- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04048902
Shortwave Diathermy and Pilates Exercises in Patients With Chronic Non-specific Low Back
October 1, 2020 updated by: Raquel A. Casarotto, University of Sao Paulo General Hospital
Effects of Shortwave Diathermy and Pilates Exercises in Patients With Chronic Non-specific Low Back Pain: a Protocol of a Randomized Controlled Trial
The aim of this study is to verify the effectiveness of the association of Shortwave Diathermy and Pilates exercises in patients with chronic non-specific low back pain, on the reduction of pain, functional disability and improvement of the quality of life.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
The drawing of the study will be a prospective, randomized controlled trial and double-blind with quantitative approach.
Study participants 36 subjects diagnosed with non-specific chronic low back pain, which will be divided in two groups with 18 subjects in each: experimental group, which will be submitted to placebo + exercise shortwave diathermy and the control group to do active + exercise shortwave diathermy.
There will be 12 one-hour sessions twice a week.
The subjects will apply Shortwave Diathermy for 20 minutes, followed by Pilates mat.
Study Type
Interventional
Enrollment (Actual)
36
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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São Paulo, Brazil, 05360-160
- Department of Physical Therapy, Speech and Occupational Therapy of University of São Paulo
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 80 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- individuals diagnosed with chronic non-specific low back pain for a period of more than 3 months, without irradiation for lower limbs;
- who present pain intensity greater than 3 points in the Numerical Pain Scale;
- to sign the Free and Informed Consent Form.
Exclusion Criteria:
- BMI> 30;
- previous surgeries in the spine;
- severe spinal affection (tumors, infection, unconsolidated or vicious consolidation fractures, inflammatory diseases);
- rheumatic disease;
- contraindication to performing the exercises according to the American College of Sports Medicine Guidelines;
- degenerative or inflammatory joint and other body segments;
- patients who are in labor litigation;
- pregnancy;
- patients who are undergoing other type of physiotherapeutic or drug treatment.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
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 |
---|---|
Placebo Comparator: Pilates and Shortwave placebo
In this group the patients will receive 20 minutes of short wave placebo application.
The equipment will keep the timer on and the intensity will remain at zero.
The patient will be informed that the dose is subsensory and therefore there will be no perception of the passage of the short waves through the body.The application will be performed with two coplanar plates in parallel, arranged on the right and left side of the lumbar region, maintaining a distance of 5 to 10 cm between them, with the patient lying in the dorsal decubitus position
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Pilates exercises and application of the device without produce thermal effects
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Active Comparator: Pilates and Shortwave active
In this group the patients will receive 20 minutes of application of the Shortwave Active continuous mode (thermal effect), with vigorous local thermal sensation.The application will be performed with two coplanar plates in parallel, arranged on the right and left side of the lumbar region, maintaining a distance of 5 to 10 cm between them, with the patient lying in the dorsal decubitus position
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Pilates exercises and application of the device producing thermal effects
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in pain through Pain visual analogue scale
Time Frame: Before the treatment, up to 3, 6 and 18 weeks
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Scale with 11 centimeters is used for evaluate pain intensity, being "0" no pain and "10" the worst possible pain
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Before the treatment, up to 3, 6 and 18 weeks
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Change in pain through The McGill pain questionnaire
Time Frame: Before the treatment, up to 3, 6 and 18 weeks
|
It is organized in four categories: sensory, affective, evaluative and mixed, with 20 subcategories and 78 words descriptors of pain, describing the quality of pain.
The pain evaluation index is the sum of the values added, and each word chosen in each dimension is the maximum score of each category: Sensory = 34, Affective = 17, Evaluative = 5, Mixed = 11, Total = 67.
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Before the treatment, up to 3, 6 and 18 weeks
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Functional disability
Time Frame: Before the treatment, up to 3, 6 and 18 weeks
|
The Rolland and Morris Questionnaire, validated in Brazil, will quantify the functional limitations caused by low back pain.
