Effects of Acute Exercise on Pain and Human Movement

Chronic Pain, Widespread Clinical Trial

— eMOVE  

Official title:

Effects of Acute Exercise on Pain and Human Movement - a Randomised Controlled Study in Patients With Chronic Pain and Healthy Controls

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03882333
• Other study ID #: Dalarna University 2017-00177
• Status: Completed
• Phase: N/A
• Start date: December 12, 2018
• Est. completion date: June 30, 2021

Study information

• Verified date: September 2021
• Source: Dalarna University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The aim of this research project is to evaluate the effect of an acute exercise intervention on pain intensity and movement control. It also aims to investigate potential differences in movement con-trol between patients with chronic musculoskeletal pain compared to healthy controls.

Description:

The aim of this research project is to evaluate the effect of an acute exercise intervention on pain intensity and movement control. It also aims to investigate potential differences in movement control between patients with chronic musculoskeletal pain compared to healthy controls. All tests will be conducted at Dalarna University. After the initial baseline tests, participants will be randomised to either acute exercise intervention group or to a control group not performing any intervention groups (both patients and controls will be randomised to intervention or control). If randomised to the control group, participants rests corresponding to the time it takes to perform the intervention (30 min), and then preform the post-intervention tests similar as the intervention group.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 82
• Est. completion date: June 30, 2021
• Est. primary completion date: June 30, 2021
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 67 Years

Eligibility

Inclusion Criteria:

Inclusion criteria for participants with chronic pain:

• Men and women, age 18-67 years,
• good ability to understand written and verbal information and instruction given in Swedish,
• chronic (>3 months) musculoskeletal pain or chronic widespread pain.

Inclusion criteria for healthy controls:

• Men and women, age 18-67 years,
• good ability to understand written and verbal information and instruction given in Swedish. Exclusion Criteria: For participants with chronic pain
• chronic pain caused by malignancies or systemic diseases, other physical conditions that affects functional abilities and implies use of walking aid in-door,
• pregnancy after week 12, childbirth within the last 3 months or
• spinal surgery.

For healthy controls:

• chronic (>3 months) or acute pain of any cause,
• other physical conditions that affects functional abilities, and implies use of walking aids in-door,
• pregnancy after week 12, childbirth in the last 3 months or
• spinal surgery.

Related Conditions & MeSH terms

• Chronic Musculoskeletal Disease
• Chronic Pain
• Chronic Pain, Widespread
• Musculoskeletal Diseases

Intervention

Other:
• Acute exercise
30 min acute exercise (bicycle at stationary cycle)

Locations

Country	Name	City	State
Sweden	Dalarna University (LIVI lab)	Falun	Dalarna

Sponsors (5)

Lead Sponsor	Collaborator
Dalarna University	Dalarna County Council, Sweden, Karolinska Institutet, Swedish Armed Forces, Swedish Council for Working Life and Social Research

Country where clinical trial is conducted

Sweden, 

References & Publications (9)

Bergström G, Jensen IB, Bodin L, Linton SJ, Nygren ÅL, Carlsson SG. Reliability and factor structure of the Multidimensional Pain Inventory--Swedish Language Version (MPI-S). Pain. 1998 Mar;75(1):101-110. doi: 10.1016/S0304-3959(97)00210-8. — View Citation

Boecker H, Sprenger T, Spilker ME, Henriksen G, Koppenhoefer M, Wagner KJ, Valet M, Berthele A, Tolle TR. The runner's high: opioidergic mechanisms in the human brain. Cereb Cortex. 2008 Nov;18(11):2523-31. doi: 10.1093/cercor/bhn013. Epub 2008 Feb 21. — View Citation

Brumagne S, Janssens L, Knapen S, Claeys K, Suuden-Johanson E. Persons with recurrent low back pain exhibit a rigid postural control strategy. Eur Spine J. 2008 Sep;17(9):1177-84. doi: 10.1007/s00586-008-0709-7. Epub 2008 Jul 2. — View Citation

