A Follow-up Comparison of Sensory Discrimination in Patients With Low Back Pain: a Randomized Control Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 102
- 试验地点
- 2
- 主要终点
- Lumbar Flexion
研究概览
简要总结
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.
详细描述
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.
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 (Participant)
盲法说明
Patients were randomly assigned to one of two groups (control or experimental).
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •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.
排除标准
- •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
研究组 & 干预措施
No Home Sensory training
Patients who perform a home exercise program only
干预措施: Home exercise program only (Other)
Home sensory training
Patients who perform home exercise and home sensory training
干预措施: Home exercise program and home program of sensory discrimination (Other)
结局指标
主要结局
Lumbar Flexion
时间窗: 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
时间窗: 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
时间窗: Change from end of treatment initial session to 2-4 days
Neurodynamic measurement of leg raise (lower limb tension test)
次要结局
未报告次要终点
研究者
Kevin Farrell
Professor, Chair of Clinical Residency Program in Orthopaedic Physical Therapy
St. Ambrose University