Effects of Segmental Stabilization on the Anticipatory Postural Adjustment of Subjects With Lumbar Pain

Lumbar Pain Clinical Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02815358
• Other study ID #: 923.642
• Status: Completed
• Phase: N/A
• Start date: June 2016
• Est. completion date: November 2016

Study information

• Verified date: June 2019
• Source: Federal University of Health Science of Porto Alegre
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study aims to verify the effects of a segmental stabilization exercise program on the anticipatory postural adjustment of subjects with chronic lumbar pain. The effects will be assessed by means of superficial electromyography focused on the registry of the onset of multifidius and deltoid (anterior and posterior) activity during a repetitive shoulder flexion/extension.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 40
• Est. completion date: November 2016
• Est. primary completion date: September 2016
• Accepts healthy volunteers: No
• Gender: Female
• Age group: 18 Years to 65 Years

Eligibility

Inclusion Criteria:

• women aged between 18 and 65 years old

• chronic lumbar pain (at least 3 months)

• average pain intensity of =3 on a 10-point scale

Exclusion Criteria:

• presence of red flags (i.e.,tumor, known fractures, diagnosed inflammatory joint disease, etc);

• history of back surgery

• pregnancy

• less than 3 months of therapeutic treatment (physiotherapy) for low back pain

Related Conditions & MeSH terms

• Low Back Pain
• Lumbar Pain

Intervention

Other:
• Segmental Stabilization Exercises
The stabilization program focuses on the reestablishment of motor control and coordination between deep and superficial trunk muscles. The exercise program is based on the following criteria progression: 1) Precise contraction of the transverse abdominal and multifidus muscles, keeping the lumbar spine in a neutral position (as the middle way between maximum flexion and extension, repeated three times); 2) Keep the neutral position for 10 repetitions of 10 seconds; 3) Perform exercises with lower limbs in different postures.
• Home Exercises
Home exercises include passive stretching and active mobilization of the spine.

Locations

Country	Name	City	State
Brazil	Federal University of Health Sciences of Porto Alegre	Porto Alegre	Rio Grande Do Sul

Sponsors (1)

Lead Sponsor	Collaborator
Federal University of Health Science of Porto Alegre

Country where clinical trial is conducted

Brazil, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Anticipatory Postural Adjustment by means of Electromyography	Assessed by means of superficial electromyography	change from pre to post-treatment (8 weeks)
Secondary	Disability level via the Oswestry Low Back Pain Questionnaire		change from pre to post-treatment (8 weeks)
Secondary	Fear of pain and avoidance of physical activity via the Fear-avoidance beliefs Questionnaire		change from pre to post-treatment (8 weeks)
Secondary	Prognosis or risk of poor clinical outcome via the STarT Back Screening Tool		change from pre to post-treatment (8 weeks)
Secondary	Pain level via visual analogue scale		change from pre to post-treatment (8 weeks)