Treatment of Low Back Pain in Patients With End-stage Renal Disease on Hemodialysis
Overview
- Phase
- Phase 3
- Intervention
- Not specified
- Conditions
- Chronic Low Back Pain
- Sponsor
- Federal University of São Paulo
- Locations
- 1
- Primary Endpoint
- Improvement in functional status of the lumbar spine as measured by the Roland Morris Disability questionnaire, consisting of 24 items wich are reported by the patient. Additionally, the lumbar pain will be assessed by a visual analogue scale.
- Status
- Withdrawn
- Last Updated
- 10 years ago
Overview
Brief Summary
The purpose of this study is to determine whether a physiotherapeutic intervention is effective in the treatment of low back pain in hemodialysis patients
Detailed Description
Low back pain is a significant morbidity in chronic hemodialysis patients affecting about 1/3 of them. Among the physiotherapeutic interventions, the McKenzie Method (Spine 1983;8:141-4), has shown to be an effective approach to manage patients with low back pain. More specifically, it consists on standardized repetitive flexion and extension exercises of the lumbar spine. Thus far, there has been no randomized intervention testing the effectiveness of physiotherapeutic interventions in chronic renal failure patients on hemodialysis. In this study we selected four of their main proposed exercises (flexion in standing, extension in standing, flexion in lying, and extension in lying position) to apply three times a week for eight weeks.
Investigators
Ricardo de Castro Cintra Sesso
Associate Professor
Federal University of São Paulo
Eligibility Criteria
Inclusion Criteria
- •Diagnosis of chronic low back pain
- •Chronic renal failure
- •Hemodialysis therapy for more than 3 months
Exclusion Criteria
- •Fractures of the spine
- •Psychiatric diseases
- •Alcohol of other drugs use
- •Planned living donor transplantation
- •Clinically unstable patients
- •Chronic neurologic diseases
Outcomes
Primary Outcomes
Improvement in functional status of the lumbar spine as measured by the Roland Morris Disability questionnaire, consisting of 24 items wich are reported by the patient. Additionally, the lumbar pain will be assessed by a visual analogue scale.
Time Frame: eight weeks