This study evaluates the effects of additional sensorimotor training (proprioceptive postural training, PPT) to conventional therapy in the treatment of chronic low-back pain. Half of the participants will receive instructed treadmill training as an active comparator against PPT. All participants receive conventional physiotherapy as prescribed by their treating medical doctors. It is expected that the PPT group will improve in postural control, proprioceptive, as well as pain and function outcomes to a significantly greater extent than the active control group.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
60
All participating patients will attend usual care according to their treatment plan (taking part in the study does not affect the treatment plan). A physiotherapy referral requests 9 treatments, each of which takes 30 minutes. These will take place twice a week for 4.5 weeks. The study protocol does not dictate the content of the physiotherapy sessions themselves, but detailed documentation of provided treatments is required (therapy documentation sheet). Additionally, the aim of the physiotherapy sessions should always include reduction of muscular imbalances and optimisation of posture.
Reha Rheinfelden
Rheinfelden, Canton of Aargau, Switzerland
Change of self-reported pain on 100mm Visual Analogue Scale (VAS)
Time frame: Baseline (-4 days); Pre-Test (0 days); Post-Test (+25 days) and follow-up (+45 days)
Change of functional status recorded with the Oswestry Disability Index (ODI)
Time frame: Baseline (-4 days); Pre-Test (0 days); Post-Test (+25 days) and follow-up (+45 days)
Centre of Pressure
Area of surface a the 95% confidence ellipse of centre of pressure displacement during postural task
Time frame: Baseline (-4 days); Pre-Test (0 days); Post-Test (+25 days) and follow-up (+45 days)
Joint Repositioning Error (segmental)
Repositioning acuity after surface perturbation.
Time frame: Baseline (-4 days); Pre-Test (0 days); Post-Test (+25 days) and follow-up (+45 days)
Uncontrolled Manifold Index (UCM)
Segmental joint configuration.
Time frame: Baseline (-4 days); Pre-Test (0 days); Post-Test (+25 days) and follow-up (+45 days)
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