- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03689400
Changes of Pain and Functional Parameters in Back Pain Patients Over Time
Changes of Pain and Functional Parameters in Back Pain Patients With or Without Radiculopathy Over Time
Back pain affects patients' daily life. Patients can suffer from various symptoms which appear intermittent or permanent; pain, sensory malfunction, reduction of muscular strength and coordination. Therefore, patients are impaired in participation and activity.
Physiotherapy is recommended to improve those symptoms and to positively affect the cause of the problem. However, some patients do not benefit from physiotherapeutic treatment and require a surgery.
The investigators intend to attend patients suffering from back pain and to document the changes of pain and functional parameters over a period of 6 months. The investigators include pre-operative, post-operative or non-operated patients which allows to discuss the different treatment options and its effects.
Study Overview
Status
Detailed Description
To assess pain and functional parameters physicians, medical staff and physiotherapist often use subjective clinical testings which impede the comparability of testings over time, between testers and between subjects.
Therefore, a second aim of this study is to evaluate each subjective clinical test with a standardized objective measurement tool.
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
-
-
Grisons
-
Chur, Grisons, Switzerland, 7000
- Cantonal Hospital of Grisons
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- appointment at the neurosurgery department due to back pain
- German speaking
- willingness to see a physiotherapist
- willingness to participate in 3 measurements over 6 months
Exclusion Criteria:
- no appointment at the neurosurgery department due to back pain
- not German speaking
- no willingness to see a physiotherapist
- no willingness to participate in 3 measurements over 6 months
Study Plan
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Changes from baseline pain sensation at 6 weeks and 6 months
Time Frame: 3 measurement time points through study completion, an average of 6 months
|
Changes of pain, sensory malfunction and numbness assessed by pain drawings and the visual analog scale.
The visual analog scale ranges from 0 to 10 points, where 0 indicates no pain, no numbness or no impairment of sensation and 10 stands for the highest pain value, total numbness or unsustainable paresthesia.
|
3 measurement time points through study completion, an average of 6 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Changes from baseline neurological status at 6 weeks and 6 months
Time Frame: 3 measurement time points through study completion, an average of 6 months
|
The neurological status will be assessed by the straight leg raise test.
The hydrogoniometer serves as assessment tool and measures the range of motion in degrees.
The test will be performed following its description and will be stopped when the patient recognises his symptoms or when more than 70 degrees of hip flexion are reached without causing any symptoms.
|
3 measurement time points through study completion, an average of 6 months
|
Changes from baseline tissue tenderness status at 6 weeks and 6 months
Time Frame: 3 measurement time points through study completion, an average of 6 months
|
The neurological status will be assessed by the pressure pain threshold over tenderpoints along the ilica crest.
The NOD-algometer device serves as assessment tool and measures the pressure pain threshold in kPa.
|
3 measurement time points through study completion, an average of 6 months
|
Changes from baseline reflex activity status at 6 weeks and 6 months
Time Frame: 3 measurement time points through study completion, an average of 6 months
|
The neurological status will be assessed by the reflex activity of the patellar and achilles tendon reflex.
An acceleration attached to the moving limb will measure the amplitude of the limb movement in m/s2.
|
3 measurement time points through study completion, an average of 6 months
|
Changes from baseline muscular strength at 6 weeks and 6 months
Time Frame: 3 measurement time points through study completion, an average of 6 months
|
Muscular strength will be assessed by an handheld dynamometer measuring in Newton.
|
3 measurement time points through study completion, an average of 6 months
|
Changes from baseline balance at 6 weeks and 6 months
Time Frame: 3 measurement time points through study completion, an average of 6 months
|
Balance during the one leg stance with eyes open will be assessed by the SwayStar measurement tool which is based on integrated gyroscopes to measure pitch and roll movements.
|
3 measurement time points through study completion, an average of 6 months
|
Changes from baseline quality of life at 6 weeks and 6 months
Time Frame: 3 measurement time points through study completion, an average of 6 months
|
Quality of life will be assessed by the SF-36 questionnaire.
The total score is calculated from subscales by adding the points.
The total score ranges from 0 to 100 points.
0 indicates a low quality of life and 100 indicates a high quality of life.
|
3 measurement time points through study completion, an average of 6 months
|
Changes from baseline disability at 6 weeks and 6 months
Time Frame: 3 measurement time points through study completion, an average of 6 months
|
Disability will be assessed by the German version of the Oswestry Disability Questionnaire.
The total score is calculated from subscales by adding the points.
The total score ranges from 0 to 50 points.
0 indicates no disability, 50 indicates a high degree of disability.
|
3 measurement time points through study completion, an average of 6 months
|
Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Ron Clijsen, PhD, SUPSI Landquart, Switzerland
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- KSGR
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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