High Intensity Interval Training VS Moderate Intensity Continuous Training in Chronic Low Back Pain Subjects

Cerini Tamara30 enrolled

Overview

The current guidelines for non-specific CLBP, recommend a conservative approach with exercise therapy, as first line treatment. Endurance and resistance training are two examples of recommended exercise therapies. However, it appears that none is recommended as superior over the other.

The lack of studies using HIIT in CLBP subjects, is the reason why it is needed to conduct an investigation about its effects. However, firstly it is needed to assess the feasibility and safety of the HIIT protocol, to integrate it in the daily practise and future research. In a single-center, single-blinded randomized feasiblity study, the investigators aim to prove the feasibility and safety of a 12 week HIIT programm.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

OTHER

Masking

SINGLE

Enrollment

Conditions

Low Back Pain

Interventions

HIITOTHER

* 5 min. warm up * 10 × 60 seconds burst * 60 seconds recovery after each burst * Burst phase: HRR \>90% * Recovery phase: HRR btw. 30-39% * 5 min. cool down

MICTOTHER

* 5 min. warm up * 20 min. continuous cycling: HRR btw. 40% - 59% * 5 min. cool down

Eligibility

Sex: ALLMin age: 29 YearsMax age: 69 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Oswestry disability index (ODI) Score ≥ 14% * Low back pain for at least 3 months. * Declared suitable by their physician or hospital consultant to start an exercise programme and to perform a graded exercise testing to determine the heart rate peak. * Good understanding of German or English, written and spoken. * Age between 29 - 69 * No or stopped physical therapy. Exclusion Criteria: * Pre-existing unstable heart disease or suspected angina pectoris, cardiac dysrhythmias, heart failure, aneurysm or aortic stenosis. * Known pregnancy. * Previous low back spinal surgery in the last 2 years. * Tumour, spinal stenosis, spinal fractures or radiculopathy. * Comorbid health conditions like diabetes mellitus, rheumatoid arthritis or other systemic inflammatory diseases.

Locations (1)

Schulthess Klinik

Zurich, Switzerland

Outcomes

Primary Outcomes

Adherence

Difference in training adherence rate between HIIT and MICT. The adherence rate will be calculated in the amount of days a patient trained versus the total days they were scheduled to train.

Time frame: 13 weeks

Secondary Outcomes

Enjoyability

Likert scale from -3 to +3. -3 = I hate it, 0 = Neutral, +3 = I enjoy it.

Time frame: 13 week

Willingness to continue the training

Likert scale from -3 to +3. -3 = Very low, 0 = Neutral, +3 = Very high.

Time frame: 13 weeks

Number of Adverse Events & Dropout rate

Dropout rate and adverse events connected with the training

Time frame: 13 weeks

Recruited rate

Screened patients in relation with the number of recruited patients

Time frame: 3 months

Data from ClinicalTrials.gov

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