Correlation of Thoracolumbar Fascia Mechanical Properties and Compensate Mechanisms of Asymmetric Skeletal Muscle

Low Back Pain Clinical Trial

Official title:

Study of School and Graduate Institute of Physical Therapy College of Medicine in Taiwan

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT02459366
• Other study ID #: 201412156RINA
• Status: Recruiting
• Phase: N/A
• First received: May 26, 2015
• Last updated: December 29, 2015
• Start date: May 2015
• Est. completion date: July 2018

Study information

• Verified date: December 2015
• Source: National Taiwan University Hospital
• Contact: Shwu-Fen Wang
• Phone: 886-33668139
• Email: sfwang[@]ntu.edu.tw
• Is FDA regulated: No
• Health authority: Taiwan: Department of Health
• Study type: Observational

Clinical Trial Summary

The objective of three-year research is to investigate the relationship between thoracolumbar fascia tissue characteristics, lumbopelvic asymmetry, core muscle contractility, proprioception and standing balance in different ages of asymptomatic participants and patients with CMLBP.

Description:

Background: Chronic myofascial low back pain (CMLBP) is a common musculoskeletal disease. Deep fascia is the structures which insufficient in the theory of spinal stability, the major biomechanical role of the thoracolumbar fascia are segmental control and stability of the spine and sacroiliac joint, its biomechanical role is influenced by its mechanical properties of the fascia. Fascia provide the function of sensation and coordination, it is helpful for discussion the compensatory mechanisms for patients with chronic low back pain, and contribution to the development of appropriate therapeutic strategies or combined treatments in innovative applications. However due to the lack of understanding of myofascia, there are difficulties in diagnosis and treatments. It is necessary to establish methods of assessing fascia and complete series of study for understanding fascia and its attaching muscles.

Objective: The objective of three-year research is to investigate the relationship between thoracolumbar fascia tissue characteristics, lumbopelvic asymmetry, core muscle contractility, proprioception and standing balance in different ages of asymptomatic participants and patients with CMLBP.

Method: 270 subjects are recruited in this study, with ages ranging from 20 to 74 years old. 120 of the subjects are patients with CMLBP and 150 are asymptomatic participants. Instrument in use including real time ultrasound imaging, Zebris 3D motionanalysis system and force plate system. The first year is to establish the reliability of measurement of lumbopelvic asymmetry, mechanical and physical properties of thoracolumbar fascia, and the norm of different age. The second year is to compare the differences among asymptomatic subjects and patients with and without lumbopelvic asymmetry, and investigate whether lumbopelvic symmetry, core muscle contractility, proprioception and standing balance change after manipulating thoracolumbar fascia tissue by physical therapy. The third year is to investigate the treatment effect on chronic myofascial back pain patient after 8 weeks exercise training with the aid of physical agent.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 270
• Est. completion date: July 2018
• Est. primary completion date: July 2018
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Both
• Age group: 20 Years to 74 Years

Eligibility

Inclusion criteria:

• Asymptomatic subjects

• Age between 20-74 years old

• In the past three months did not feel uncomfortable more than one day on waist region, and did not relapsed more than once within three months

Subjects with chronic low back pain

• Age between 20-74 years old

• In the past three months felt uncomfortable more than one day on waist region, and relapsed more than once within three months

• Visual pain scores (VAS ? 3)

Exclusion criteria:

1. Can not communicate clearly with people

2. Any open wounds

3. Any history of cancer or malignancy

4. The bleeding disorders

5. Pregnancy

Study Design

Observational Model: Case Control, Time Perspective: Cross-Sectional

Related Conditions & MeSH terms

• Low Back Pain

Locations

Country	Name	City	State
Taiwan	National Taiwan University Hospital	Taipei	Test2

Sponsors (1)

Lead Sponsor	Collaborator
National Taiwan University Hospital

Country where clinical trial is conducted

Taiwan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Tissue characteristics of thoracolumbar		30 minutes	No
Secondary	Contraction ability of core muscles	using ultrasound image to measure the thickness change of core muscles	30 minutes	No
Secondary	The re-position range of motion of lumbar spine		30 minutes	No
Secondary	Scale of standing balance		30 minutes	No