Does the Therapist's Assessment of Movement Control in Low Back Pain Patients Correspond to an Objective Kinematic Modification
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 50
- 试验地点
- 2
- 主要终点
- Range of compensation motion : "waiters bow" test
研究概览
简要总结
- Exercise-based treatment is part of the recommendations for good practice in the treatment of low back pain (acute, sub-acute and chronic).
- The low back pain population is heterogeneous. This heterogeneity would cause the positive effects of a treatment to be canceled out by the negative effects of another part of the population.
- This polymorphism has led several authors to classify low back pain into subgroups. These subgroups constitute more homogeneous clinical pictures and would facilitate the adaptation of treatments.
- The recommendations of the American Physical Therapy Association suggest 5 subgroups of low back pain. One of them is "low back pain with movement coordination defect". In this subgroup, Luomajoki studied the reliability of different functional tests used in clinical practice. 6 out of 10 motion control fault tests show good reliability.
- The quantified analysis of the movement of low back pain patients would make it possible to determine the sensitivity of detecting an anomaly in the 6 lumbar movement control tests.
详细描述
- Exercise-based treatment is part of the recommendations for good practice in the treatment of low back pain (acute, sub-acute and chronic).
- The low back pain population is heterogeneous. This heterogeneity would cause the positive effects of a treatment to be canceled out by the negative effects of another part of the population.
- This polymorphism has led several authors to classify low back pain into subgroups. These subgroups constitute more homogeneous clinical pictures and would facilitate the adaptation of treatments.
- The recommendations of the American Physical Therapy Association suggest 5 subgroups of low back pain. One of them is "low back pain with movement control impairment". In this subgroup, Luomajoki studied the reliability of different functional tests used in clinical practice. 6 out of 10 motion control fault tests show good reliability.
- The quantified analysis of the movement of low back pain patients would make it possible to determine the sensitivity of detecting an anomaly in the 6 lumbar movement control tests.
LoBaCoM is a monocentric, exploratory prospective study.
The purpose is to define a kinematic (angular) threshold corresponding to an anomaly detected clinically by three therapists for each test.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Diagnostic
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 99 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Aged more than 18 years
- •Common low back pain with medical prescription for rehabilitation
- •Signed consent
- •Be affiliated to a social security scheme
- •Be able to perform the lumbar motion control failure tests
排除标准
- •Body Mass Index greater than 30 (obesity)
- •Person who does not understand French
- •Pregnant woman
- •Refusal to participate
- •Volunteer under guardianship or curatorship
研究组 & 干预措施
motion control fault testing
Each patient make six motion control fault tests in the same order :
- "waiters bow"
- "pelvic tilt"
- "one leg stance"
- "sitting knee extension"
- "rocking 4 point kneeling"
- "prone knee bend"
This tests are performed three times.
干预措施: motion control fault tests (Other)
结局指标
主要结局
Range of compensation motion : "waiters bow" test
时间窗: Day 0
Lumbar flexion measured for test number 1 "waiters bow". Patients are filmed during the test. Videos are watched by three physiotherapists. They going to establish a diagnostic normal or abnormal
Range of compensation motion : "pelvic tilt" test
时间窗: Day 0
thoracic flexion measured for test number 2 "pelvic tilt". Patients are filmed during the test. Videos are watched by three physiotherapists. They going to establish a diagnostic normal or abnormal.
Range of compensation motion : "One leg stance" test
时间窗: Day 0
Pelvic shift measured for test number 3 "One leg stance ". Patients are filmed during the test. Videos are watched by three physiotherapists. They going to establish a diagnostic normal or abnormal.
Range of compensation motion : "sitting knee extension" test
时间窗: Day 0
Lumbar flexion measured for test number 4 "sitting knee extension". Patients are filmed during the test. Videos are watched by three physiotherapists. They going to establish a diagnostic normal or abnormal.
Range of compensation motion : "rocking 4 point kneeling" test
时间窗: Day 0
Lumbar flexion and extension measured for test number 5 "rocking 4 point kneeling ". Patients are filmed during the test. Videos are watched by three physiotherapists. They going to establish a diagnostic normal or abnormal.
Range of compensation motion : "prone knee bend" test
时间窗: Day 0
Lumbar extension measured for test number 6 "prone knee bend". Patients are filmed during the test. Videos are watched by three physiotherapists. They going to establish a diagnostic normal or abnormal
次要结局
- Speed of execution for test 1(Day 0)
- Speed of execution for test 4(Day 0)
- Speed of execution for test 5(Day 0)
- Speed of execution for test 2(Day 0)
- Speed of execution for test 3(Day 0)
- Speed of execution for test 6(Day 0)