Specific Stabilization Exercise With Ultrasound Feedback For Patient With Recurrent Low Back Pain

1. Specific aim 1:Identify factors that influence muscle performance by use of ultrasound imaging.

   Hypothesis: Gender, age, and BMI affect the muscle performance of deep trunk muscles.

2. Specific aim 2. To compare the performance of trunk deep muscles (transversus abdominis and multifidus) and the sensation and pain thresholds of patients with recurrent low back pain with asymptomatic subjects.

   Hypothesis: patients with recurrent low back pain have:

   (A) less activation of the transversus abdominis and multifidus, (B) peripheral and central sensitization, with decreased sensation and pain thresholds in the lumbar and foot areas.

3. Specific aim 3. To determine the performance of the transversus abdominis and multifidus, and the sensation and pain thresholds by use of ultrasound feedback training in asymptomatic adults, and to compare these results with the traditional training protocols for trunk stabilization.

   Hypothesis: Specific stabilization exercise using ultrasound feedback training is more effective in activating deep trunk muscles and increasing sensation and pain thresholds than the traditional stabilization training protocol in asymptomatic adults.

4. Specific aim 4. To determine the performance of the transversus abdominis and multifidus, and the sensation and pain thresholds by using the ultrasound feedback training in adults with low back pain, and to compare these results with the traditional training protocols for trunk stabilization.

Hypothesis: Specific stabilization exercise using ultrasound feedback training is more effective in activating deep trunk muscles and increasing sensation and pain thresholds than the traditional stabilization training protocol in adults with low back pain.

Study Overview

• Status: Completed
• Conditions: Recurrent Low Back Pain
• Intervention / Treatment: Other: specific stabilization exercise

• Study Type: Interventional
• Enrollment (Actual): 72
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Taiwan
  • ZhongZeng District
    • Taipei, ZhongZeng District, Taiwan, 10060
      • School of Physical Therapy, National Taiwan University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 20 years to 50 years (Adult)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• recurrent low back pain for at least the past year
• lumbar region discomfort more than one day in the past three months
• recurrent discomfort more than one time in the past three months

Exclusion Criteria:

• pregnancy
• carcinoma
• systematic disease (rheumatic arthritis, ankylosing spondylitis etc)
• had surgery on lumbar region or lower extremities
• neurological symptom on lower extremities(numbness, pain etc)
• spondylolisthesis

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: N/A
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

1

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Patient; To evaluate the effect of specific stabilization intervention in recurrent low back pain participants	Other: specific stabilization exercise; The specific stabilization exercise refers to an exercise that targets the deep trunk muscle, including the multifidus and transversus abdominis with ultrasound feedback.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
Increased change of sliding of transversus abdominis muscle and change of thickness on multifidus muscle in asymptomatic and low back pain group	pre treatment (0 week), post treatment(6 week)

Secondary Outcome Measures

Outcome Measure	Time Frame
Decrease cold sensation threshold on left back and hot sensation threshold on left leg in both group	pre treatment (0 week), post treatment(6 week)

Collaborators and Investigators

• Sponsor: National Taiwan University Hospital
• Collaborators: National Health Research Institutes, Taiwan
• Investigators: Study Director: Shwu-Fen Wang, Ph.D, chool of Physical Therapy, National Taiwan University

Study record dates

Study Major Dates

• Study Start: June 1, 2011
• Primary Completion (Actual): December 1, 2012

Study Registration Dates

• First Submitted: April 10, 2014
• First Submitted That Met QC Criteria: April 10, 2014
• First Posted (Estimate): April 14, 2014

Study Record Updates

• Last Update Posted (Estimate): April 14, 2014
• Last Update Submitted That Met QC Criteria: April 10, 2014
• Last Verified: April 1, 2014

More Information

Terms related to this study

• Keywords: low back pain; ultrasound; specific stabilization exercise
• Additional Relevant MeSH Terms: Pathologic Processes; Pain; Neurologic Manifestations; Disease Attributes; Back Pain; Low Back Pain; Recurrence
• Other Study ID Numbers: 200903075R