Postural Re-education in Low Back Pain

Low Back Pain Clinical Trial

Official title:

Effectiveness of a "Global Posture Reeducation" Program for Patients With Low Back Pain

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00789204
• Other study ID #: FB001022008
• Status: Completed
• Phase: Phase 1
• First received: November 10, 2008
• Last updated: September 21, 2009
• Start date: May 2008
• Est. completion date: September 2009

Study information

• Verified date: September 2009
• Source: University of Bologna
• Contact: n/a
• Is FDA regulated: No
• Health authority: Italy: Ethics Committee
• Study type: Interventional

Clinical Trial Summary

The Global Postural Re-Education is a global approach for the treatment of musculoskeletal disease. Using specific progressive posture for stretching particular shortened chain muscle the method wants to equilibrate the never-ending war between static and dynamic muscles by guiding the patient in a particular breathing pattern to maintain a correct posture and feeling it.

Description:

In some countries there is a physical therapy method called "Global Posture Reeducation" (GPR), which was developed by Philippe Emmanuel Souchard based on 20 years of clinical experience.The method consist to balance the miofascial tension probably responsible for an articular overloading. The method stretches the shortened antigravity muscles that are inside a different static muscles chains. GPR is a global approach that search the biomechanics cause in the near areas, and involves actively the patient in the postural and gestural changes.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 100
• Est. completion date: September 2009
• Est. primary completion date: September 2009
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years to 80 Years

Eligibility

Inclusion Criteria:

• Lumbalgia Diagnosis

• Age 18-80

Exclusion Criteria:

• Migrated hernia

• Calcified disc hernia

• Spondylolisthesis

• Other physiotherapeutic interventions within 6 months of the baseline assessment.

• Surgical operation within six months of baseline

• Cancer syndrome, Neurological and rheumatic diseases

Study Design

Allocation: Non-Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Investigator), Primary Purpose: Treatment

Related Conditions & MeSH terms

• Back Pain
• Low Back Pain

Intervention

Other:
• Global Postural Re-education
The treatment in Global Postural Re-education is a global approach that seeks to identify the biomechanical cause of the problem also in other parts of the body and involves actively the patient in the postural change. Using principles like causality, globality and individuality, the treatment consists of the use for one hour of progressive active stretching posture for specific muscular chain that are shortened. Every posture is maintained for 20 minutes with controlled breathing and the use of manual traction
• Standard Exercise Training
The exercise programme included passive lumbar flexion, pelvic tilt, strengthening of flexor muscles, strengthening of extensor muscles, spine mobilization and stretching exercises.

Locations

Country	Name	City	State
Italy	Ecm Eur Centro Medico	Roma	Lazio

Sponsors (1)

Lead Sponsor	Collaborator
University of Bologna

Country where clinical trial is conducted

Italy, 

References & Publications (3)

Fernández-de-Las-Peñas C, Alonso-Blanco C, Morales-Cabezas M, Miangolarra-Page JC. Two exercise interventions for the management of patients with ankylosing spondylitis: a randomized controlled trial. Am J Phys Med Rehabil. 2005 Jun;84(6):407-19. — View Citation

Hayden JA, van Tulder MW, Malmivaara A, Koes BW. Exercise therapy for treatment of non-specific low back pain. Cochrane Database Syst Rev. 2005 Jul 20;(3):CD000335. Review. — View Citation

Vanti C, Generali A, Ferrari S, Nava T, Tosarelli D, Pillastrini P. [ General postural rehabilitation in musculoskeletal diseases: scientific evidence and clinical indications]. Reumatismo. 2007 Jul-Sep;59(3):192-201. Review. Italian. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Roland & Morris Disability Questionnaire		Baseline, 3 months, 6 months	No
Secondary	Oswestry Disability Index		Baseline, 3 months, 6 months	No
Secondary	Pain Drawing and Visual Analogue Scale (V.A.S.)		Baseline, 3 mounths, 6 months	No
Secondary	Fingertip-to-floor test		Baseline, 3 mounths, 6 months	No