Is Hip Range of Motion Relevant in the Treatment of Chronic Low Back Pain?
- Conditions
- Chronic Low-back Pain
- Interventions
- Other: Control groupOther: Intervention group
- Registration Number
- NCT05328063
- Lead Sponsor
- University of Jaén
- Brief Summary
The study will be carried out at the Faculty of Nursing and Physiotherapy of the University of Alcalá. The study has been approved by the Animal Research and Experimentation Ethics Committee of the University of Alcalá. A total of 60 subjects aged between 18 and 35 with non.specific low back pain will be selected and randomized in two interventions.
The control group will carry out a specific strengthening program for the gluteus maximus and the experimental group will carry out the same strengthening program in addition to receiving a specific manual therapy program for both hips.
The total duration of the treatments will be 8 weeks, with on-treatment evaluations at 4 and 8 weeks, with a follow-up after 1 month.
The objective will be to determine the efficacy of manual therapy on the coxofemoral joint together with a protocol of gluteus maximus strengthening exercises in patients with non-specific chronic low back pain, in comparison with the same protocol of gluteus maximus strengthening exercises performed in isolation, in patients with non-specific chronic low back pain.
- Detailed Description
Detailed Description has not been entered.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 60
- Patients with non-specific low back pain, with a score of more than 2 on the visual analogue scale.
- Pain with a course of more than 12 weeks, of a chronic nature.
- Patients with neurological signs and symptoms or severe psychiatric illnesses.
- Subjects with a history of severe trauma, fracture or previous surgery on the lumbar spine or hip.
- Subjects with a history of musculoskeletal and/or rheumatologic disease.
- Patients with low back pain attributable to dysmenorrhoea.
- Pregnant patients.
- Individuals with fibromyalgia, autoimmune disorders.
- Subjects with a history of oncological processes.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Control Group. Gluteus maximus strengthening specific program Control group - Intervention group. Specific manual therapy program for hip joint and Gluteus maximus strengthening Intervention group - Intervention group. Specific manual therapy program for hip joint and Gluteus maximus strengthening Control group -
- Primary Outcome Measures
Name Time Method Changes in Pain Baseline, 4 weeks, 8weeks, 1 month after intervention commencement measured with visual analogic scale
A straight horizontal line of fixed length, usually 100 mm is drawn. The ends are defined as the extreme limits of the parameter to be measured (pain) orientated from the left (worst) to the right (best).
- Secondary Outcome Measures
Name Time Method Changes in Depression Baseline, 4 weeks, 8weeks, 1 month after intervention commencement measured with Beck's Depression Inventory
When the test is scored, a value of 0 to 3 is assigned for each answer and then the total score is compared to a key to determine the depression's severity. The standard cut-off scores were as follows:
* 0-9: indicates minimal depression
* 10-18: indicates mild depression
* 19-29: indicates moderate depression
* 30-63: indicates severe depression.
Higher total scores indicate more severe depressive symptoms.Changes in Disability Baseline, 4 weeks, 8weeks, 1 month after intervention commencement measured with the Oswestry Low Back Pain Disability Questionnaire. The interpretation of the scores of this scale varies from 0% to 100%.
* 0% to 20%: minimal disability: The patient can cope with most living activities.
* 21%-40%: moderate disability.
* 41%-60%: severe disability.
* 61%-80%: crippled.
* 81%-100%: These patients are either bed-bound or exaggerating their symptoms.Changes in the Range of Motion of the Hip Joint Baseline, 4 weeks, 8weeks, 1 month after intervention commencement measured with an 18 cm universal goniometer. The movements to be evaluated are associated with flexion, extension, internal rotation, external rotation, abduction and adduction to end range without pain, explored passively.
Changes in Health related quality of life Baseline, 4 weeks, 8weeks, 1 month after intervention commencement Using SF-36. This scale is made up of 36 items divided into 8 sections: Physical Function, Function Social, Physical role, Emotional role, Mental health, Vitality, Body pain, General Health. For each of the 8 dimensions, the items are coded, aggregated and transformed into a scale that ranges from 0 (the worst state of health for that dimension) to 100 (the best state of health).
Changes in Gluteus Maximus Strength Baseline, 4 weeks, 8weeks, 1 month after intervention commencement measured with a wireless digital hand-held dynamometer (microFET ® 2). It has a measurement range of 0-300 lbs (pounds). You can select the unit of measurement: pounds, Newtons or Kilogram-force.
The three main actions of the gluteus maximus will be assessed with respect to its action on the hip: abduction, extension and external rotation.
Trial Locations
- Locations (1)
Manuel Rojas
🇪🇸Madrid, Alcalá De Henares, Spain