Sensorimotor Training in Low-back Pain Rehabilitation
Not Applicable
Completed
- Conditions
- Low Back Pain
- Interventions
- Other: Proprioceptive postural trainingOther: Treadmill trainingOther: Conventional physiotherapy
- Registration Number
- NCT02304120
- Lead Sponsor
- Michael A. McCaskey
- Brief Summary
This study evaluates the effects of additional sensorimotor training (proprioceptive postural training, PPT) to conventional therapy in the treatment of chronic low-back pain. Half of the participants will receive instructed treadmill training as an active comparator against PPT. All participants receive conventional physiotherapy as prescribed by their treating medical doctors. It is expected that the PPT group will improve in postural control, proprioceptive, as well as pain and function outcomes to a significantly greater extent than the active control group.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 60
Inclusion Criteria
- Patients with musculoskeletal low back pain (non-specific low back pain)
- Age ≥ 18 years
Exclusion Criteria
- Known or suspected neurological diseases or lesions
- Traumatic injury of musculoskeletal system (fractures, tumours)
- Spinal pathologies (e.g., tumour, infection, fracture, and inflammatory disease)
- Previous spinal surgery
- Presence of any contraindication to exercise (fracture or cardiovascular limitations)
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Sensorimotor Proprioceptive postural training The experimental group will receive added PPT to the conventional physiotherapy. PPT will be applied by means of a neuro-orthopaedic medical device ("Posturomed®", see section 3.2). The "Posturomed" allows adaptive oscillation in the horizontal plane. Therapy instructions advise seven stages of difficulty. In all stages the patient is asked to provoke oscillation by stepping on site. After three steps, the patient must stand still on one leg for 2 seconds before he or she repeats the steps. Difficulty is increased by a) decreasing the damping through release of the breaks and b) through added juggling of a ball during the motor task (dual-task and divided attention). The next stage is reached once stabilisation in the previous stage is secured. Low-intensity activity Treadmill training Added to conventional therapy, as administered to all participants, the control group will do added treadmill walking. The control intervention will consist of 10 minutes of walking at comfortable pace. The patient will be instructed in treadmill functions and asked to set the speed between 2 and 4 km/h. The speed should be adjusted to the level where the patient would still be able to talk comfortably. Low-intensity activity Conventional physiotherapy Added to conventional therapy, as administered to all participants, the control group will do added treadmill walking. The control intervention will consist of 10 minutes of walking at comfortable pace. The patient will be instructed in treadmill functions and asked to set the speed between 2 and 4 km/h. The speed should be adjusted to the level where the patient would still be able to talk comfortably. Sensorimotor Conventional physiotherapy The experimental group will receive added PPT to the conventional physiotherapy. PPT will be applied by means of a neuro-orthopaedic medical device ("Posturomed®", see section 3.2). The "Posturomed" allows adaptive oscillation in the horizontal plane. Therapy instructions advise seven stages of difficulty. In all stages the patient is asked to provoke oscillation by stepping on site. After three steps, the patient must stand still on one leg for 2 seconds before he or she repeats the steps. Difficulty is increased by a) decreasing the damping through release of the breaks and b) through added juggling of a ball during the motor task (dual-task and divided attention). The next stage is reached once stabilisation in the previous stage is secured.
- Primary Outcome Measures
Name Time Method Change of self-reported pain on 100mm Visual Analogue Scale (VAS) Baseline (-4 days); Pre-Test (0 days); Post-Test (+25 days) and follow-up (+45 days) Change of functional status recorded with the Oswestry Disability Index (ODI) Baseline (-4 days); Pre-Test (0 days); Post-Test (+25 days) and follow-up (+45 days)
- Secondary Outcome Measures
Name Time Method Centre of Pressure Baseline (-4 days); Pre-Test (0 days); Post-Test (+25 days) and follow-up (+45 days) Area of surface a the 95% confidence ellipse of centre of pressure displacement during postural task
Joint Repositioning Error (segmental) Baseline (-4 days); Pre-Test (0 days); Post-Test (+25 days) and follow-up (+45 days) Repositioning acuity after surface perturbation.
Uncontrolled Manifold Index (UCM) Baseline (-4 days); Pre-Test (0 days); Post-Test (+25 days) and follow-up (+45 days) Segmental joint configuration.
Trial Locations
- Locations (1)
Reha Rheinfelden
🇨🇭Rheinfelden, Aargau, Switzerland