Does the Therapist's Assessment of Movement Control in Low Back Pain Patients Correspond to an Objective Kinematic Modification

Chronic Low-back Pain Clinical Trial

— LOBACOM  

Official title:

Does the Therapist's Assessment of Movement Control in Low Back Pain Patients Correspond to an Objective Kinematic Modification

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05511012
• Other study ID #: 29BRC22.0128
• Status: Recruiting
• Phase: N/A
• Start date: December 15, 2022
• Est. completion date: December 15, 2024

Study information

• Verified date: July 2023
• Source: University Hospital, Brest
• Contact: Vincent CREAC'H
• Phone: +33(0)298017935
• Email: vincent.creach[@]univ-brest.fr
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

• 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.

Description:

• 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.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 50
• Est. completion date: December 15, 2024
• Est. primary completion date: December 15, 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 99 Years

Eligibility

Inclusion Criteria:

• 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

Exclusion Criteria:

• Body Mass Index greater than 30 (obesity)

• Person who does not understand French

• Pregnant woman

• Refusal to participate

• Volunteer under guardianship or curatorship

Related Conditions & MeSH terms

• Back Pain
• Chronic Low-back Pain
• Low Back Pain

Intervention

Other:
• motion control fault tests
Patients make 6 motion control fault tests, in the same order. Each test is performed three times

Locations

Country	Name	City	State
France	CHU de Brest	Brest	Finistère

Sponsors (1)

Lead Sponsor	Collaborator
University Hospital, Brest

Country where clinical trial is conducted

France, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Range of compensation motion : "waiters bow" test	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	Day 0
Primary	Range of compensation motion : "pelvic tilt" test	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.	Day 0
Primary	Range of compensation motion : "One leg stance" test	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.	Day 0
Primary	Range of compensation motion : "sitting knee extension" test	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.	Day 0
Primary	Range of compensation motion : "rocking 4 point kneeling" test	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.	Day 0
Primary	Range of compensation motion : "prone knee bend" test	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	Day 0
Secondary	Speed of execution for test 1	It is measured with a camera. The camera can film one hundred pictures per second. Speed of execution is measured in seconds.	Day 0
Secondary	Speed of execution for test 2	It is measured with a camera. The camera can film one hundred pictures per second. Speed of execution is measured in seconds.	Day 0
Secondary	Speed of execution for test 3	It is measured with a camera. The camera can film one hundred pictures per second. Speed of execution is measured in seconds.	Day 0
Secondary	Speed of execution for test 4	It is measured with a camera. The camera can film one hundred pictures per second. Speed of execution is measured in seconds.	Day 0
Secondary	Speed of execution for test 5	It is measured with a camera. The camera can film one hundred pictures per second. Speed of execution is measured in seconds.	Day 0
Secondary	Speed of execution for test 6	It is measured with a camera. The camera can film one hundred pictures per second. Speed of execution is measured in seconds.	Day 0