Back Pain Clinical Trial
Official title:
"Examination of the Impact of a Dynamic Flexion Orthosis (Dynaflex®Ottobock) on the Voluntary Activation of the Back Muscles in Patients With Specific Low Back Pain" and "Examination of the Impact of a Back Bandage (Lumbo Sensa®Ottobock) on the Voluntary Activation of the Back Muscles in Patients With Specific Low Back Pain"
Aim of the study is to analyze systematically by using surface EMG the effect of the dynamic
flexion orthosis Dynaflex® and the back bandage Lumbo Sensa® on the voluntary activation of
the low back muscles and thereby on the muscles' stiffness.
Patients have to pass a course with 6 different exercises in which they have to carry out
certain activities of daily life under controlled conditions to examine, if the particular
technical aid has a positive impact on pain-related activation of the back muscles.
Usually low back pain is accompanied by male and prolonged activation of the back muscles
through the Central Nervous System. It has been proved that this male innervation pattern
are often related to a to the spine asymmetrical muscular activation. Biomechanically, both
the asymmetric muscular activation as well as the prolonged activation of the muscles causes
additional stress to the already damaged structures resulting in additional pain. Technical
aids like back orthoses or bandages are supposed to relax the painful muscles and reduce
pain in this way. However, no studies are available which analyze systematically the effect
of such technical aids on the activation pattern of the back muscles.
Aim of the study is to analyze systematically the effect of the dynamic flexion orthosis
Dynaflex® and of the back bandage Lumbo Sensa® on the activation of the back muscles via
surface EMG. On the one hand it shall be proven that the analyzed technical aids have an
immediate impact on the activation of the back muscles which reduces the pain symptoms
continuously. On the other hand it shall be demonstrated that surface EMG is a suitable
approach to examine the effect of technical aids on the muscular activation of the back
muscles focusing everyday situations or movements for the first time. From the results it
shall be concluded on the everyday effect of orthosis or bandages for the discharge of the
back muscles.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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