Effects of Resistance Training on Pain, Function and Work Ability in Patients With Moderate to Severe Low Back Pain

Low Back Pain Clinical Trial

Official title:

Effects of Resistance Training on Pain, Function and Work Ability in Patients With Moderate to Severe Low Back Pain

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02420236
• Other study ID #: 2014/1157-B
• Status: Completed
• Phase: N/A
• Start date: January 2015
• Est. completion date: March 15, 2017

Study information

• Verified date: June 2018
• Source: Norwegian University of Science and Technology
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The purpose of this study is to investigate if high-intensity resistance training can induce additional beneficial effects, for patients with moderate to severe long term pain in the low back, when added to a multidisciplinary treatment program.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 99
• Est. completion date: March 15, 2017
• Est. primary completion date: January 4, 2017
• Accepts healthy volunteers: No
• Gender: All
• Age group: 16 Years to 65 Years

Eligibility

Inclusion Criteria:

• Referred to the multidisciplinary clinic for treatment of pain in low back

• Long term (= 3months) or recurrent (= 2 periods of = 4 weeks the past year) non-specific low back pain

• Pain intensity = 4 on numerical rating scale (0-10)

Exclusion Criteria:

• Severe somatic condition (unstable injury, malignity, infectious disease, active rheumatic disease, severe osteoporosis)

• Psychiatric condition/disease that severely impairs group functioning

• Insufficient comprehension of Norwegian language to participate in group sessions and fill out questionnaires

• Awaiting surgery of back

• Alcohol or drug abuse

• Ongoing compensation case or applying for disability benefits due to pain in the back

• Engaged in high-intensity resistance training on a regular basis the last 6 months

Related Conditions & MeSH terms

• Back Pain
• Low Back Pain

Intervention

Behavioral:
• High-intensity resistance training

• General physical activity

• Multidisciplinary rehabilitation program

Locations

Country	Name	City	State
Norway	St. Olavs University Hospital - Department of Physical Medicine and Rehabilitation	Trondheim

Sponsors (4)

Lead Sponsor	Collaborator
Norwegian University of Science and Technology	Kommunal Landspensjonskasse, Norwegian Fund for Postgraduate Training in Physiotherapy, St. Olavs Hospital

Country where clinical trial is conducted

Norway, 

References & Publications (2)

Iversen VM, Vasseljen O, Mork PJ, Berthelsen IR, Børke JB, Berheussen GF, Tveter AT, Salvesen Ø, Fimland MS. Resistance training in addition to multidisciplinary rehabilitation for patients with chronic pain in the low back: Study protocol. Contemp Clin Trials Commun. 2017 Apr 12;6:115-121. doi: 10.1016/j.conctc.2017.04.001. eCollection 2017 Jun. — View Citation

Iversen VM, Vasseljen O, Mork PJ, Gismervik S, Bertheussen GF, Salvesen Ø, Fimland MS. Resistance band training or general exercise in multidisciplinary rehabilitation of low back pain? A randomized trial. Scand J Med Sci Sports. 2018 Mar 31. doi: 10.1111 — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Low back-related disability as assessed by the oswestry disability index	Oswestry disability index	12 weeks
Secondary	Pain assessed by the Numerical Pain Rating Scale		3 and 12 weeks + 6 and 12 months
Secondary	Fear avoidance beliefs assessed by Fear Avoidance Beliefs Questionnaire		3 and 12 weeks + 6 and 12 months
Secondary	Patients' perceived effect of the treatment assessed by the Patient specific functioning scale		3 and 12 weeks + 6 and 12 months
Secondary	Anxiety and depression assessed by Hopkins symptom checklist		3 and 12 weeks + 6 and 12 months
Secondary	Quality of life assessed by EQ-5D-5L		3 and 12 weeks + 6 and 12 months
Secondary	Work ability assessed by Work ability index		3 and 12 weeks + 6 and 12 months
Secondary	Use of analgesics assessed by a questionnaire from the HUNT study		3 and 12 weeks + 6 and 12 months
Secondary	Physical activity level assessed by a questionnaire from the HUNT study		3 and 12 weeks + 6 and 12 months
Secondary	Strength in the low back during maximal isometric contractions of the back extensors		3 and 12 weeks + 6 and 12 months
Secondary	Grip strength using a handheld dynamometer		3 and 12 weeks + 6 and 12 months
Secondary	Patients' perceived effect of the treatment assessed by the Global rating of change scale		3 and 12 weeks + 6 and 12 months
Secondary	Low back-related disability as assessed by the oswestry disability index		3 weeks + 6 and 12 months