Back Pain Clinical Trial
Official title:
Effect of Increased Relative Stiffness of Lumbar Spine on Hamstrings Muscle Stretching in Individuals With History of Low Back Pain Suspected to Have a Clinical Lumbar Instability
Verified date | May 2019 |
Source | Mahidol University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The purpose of this study is to investigate the effect of lumbopelvic stabilization on hamstrings muscle stretching in individuals with history of low back pain suspected to have a clinical lumbar instability.
Status | Completed |
Enrollment | 32 |
Est. completion date | May 30, 2019 |
Est. primary completion date | April 30, 2019 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 20 Years to 40 Years |
Eligibility |
Inclusion Criteria: 1. Between the ages of 20 and 40 2. A recurrent pattern of LBP at least two episodes that interfered with activities of daily living and/or required treatment 3. Presenting aberrant movement pattern during active forward bend test 4. Passive straight leg raising test (SLR) greater than 91 degrees 5. Having hamstrings muscle tightness of both legs (passive knee extension in supine with 90° hip flexion position greater than 20 degrees) Exclusion Criteria: 1. Having a history of abdominal, back surgery and/or fracture. 2. Having any red flags, such as infection, tumor, fracture, radicular syndrome, or inflammatory. 3. Pregnancy or having menstruation. 4. Having spinal deformities, such as scoliosis. 5. Having neurological, musculoskeletal or cardiopulmonary diseases. 6. Previously receiving physical therapy intervention involving in motor control training. 7. Taking muscle relaxant medication. 8. Having hip joint stiffness or pain 9. Having positive Trendelenburg's sign. 10. Currently having routine vigorous exercise. |
Country | Name | City | State |
---|---|---|---|
Thailand | Faculty of Physical Therapy, Mahidol University | Salaya | Nakhon Pathom |
Lead Sponsor | Collaborator |
---|---|
Mahidol University |
Thailand,
Hicks GE, Fritz JM, Delitto A, McGill SM. Preliminary development of a clinical prediction rule for determining which patients with low back pain will respond to a stabilization exercise program. Arch Phys Med Rehabil. 2005 Sep;86(9):1753-62. — View Citation
Jandre Reis FJ, Macedo AR. Influence of Hamstring Tightness in Pelvic, Lumbar and Trunk Range of Motion in Low Back Pain and Asymptomatic Volunteers during Forward Bending. Asian Spine J. 2015 Aug;9(4):535-40. doi: 10.4184/asj.2015.9.4.535. Epub 2015 Jul 28. — View Citation
Sahrmann S, Azevedo DC, Dillen LV. Diagnosis and treatment of movement system impairment syndromes. Braz J Phys Ther. 2017 Nov - Dec;21(6):391-399. doi: 10.1016/j.bjpt.2017.08.001. Epub 2017 Sep 27. Review. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Lumbar, pelvic, and lumbopelvic motions at baseline. | Clinical motion analysis system will be used to measure these segmental motions. This system is composed of triple axis accelerometers (MPU6050, China), data acquisition board (Arduino Uno R3, Italy), and a LabVIEW software version 2012 (National Instrument, USA). The system will be used to measure pre- and post-intervention of angle of lumbar, pelvic, and lumbopelvic motions through a custom LabVIEW program at 100 Hz. | These data will be collected at baseline and immediately after intervention. | |
Primary | Lumbar, pelvic, and lumbopelvic motions after intervention. | Clinical motion analysis system will be used to measure these segmental motions. This system is composed of triple axis accelerometers (MPU6050, China), data acquisition board (Arduino Uno R3, Italy), and a LabVIEW software version 2012 (National Instrument, USA). The system will be used to measure pre- and post-intervention of angle of lumbar, pelvic, and lumbopelvic motions through a custom LabVIEW program at 100 Hz. | These data will be collected at immediately after intervention. | |
Primary | Hamstrings muscle length at baseline. | Clinical motion analysis system will be used to measure the angle of knee extension that represents hamstrings muscle length at pre- and post-intervention. | These data will be collected at baseline. | |
Primary | Hamstrings muscle length after intervention. | Clinical motion analysis system will be used to measure the angle of knee extension that represents hamstrings muscle length at pre- and post-intervention. | These data will be collected at immediately after intervention. | |
Secondary | Muscle length based on modified Thomas and Trendelenburg test. | Clinical tests will be performed at the baseline because they could be a potential confounding factor. | These data will be collected at baseline only. | |
Secondary | Abdominal and back muscle strength . | Abdominal and back muscle strengths will be measured by using a hand-held dynamometer. Clinical tests will be performed at the baseline because they could be a potential confounding factor. | These data will be collected at baseline only. |
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