Darnall BD, Sturgeon JA, Cook KF, Taub CJ, Roy A, Burns JW, Sullivan M, Mackey SC. Development and Validation of a Daily Pain Catastrophizing Scale. J Pain. 2017 Sep;18(9):1139-1149. doi: 10.1016/j.jpain.2017.05.003. Epub 2017 May 19. — View Citation

Molander P, Dong HJ, Äng B, Enthoven P, Gerdle B. The role of pain in chronic pain patients' perception of health-related quality of life: a cross-sectional SQRP study of 40,000 patients. Scand J Pain. 2018 Jul 26;18(3):417-429. doi: 10.1515/sjpain-2018-0003. — View Citation

Schulz KF, Altman DG, Moher D; CONSORT Group. CONSORT 2010 statement: updated guidelines for reporting parallel group randomised trials. BMJ. 2010 Mar 23;340:c332. doi: 10.1136/bmj.c332. — View Citation

Seay JF, Van Emmerik RE, Hamill J. Influence of low back pain status on pelvis-trunk coordination during walking and running. Spine (Phila Pa 1976). 2011 Jul 15;36(16):E1070-9. doi: 10.1097/BRS.0b013e3182015f7c. — View Citation

Tseli E, Boersma K, Stålnacke BM, Enthoven P, Gerdle B, Äng BO, Grooten WJA. Prognostic Factors for Physical Functioning After Multidisciplinary Rehabilitation in Patients With Chronic Musculoskeletal Pain: A Systematic Review and Meta-Analysis. Clin J Pain. 2019 Feb;35(2):148-173. doi: 10.1097/AJP.0000000000000669. — View Citation

van den Hoorn W, Bruijn SM, Meijer OG, Hodges PW, van Dieën JH. Mechanical coupling between transverse plane pelvis and thorax rotations during gait is higher in people with low back pain. J Biomech. 2012 Jan 10;45(2):342-7. doi: 10.1016/j.jbiomech.2011.10.024. Epub 2011 Nov 10. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Kinematic measures of human movement during functional gait sequences	Objective measures of movement control using sophisticated wearable sensors (accelerometer-based APDM-sensors applied at participants wrists, ankles, chest and head) during walking in 1) self-selected normal gait speed, 2) a brisk gait speed, 3) self-selected normal gait speed with a concurrent cognitive task (1-back test: participants listens to a recording of a voice that presents random series of digits between 1 to 9 with two seconds apart. The participants will be instructed to respond as quickly and accurately as possible, repeating the digit before the last one in the sequence.). Lumbar trunk rotations (degrees) will specifically be evaluated while many other kinematic variables (walking speed, step length, step width etc) will be analyzed with factor analyz-es to reduce data variables to relevant data domains, such as gait stability. Data will be aggregated as means and variances.	30 minutes (before and after the acute exercise intervention)
Primary	Muscle activity	Evaluation of back muscle activity using electromyographics (EMG) during walking as in outcome 1, i.e. in 1) self-selected normal gait speed, 2) a brisk gait speed, 3) self-selected normal gait speed with a concurrent cognitive task (1-back test). Participants will be instrumented with surface-EMG (Delsys Incorporated, Massachusetts) electrodes applied bilateral at participants back and neck muscles. Back and neck spatial and temporal muscle activity (EMG amplitudes) representing repeated gait cycles will be aggregated to one cycle; factor analyzes may be applied to reduce data variables to relevant data domains. Data will be presented as means and variances.	30 minutes (before and after the acute exercise intervention)
Secondary	Self-rated pain using the Visual Analogue Scale (VAS scale).	Self-rated pain will be measured using a horizontal 10-cm line "Visual Analogue Scale" (VAS) with the statement 'no pain at all' at the extreme left-hand end, and 'the worst possible pain' or 'unbearable' at the right-hand extreme.	30 minutes (before and after the acute exercise intervention)