Effect of the Cognitive Strategy During Trunk Muscle Endurance in Patients With Lumbar Hernia Surgery

Muscle endurance will be evaluated on two exercises: Biering-Sorensen Test and Prone Plank Test. Each test will be assessed in different days following a randomized order.

Study Overview

• Status: Completed
• Conditions: Low Back Pain; Disk Herniated Lumbar
• Intervention / Treatment: Diagnostic test: Biering-Sorensen Test and Prone Plank Test

Detailed Description

All patients will be encouraged to achieve the maximum time to task failure, stopped only by muscular fatigue or pain precluding to maintain the position. Each exercise will perform under two conditions.

On the control condition, the patients will perform both tests without any cognitive condition, while on the experimental condition they will be instructed to perform both tests while performing a mathematical subtracting task (starting at 300, by sevens).

The starting condition will be randomly assigned with a 5-minute rest prior to the next condition. Time to task failure and pain perception using a visual analog scale will be assessed.

• Study Type: Interventional
• Enrollment (Actual): 15
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Chile
  • Santiago, Chile, 8150215
    • Hospital Clinico La Florida

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 20 years to 50 years (Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Age between 20-50 years.
• Surgery of lumbar discectomy or lumbar arthrodesis with at least 3 months of evolution.
• Acceptance to participate in the study.

Exclusion Criteria:

• History of previous surgery in the lower extremities.
• Recent trauma (<6 months).
• Use of corticosteroids.
• Pregnancy.
• Cauda equina syndrome.
• Marrow-level lesions.
• Progressive neurological involvement.
• History of rheumatological diseases.
• Inability to perform the test measurement.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Health Services Research
• Allocation: Randomized
• Interventional Model: Crossover Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Cognitive Strategy; Performing a mathematical subtracting task (starting at 300, by sevens)	Diagnostic test: Biering-Sorensen Test and Prone Plank Test; All patients will be encouraged to achieve the maximum time to task failure, stopped only by muscular fatigue or pain precluding to maintain the position.
Active Comparator: Control; The patients will perform both tests without any cognitive condition	Diagnostic test: Biering-Sorensen Test and Prone Plank Test; All patients will be encouraged to achieve the maximum time to task failure, stopped only by muscular fatigue or pain precluding to maintain the position.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Time to task failure	Time in seconds from 0 to failure, where higher values represent a best muscle endurance.	through study completion, an average of 2 week
Pain evaluation	Pain will be measured by the Visual Analog Scale for pain (VAS) from 0 to 10, where higher values represent a worse outcome.	through study completion, an average of 2 week

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Pain Interference: Kinesiophobia	Kinesiophobia will be evaluated by Tampa Scale for Kinesiophobia (TSK-11SV) (Spanish adaptation. Gómez-Pérez, López-Martínez y Ruiz-Párraga, 2011). Scoring: Items are summed, with a total score from 11-44 and higher values represent a worse outcome (more pain interference in behavior).	through study completion, an average of 2 week

Collaborators and Investigators

• Sponsor: Hospital San José, Chile
• Collaborators: Hospital Clínico La Florida

Publications and helpful links

General Publications

• Gomez-Perez L, Lopez-Martinez AE, Ruiz-Parraga GT. Psychometric Properties of the Spanish Version of the Tampa Scale for Kinesiophobia (TSK). J Pain. 2011 Apr;12(4):425-35. doi: 10.1016/j.jpain.2010.08.004.
• Cruz-Montecinos C, Nunez-Cortes R, Guzman-Gonzalez B, Andersen LL, Garcia-Masso X, Calatayud J. The Relevance of Dual Tasking for Improving Trunk Muscle Endurance After Back Surgery. Arch Phys Med Rehabil. 2021 Mar;102(3):463-469. doi: 10.1016/j.apmr.2020.07.015. Epub 2020 Sep 2.

Study record dates

Study Major Dates

• Study Start (Actual): December 3, 2018
• Primary Completion (Actual): January 7, 2019
• Study Completion (Actual): January 22, 2019

Study Registration Dates

• First Submitted: December 19, 2018
• First Submitted That Met QC Criteria: December 20, 2018
• First Posted (Actual): December 21, 2018

Study Record Updates

• Last Update Posted (Actual): January 23, 2019
• Last Update Submitted That Met QC Criteria: January 22, 2019
• Last Verified: January 1, 2019

More Information

Terms related to this study

• Keywords: Muscle endurance; Dual task; Biering-Sorensen Test; Prone Plank Test.; time to failure
• Additional Relevant MeSH Terms: Pain; Neurologic Manifestations; Back Pain; Low Back Pain
• Other Study ID Numbers: HSanJose

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: No
• IPD Plan Description: Muscle endurance will be evaluated on two exercises: Biering-Sorensen Test and Prone Plank Test.

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No