Validity and Predictive Value of Manual Clinical Test to Identify Symptomatic Segments in Lumbar Chronic Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 93
- 试验地点
- 1
- 主要终点
- Change of the Pain intensity one hour after the block
研究概览
简要总结
This study evaluates the predictor value of manual test in lumbar chronic patients blocks. Bibliography has show limited evidence of clinical predictors in lumbar blocks. Prior to lumbar facet block or medial branch denervation patient will be evaluated with manual provocative segmental movements, lumbar sagittal range of motion, manual segmental movement and slump neural test . Immediate, one and six months effect will be registered.
详细描述
Clinical tests have sown limit evidence to predict efficacy of lumbar facet blocks. Segmental mobility tests have been included into the protocol to evaluate the efficacy of the lumbar blocks.
Chronic low back pain patients will be tested to evaluate the predictor value of manual clinical tests.
Patients from the "Lozano Blesa" Hospital pain clinic will be evaluate before, one month and six months after the lumbar facet block.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •more than 3 months of low back pain.
- •lumbar with or without leg pain.
- •patient treated with a lumbar facet block or medial nerve denervation.
- •capable to be physically explored.
- •capable to fill a questionaire.
排除标准
- •no mechanical pain.
- •severe medical condition.
- •severe lumbar trauma.
- •severe lumbar instability.
- •severe lumbar deformity
- •psychiatric disorder.
结局指标
主要结局
Change of the Pain intensity one hour after the block
时间窗: one hour after the block
Change of the pain intensity one month after the block
时间窗: one month after the block
Pain intensity Visual analogue scale
时间窗: baseline before the block
Change of the pain intensity six months after the block
时间窗: six months after the block
次要结局
- Douleur Neuropathique 4 questionnaire(baseline before the block)
- range of motion ROM(baseline before the block)
- Change of the range of motion ROM(six months after the block)
- lumbar segmental provocation manual test(baseline before the block)
- Change of the lumbar segmental provocation manual test(six months after the block)
- lumbar manual segmental joint play test(baseline before the block)
- Change of the lumbar manual segmental joint play test(six months after the block)
- Algometer: Pressure Pain threshold(baseline before the block)
- Change of the Algometer: Pressure Pain threshold(six months after the block)
- oswestry disability index(baseline before the block)
- Change of the oswestry disability index(six months after the block)
- Change of the 11 point global rating of change scale(6 months after the block)
- hospital anxiety and depression scale(baseline before the block)
- Change of the hospital anxiety and depression scale(six months after the block)
- 11 point global rating of change scale(one month after the block)
- Change of the Douleur Neuropathique 4 questionnaire(six months after the block)
- slump neural test(baseline before the block)
- Change of the slump neural test(six months after the block)
研究者
santos caudevilla polo
Professor Unidad de Investigación de Fisioterapia
Universidad de Zaragoza