A Follow-up Comparison of Sensory Discrimination in Patients With Low Back Pain: a Randomized Control Trial
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Low Back Pain
- Sponsor
- St. Ambrose University
- Enrollment
- 102
- Locations
- 1
- Primary Endpoint
- Lumbar Flexion
- Status
- Completed
- Last Updated
- 7 years ago
Overview
Brief Summary
To determine if there is any carry over difference with sensation training to the low back for patients with low back pain with the addition of a training at home. This will be looked at to see if there is a difference in pain or back / leg movement right after the training and in a few days after doing some exercises at home.
Detailed Description
In a previous case series patients with chronic Low Back Pain (LBP) who received tactile acuity training to their lower back in the absence of movement, experienced immediate positive changes in pain ratings and spinal movements. These changes, however, where only measured immediate post-intervention. This study aims to use a similar design of sensory discrimination for LBP, but will include a sensory discrimination home exercise program and compare groups at a follow-up visit for any difference between groups (48-96 hours) of the immediate changes. Changes will be assessed for pain and back and leg movement.
Investigators
Kevin Farrell
Professor, Chair of Clinical Residency Program in Orthopaedic Physical Therapy
St. Ambrose University
Eligibility Criteria
Inclusion Criteria
- •adults over the age of 18
- •patients presenting at PT with a primary complaint of LBP
- •LBP being present for 3 months or more
- •fluent in English
- •willing to participate in the study
- •They also will need someone who can assist with a sensory discrimination HEP.
Exclusion Criteria
- •under age 18
- •not able to read/understand the English language
- •prisoners
- •no medical issues precluding physical therapy treatment (red flags)
- •if they had undergone spinal surgery
- •if they had any skin or medical condition preventing them from receiving tactile stimuli on the lower back or had specific movement-based precautions, i.e., no active spinal flexion. - Patients presenting with leg pain only
- •Patients with neurological deficit only in the lower extremity
Outcomes
Primary Outcomes
Lumbar Flexion
Time Frame: Change from end of treatment initial session to 2-4 days
Active trunk forward flexion measured in cm (finger tips to floor)
Low Back Pain Rating
Time Frame: Change from end of treatment initial session to 2-4 days
Numeric Pain Rating Scale for Back pain (0 = no pain and 10 = worst pain)
Straight Leg Raise
Time Frame: Change from end of treatment initial session to 2-4 days
Neurodynamic measurement of leg raise (lower limb tension test)