Treatment of Low Back Pain in Patients With End-stage Renal Disease on Hemodialysis

Federal University of São Paulo

Overview

The purpose of this study is to determine whether a physiotherapeutic intervention is effective in the treatment of low back pain in hemodialysis patients

Low back pain is a significant morbidity in chronic hemodialysis patients affecting about 1/3 of them. Among the physiotherapeutic interventions, the McKenzie Method (Spine 1983;8:141-4), has shown to be an effective approach to manage patients with low back pain. More specifically, it consists on standardized repetitive flexion and extension exercises of the lumbar spine. Thus far, there has been no randomized intervention testing the effectiveness of physiotherapeutic interventions in chronic renal failure patients on hemodialysis. In this study we selected four of their main proposed exercises (flexion in standing, extension in standing, flexion in lying, and extension in lying position) to apply three times a week for eight weeks.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Conditions

Chronic Low Back Pain

Interventions

physiotherapeutic interventionPROCEDURE

Twenty repetitive exercises (30 seconds per exercise) consisting of: flexion in standing, extension in standing, flexion in lying, and extension in lying position applied three times a week for eight weeks

controlPROCEDURE

The control group receive transcutaneous electrical nerve stimulation (TENS) for 20 min at 50-100 Hz frequencies for the same time frame (Anesth Analg 2004;98:1552-6)

Eligibility

Sex: ALLMin age: 18 YearsMax age: 80 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Diagnosis of chronic low back pain * Chronic renal failure * Hemodialysis therapy for more than 3 months Exclusion Criteria: * Fractures of the spine * Psychiatric diseases * Alcohol of other drugs use * Planned living donor transplantation * Clinically unstable patients * Chronic neurologic diseases

Locations (1)

Federal University of São Paulo

São Paulo, São Paulo, Brazil

Outcomes

Primary Outcomes

Improvement in functional status of the lumbar spine as measured by the Roland Morris Disability questionnaire, consisting of 24 items wich are reported by the patient. Additionally, the lumbar pain will be assessed by a visual analogue scale.

Time frame: eight weeks

Data from ClinicalTrials.gov

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