Low Back Pain Clinical Trial
Official title:
Effectiveness of Transversus Abdominis Muscular Training in Patients With Chronic Low Back Pain
Low back pain is not a diagnosis; it is a symptom describing the presence of pain in the
lumbar vertebral or paravertebral region without any reference to the structure or cause of
the process. It is one of the most widespread diseases and one of the most common reasons
for visits in primary care setting.
Exercises to improve lumbar stability involving co-contraction of the transversus abdominis
have proved to be effective in reducing pain and improving function. It has been stated by
ultrasound images that specific stabilization exercises cause contraction of the deep
abdominal muscles, but it remains unclear whether training produce thickness muscle
improvement and if this improvement is related to clinical findings.
To try to resolve this issue a project of an experimental trial, double-blind (patient and
evaluator) with two groups randomly assigned is presented. All participants will be
recruited in an primary care center of the Catalan Health Institut and will sign informed
consent. All will receive a protocolized treatment with therapeutic exercises and
thermotherapy and, additionally, those assigned to the intervention group were instructed in
performing lumbar stability exercises.
Pain (VAS), function (Roland-Morris Questionnaire) and the thickness of the transversus
abdominis, internal and external oblique muscles (measured by ultrasound) at baseline, end
of treatment protocol (12 sessions) and three months after the end of treatment will be
assessed.
Results in pain, function, and its correlation with the mean changes in the thickness of
transversus abdominis will be analyzed.
n/a
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Outcomes Assessor), Primary Purpose: Treatment
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