Global Postural Reeducation in Chronic Low Back Pain

Federal University of São Paulo61 enrolled

Overview

The purpose of this study is to evaluate the effectiveness of a Global Postural Reeducation (GPR) program in subjects with chronic low back pain.

Approximately 80-85% of individuals will experience low back pain during their lifetime. It is one of the major concerns of current health care. There is evidence for the effectiveness of exercise therapy in patients with chronic low back pain. GPR is a physical therapy method developed in France by Philippe Emmanuel Souchard. Although this method is largely used as form of treatment in most countries, few studies showed its clinical effectiveness in chronic low back pain. This is the first randomized controlled trial, with assessor blind that evaluate the GPR effects in chronic low back pain. All outcome measurements are reliability, validated and sensitivity for statistical changes using the Visual Analogic Scale- VAS (0-10cm), Roland Morris Questionary, SF36 (Quality Life Questionary) and Beck Scale (Depression Symptoms).

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Back Pain Mechanical Low Back Pain

Interventions

Control GroupOTHER

No physical intervention was given, patients were treated only with medication if necessary.

Global Reeducation GroupOTHER

They were treated with medication if necessary and performed GPR session once a week, during 12 weeks. All the 6 postures from GPR were used during the study.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * between 18-65 years age, * low back pain (more than 12 weeks) without legs irradiation, * pain between 3-8 cm on a visual Analogue scale (0-10cm). Exclusion Criteria: * fibromyalgia, * pregnancy, * osteoporosis severe, * disc herniation, * patients who had undergone spinal surgical or physiotherapeutic interventions within 3 months prior to baseline assessment.

Locations (1)

São Paulo Federal University UNIFESP

São Paulo, São Paulo, Brazil

Outcomes

Primary Outcomes

Change from baseline in pain

The primary outcome of this study was the measurement of pain assessed with 0-10cm Visual Analogue Scale (VAS). They were collected at baseline and two follow-up examinations after 3 and 6 months from baseline.

Time frame: baseline and two follow-up examinations - after 3 and 6 months from baseline

Secondary Outcomes

Change from baseline in function

The secondary outcome included function measured by Roland Morris Questionnaire. It was collected at baseline and two follow-up examinations after 3 and 6 months from baseline.

Time frame: It was collected at baseline and two follow-up examinations after 3 and 6 months from baseline.

Data from ClinicalTrials.gov

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