- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02374970
Transversus Abdominis Muscular Training and Chronic Low Back Pain
Effectiveness of Transversus Abdominis Muscular Training in Patients With Chronic Low Back Pain
Low back pain is not a diagnosis; it is a symptom describing the presence of pain in the lumbar vertebral or paravertebral region without any reference to the structure or cause of the process. It is one of the most widespread diseases and one of the most common reasons for visits in primary care setting.
Exercises to improve lumbar stability involving co-contraction of the transversus abdominis have proved to be effective in reducing pain and improving function. It has been stated by ultrasound images that specific stabilization exercises cause contraction of the deep abdominal muscles, but it remains unclear whether training produce thickness muscle improvement and if this improvement is related to clinical findings.
To try to resolve this issue a project of an experimental trial, double-blind (patient and evaluator) with two groups randomly assigned is presented. All participants will be recruited in an primary care center of the Catalan Health Institut and will sign informed consent. All will receive a protocolized treatment with therapeutic exercises and thermotherapy and, additionally, those assigned to the intervention group were instructed in performing lumbar stability exercises.
Pain (VAS), function (Roland-Morris Questionnaire) and the thickness of the transversus abdominis, internal and external oblique muscles (measured by ultrasound) at baseline, end of treatment protocol (12 sessions) and three months after the end of treatment will be assessed.
Results in pain, function, and its correlation with the mean changes in the thickness of transversus abdominis will be analyzed.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Edurne Villar-Mateo
- Email: edurne.villar.mateo@gmail.com
Study Locations
-
-
Barcelona
-
Cornellà de Llobregat, Barcelona, Spain, 08940
- Recruiting
- Catalan Health Institut. Sant Ildefons Rehabilitation Service
-
Contact:
- Edurne Villar-Mateo
- Email: edurne.villar.mateo@gmail.com
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- 18 years old and over
- Diagnosis of chronic low back pain (over 3 months)
- Sign the informed consent form.
Exclusion Criteria:
- Non-stand supine position
- Neural Irradiation pain
- Previous surgical intervention in low back region
- Heart pathology
- Pregnancy
- Pending litigation or legal claim
- Poor language and communication skills making difficult to understand the informed consent
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Intervention group
Actual Lumbar stability exercises involving co-contraction of the transversus abdominis and Protocolized Physiotherapy (therapeutic exercises and thermotherapy during 12 sessions)
|
Four individualized learning sessions will be held during the same period of protocolized physiotherapy.
Biofeedback training using the ultrasound machine will be performed in the first session, in order to show the specific contraction of the abdominal muscles with the stability exercises.
The other three learning sessions will be performed without feedback, for the patient learn the exercises to make at home during the follow-up period.
Therapeutic exercises and thermotherapy during 12 daily sessions
|
Active Comparator: Control group
Protocolized Physiotherapy treatment: therapeutic exercises and thermotherapy during 12 sessions.
|
Therapeutic exercises and thermotherapy during 12 daily sessions
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Change in transversus abdominis muscle thickness (Ultrasonography)
Time Frame: Baseline, 15 days after, and three months after
|
Baseline, 15 days after, and three months after
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Change in pain intensity (Visual analogue scale)
Time Frame: Baseline, 15 days after, and three months after
|
Baseline, 15 days after, and three months after
|
Disability (Roland-Morris questionnaire)
Time Frame: Baseline, 15 days after, and three months after
|
Baseline, 15 days after, and three months after
|
Change in internal oblique muscle thickness (Ultrasonography)
Time Frame: Baseline, 15 days after, and three months after
|
Baseline, 15 days after, and three months after
|
Change in external oblique muscle thickness (Ultrasonography)
Time Frame: Baseline, 15 days after, and three months after
|
Baseline, 15 days after, and three months after
|
Patient perception of change (Global Rating of Change scale)
Time Frame: 15 days after recruitment, and three months after
|
15 days after recruitment, and three months after
|
Collaborators and Investigators
Investigators
- Principal Investigator: Edurne Villar-Mateo, Jordi Gol Institut of Research in Primary Health Care
Study record dates
Study Major Dates
Study Start
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- P14/084
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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