The questionnaire is composed of 24 questions related to normal activities of daily living, in which each affirmative answer corresponds to a point.
The final score is determined by the sum of the values obtained.
Values close to zero represent the best results (lower limitation), and values close to 24 the worst results.
Values above 14 points are considered as a severe spinal impairment.
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Before the treatment, up to 3, 6 and 18 weeks
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Patients' perceptions of their health-related quality of life: The Short-Form Health Survey questionnaire (SF-36)
Time Frame: Before the treatment, up to 3, 6 and 18 weeks
|
The Short-Form Health Survey questionnaire (SF-36) will assess the health-related quality of life of patients.
This instrument contains 36 questions grouped into eight areas: functional capacity (10 items), physical aspects (2 items), pain (2 items), general state of health (5 items), vitality (4 items), social aspects (2 items), emotional (3 items) and mental health (5 items).
The values in each domain vary from 0 to 100 and, more indicate a better quality of life.
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Before the treatment, up to 3, 6 and 18 weeks
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Perception of global effect
Time Frame: Before the treatment, up to 3, 6 and 18 weeks
|
Evaluates the level of perception of patient recovery through a Scale Numbers of 11 points comparing the onset of symptoms at the beginning of treatment in relation to the last days.
It varies from -5 to +5, being -5: extremely worse; zero: no modification; and +5: fully recovered, with the highest score representing greater recovery.
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Before the treatment, up to 3, 6 and 18 weeks
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Emotional Functioning
Time Frame: Before the treatment, up to 3, 6 and 18 weeks
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It will be evaluated by the Brazilian version of the Visual Analog Scale for anxiety.
Analogic visual scale for anxiety is a horizontal line of 100 mm in length.
The tip left without anxiety and the right tip means worse anxiety.
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Before the treatment, up to 3, 6 and 18 weeks
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Depressive Symptom
Time Frame: Before the treatment, up to 3, 6 and 18 weeks
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It will be evaluated by the Brazilian version of the Beck Depression Inventory, a self-assessment measure of depression.
It is a questionnaire with 21 items whose intensity ranges from 0 to 3 points.
Largest scores indicate more depressive symptoms.
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Before the treatment, up to 3, 6 and 18 weeks
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Symptoms and adverse events
Time Frame: Before the treatment, up to 3, 6 and 18 weeks
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The record of the symptoms and adverse events that occurred during the established behavior will be captured passively through spontaneous reports of the patient.
The active catch will use a questionnaire with a record of the duration and intensity of the adverse symptom reported by the patient.
You will then be asked to the patient graduates the certainty of their affirmations according to a Likert scale (being 1 not certain and 5 total certainty).
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Before the treatment, up to 3, 6 and 18 weeks
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Patient Satisfaction: The MedRisk scale
Time Frame: Patients will be evaluated up to 6 weeks
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The MedRisk scale consists of 20 items, 10 items related to the therapist-patient interaction; 8 items involving evaluation of the infrastructure and work organization of the physical therapy clinic and 2 items that are considered as global evaluation of the treatment.
The patient elects level of satisfaction in each item by selecting a Likert scale ranging from 1 "completely disagree" to 5 "agree completely" or through an option "not applicable", with high scores representing high satisfaction.
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Patients will be evaluated up to 6 weeks
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Investigators
- Principal Investigator: Raquel A Casarotto, PhD, University of Sao Paulo
- Principal Investigator: Sandra Amaral, Bachelor, University of Sao Paulo
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
March 6, 2018
Primary Completion (Actual)
September 30, 2020
Study Completion (Actual)
September 30, 2020
Study Registration Dates
First Submitted
April 15, 2019
First Submitted That Met QC Criteria
August 6, 2019
First Posted (Actual)
August 7, 2019
Study Record Updates
Last Update Posted (Actual)
October 5, 2020
Last Update Submitted That Met QC Criteria
October 1, 2020
Last Verified
October 1, 2020
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 48391615.9.0000.0065
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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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