An Efficacy Study of Exercise Rehabilitation on Pain and Disability for Patients With Non-specific Low Back Pain

Running Injury Clinic80 enrolled

Overview

The primary objective of this study is to compare the efficacy of two different exercise programs for the reduction of pain and disability in a specific subgroup of NSLBP patients and aims to investigate the additive effect of hip stabilization exercises. The investigators hypothesize that the combined local (segmental) stabilizer and hip stabilizer program (T2) will be more effective in reducing pain and disability in NSLBP patients compared to the local (segmental) stabilizer program (T1).

The secondary objective of this study is to measure the changes in lumbopelvic and hip mechanics for both treatment groups following completion of the exercise programs. We hypothesize that there will be differences observed between groups following the 6wk rehabilitation programs, and that only the group completing the combined local (segmental) stabilizer and hip stabilizer strengthening program (T2) will demonstrate significant differences in mechanics compared to baseline testing.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Low Back Pain, Mechanical

Interventions

exercise rehabilitation programOTHER

6 week home based exercise rehabilitation program with 6 weekly supervised sessions using real time ultrasound as biofeedback to augment training in both treatment arms

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * 18-65 years old * Unilateral or bilateral NSLBP symptoms for a minimum of 6 weeks * Current symptoms rated at least a 5/10 on a scaled from 0-10 Exclusion Criteria: * Symptoms 'red flags' for underlying pathological conditions such as bowel and/or bladder problems, radicular symptoms, night pain * Scoliosis * Neurological impairment, discogenic pathology, vestibular disorder * Pregnancy or within 1 year of giving birth * Previous or ongoing complications from lower extremity injury or surgery in the past year * Previous surgery to the lumbar spine or hip * Use of any radiological interventions or injections such as prolotherapy, corticosteroid, or nerve block in the past 3 months

Locations (1)

Running Injury Clinic

Calgary, Alberta, Canada

RECRUITING

Outcomes

Primary Outcomes

Change in pain intensity measured by a 10cm visual analogue scale

Measures will be taken at baseline, at 3wk follow up, and at 6wk follow up to ivestigate the changes at mid point and following the exercise intervention

Time frame: 6 weeks

Secondary Outcomes

Change in biomechanical variables using an eight camera motion capture system

Measures will be taken at baseline and at 6wk follow up to ivestigate the changes at mid point and following the exercise intervention

Time frame: 6 weeks

Change in disability score as measured by the Oswestry Disability Questionnaire

Measures will be taken at baseline, at 3wk follow up, and at 6wk follow up to ivestigate the changes at mid point and following the exercise intervention

Time frame: 6 weeks

Central Contacts

Jill Baxter, BSc

CONTACT

403 220 7411 jbaxter@ucalgary.ca

Data from ClinicalTrials.gov

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