Validity and Predictive Value of Manual Clinical Test to Identify Symptomatic Segments in Lumbar Chronic Patients

Universidad de Zaragoza93 enrolled

Overview

This study evaluates the predictor value of manual test in lumbar chronic patients blocks. Bibliography has show limited evidence of clinical predictors in lumbar blocks. Prior to lumbar facet block or medial branch denervation patient will be evaluated with manual provocative segmental movements, lumbar sagittal range of motion, manual segmental movement and slump neural test . Immediate, one and six months effect will be registered.

Clinical tests have sown limit evidence to predict efficacy of lumbar facet blocks. Segmental mobility tests have been included into the protocol to evaluate the efficacy of the lumbar blocks. Chronic low back pain patients will be tested to evaluate the predictor value of manual clinical tests. Patients from the "Lozano Blesa" Hospital pain clinic will be evaluate before, one month and six months after the lumbar facet block.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Low Back Pain

Interventions

lumbar facet blockPROCEDURE

injection of Levobupivacaine 0,25% and corticosteroids

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * more than 3 months of low back pain. * lumbar with or without leg pain. * patient treated with a lumbar facet block or medial nerve denervation. * capable to be physically explored. * capable to fill a questionaire. Exclusion Criteria: * no mechanical pain. * severe medical condition. * severe lumbar trauma. * severe lumbar instability. * severe lumbar deformity * psychiatric disorder.

Locations (1)

Universidad de Zaragoza

Zaragoza, Spain

Outcomes

Primary Outcomes

Pain intensity Visual analogue scale

Time frame: baseline before the block

Change of the Pain intensity one hour after the block

Time frame: one hour after the block

Change of the pain intensity one month after the block

Time frame: one month after the block

Change of the pain intensity six months after the block

Time frame: six months after the block

Secondary Outcomes

range of motion ROM

Measure of the pain free lumbar flexion and extension range of motion. Measured with single inclinometer in grades

Time frame: baseline before the block

Change of the range of motion ROM

Measure of the pain free lumbar flexion and extension range of motion. Measured with single inclinometer in grades

Time frame: one month after the block

Change of the range of motion ROM

Measure of the pain free lumbar flexion and extension range of motion. Measured with single inclinometer in grades

Time frame: six months after the block

lumbar segmental provocation manual test

Time frame: baseline before the block

Change of the lumbar segmental provocation manual test

Time frame: one month after the block

Change of the lumbar segmental provocation manual test

Data from ClinicalTrials.gov

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