验地点
- 2
- 主要终点
- Change in pain through Pain visual analogue scale
研究概览
简要总结
Supervised exercises are the first line therapy for patients with chronic low back pain. The lumbar segmental stabilization (LSE) is a specific training for the muscles of the lumbar spine, which aims to improve neuromuscular control, strength and endurance of the muscles that promotes stability to the spine. The circular dance (CD) belongs to the group of complementary and integrative practices entered in Public Health Care in Brazil, and has been used to improve several aspects related to physical and mental states such as flexibility, posture, strength and muscular endurance, awareness or scheme body, pain control and strains. There are few studies evaluating the circular dance effect on back pain. The aim of this study is to compare the effects of lumbar stabilization exercises and circular dance for improvement in non specific low back pain in middle-aged women.
详细描述
OBJECTIVE
To compare the effect of CD with ESL exercises on pain and functional disability in women with nonspecific chronic low back pain (DLCI). METHOD: Thirty-eight women, aged 35-60 years, were randomly assigned to two groups: 1) Circular Dance group (gDC); 2) Lumbar Stabilization Exercise group (gESL). The primary clinical outcomes were pain, assessed using the Numerical Pain Scale and functional disability by the Roland Morris Disability Questionnaire and the secondary outcomes were: Depression assessed by the Beck Depression Inventory; Anxiety by the Numerical Anxiety Scale; Global Perception with the Global Effect Perception Scale, Signs and Symptoms of Adverse Effects analyzed by the Collective Subject Discourse and Quality of Life method using the Short-Form Health Survey Questionnaire (SF-36). The groups were treated twice a week for 60 minutes for 8 weeks totaling 16 sessions. Each participant was assessed before and after treatment and at follow-up 12 and 24 weeks.
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
- Single (Investigator)
入排标准
- 年龄范围
- 35 Years 至 60 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Diagnose of non specific low back pain for a period of three months without radiculopathy symptoms
- •Seek treatment
排除标准
- •Inflammatory disorders of the spine
- •Spinal tumors
- •Spine surgery
- •Unconsolidated fractures or malunion of the spine
- •Rheumatologic disease
- •Spondylolysis or spondylolisthesis
- •Patients who are in labor dispute
- •Patients undergoing physical therapy or drug treatment to opioid-based
研究组 & 干预措施
Lumbar Stabilization Exercise
There will be 16 sessions, twice a week, with 40-60 minutes each session. In this arm the participants will learn basic notions about anatomy and biomechanics and the lumbar stabilization technique. They will be evaluated by a pressure biofeedback in the first day that will be used in the training. The lumbar stabilization technique consists of three stages: cognitive, associated and automatic. The biofeedback is used in the first stage and it helps patients to do the best contraction of stabilization muscles in different levels of pressure. Then, in stage two the patients do the contraction without the use of biofeedback and in the last phase different exercises are associated with the contraction of stabilization muscles.
干预措施: Lumbar Stabilization Exercise (Other)
Circular Dance
There will be 16 sessions, twice a week, with 60 minutes each session. In this arm the participants will do the exercises in a group of 20 subjects. In every meeting there will be the follow stages: reception, reflection, warming/stretching, explanation about circular dance, choreography orientation, practice and finishing.
干预措施: Circular dance (Other)
结局指标
主要结局
Change in pain through Pain visual analogue scale
时间窗: Before the treatment and after the treatment (immediately after the treatment, and 4 and 16 weeks after treatment) and in every session (from the first session to the sixteen session), immediately after session
Scale with 11 centimeters is used for evaluate pain intensity
次要结局
- Roland Morris Disability Questionnaire(Before and after the treatment (immediately after the treatment, and 4 and 16 weeks after treatment))
- Global Perceived Effect Scale(Before and after the treatment (immediately after the treatment, and 4 and 16 weeks after treatment))
- Visual analogue scale for anxiety(Before and after the treatment (immediately after the treatment, and 4 and 16 weeks after treatment))
- Beck Depression Inventory(Before and after the treatment (immediately after the treatment, and 4 and 16 weeks after treatment))
- Medical Outcomes Study 36 - Item Short - Form Health Survey(Before and after the treatment (immediately after the treatment, and 4 and 16 weeks after treatment))
- Symptoms and Adverse events or side effects(Before and after the treatment (immediately after the treatment, and 4 and 16 weeks after treatment))