Sensorimotor Training in Low-back Pain Rehabilitation (SeMoPoP)
Effects of a Sensorimotor Training on Postural Control and Pain: A Parallel, Single-blinded Randomised Controlled Trial
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Studientyp
Studientyp
Einschreibung (Tatsächlich)
Einschreibung
Phase
Phase
- Unzutreffend
Kontakte und Standorte
Studienorte
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Aargau
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Rheinfelden, Aargau, Schweiz, 4310
- Reha Rheinfelden
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Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
Akzeptiert gesunde Freiwillige
Studienberechtigte Geschlechter
Beschreibung
Inclusion Criteria:
- Patients with musculoskeletal low back pain (non-specific low back pain)
- Age ≥ 18 years
Exclusion Criteria:
- Known or suspected neurological diseases or lesions
- Traumatic injury of musculoskeletal system (fractures, tumours)
- Spinal pathologies (e.g., tumour, infection, fracture, and inflammatory disease)
- Previous spinal surgery
- Presence of any contraindication to exercise (fracture or cardiovascular limitations)
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: Zufällig
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Single
Anzahl der Arme
Waffen und Interventionen
Teilnehmergruppe / ArmTeilnehmergruppe / Arm |
Intervention / BehandlungIntervention / Behandlung |
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Experimental: Sensorimotor
The experimental group will receive added PPT to the conventional physiotherapy.
PPT will be applied by means of a neuro-orthopaedic medical device ("Posturomed®", see section 3.2).
The "Posturomed" allows adaptive oscillation in the horizontal plane.
Therapy instructions advise seven stages of difficulty.
In all stages the patient is asked to provoke oscillation by stepping on site.
After three steps, the patient must stand still on one leg for 2 seconds before he or she repeats the steps.
Difficulty is increased by a) decreasing the damping through release of the breaks and b) through added juggling of a ball during the motor task (dual-task and divided attention).
The next stage is reached once stabilisation in the previous stage is secured.
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Andere Namen:
All participating patients will attend usual care according to their treatment plan (taking part in the study does not affect the treatment plan).
A physiotherapy referral requests 9 treatments, each of which takes 30 minutes.
These will take place twice a week for 4.5 weeks.
The study protocol does not dictate the content of the physiotherapy sessions themselves, but detailed documentation of provided treatments is required (therapy documentation sheet).
Additionally, the aim of the physiotherapy sessions should always include reduction of muscular imbalances and optimisation of posture.
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Aktiver Komparator: Low-intensity activity
Added to conventional therapy, as administered to all participants, the control group will do added treadmill walking.
The control intervention will consist of 10 minutes of walking at comfortable pace.
The patient will be instructed in treadmill functions and asked to set the speed between 2 and 4 km/h.
The speed should be adjusted to the level where the patient would still be able to talk comfortably.
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All participating patients will attend usual care according to their treatment plan (taking part in the study does not affect the treatment plan).
A physiotherapy referral requests 9 treatments, each of which takes 30 minutes.
These will take place twice a week for 4.5 weeks.
The study protocol does not dictate the content of the physiotherapy sessions themselves, but detailed documentation of provided treatments is required (therapy documentation sheet).
Additionally, the aim of the physiotherapy sessions should always include reduction of muscular imbalances and optimisation of posture.
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Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Zeitfenster |
|---|---|
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Change of self-reported pain on 100mm Visual Analogue Scale (VAS)
Zeitfenster: Baseline (-4 days); Pre-Test (0 days); Post-Test (+25 days) and follow-up (+45 days)
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Baseline (-4 days); Pre-Test (0 days); Post-Test (+25 days) and follow-up (+45 days)
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Change of functional status recorded with the Oswestry Disability Index (ODI)
Zeitfenster: Baseline (-4 days); Pre-Test (0 days); Post-Test (+25 days) and follow-up (+45 days)
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Baseline (-4 days); Pre-Test (0 days); Post-Test (+25 days) and follow-up (+45 days)
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Sekundäre Ergebnismessungen
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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Centre of Pressure
Zeitfenster: Baseline (-4 days); Pre-Test (0 days); Post-Test (+25 days) and follow-up (+45 days)
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Area of surface a the 95% confidence ellipse of centre of pressure displacement during postural task
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Baseline (-4 days); Pre-Test (0 days); Post-Test (+25 days) and follow-up (+45 days)
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Joint Repositioning Error (segmental)
Zeitfenster: Baseline (-4 days); Pre-Test (0 days); Post-Test (+25 days) and follow-up (+45 days)
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Repositioning acuity after surface perturbation.
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Baseline (-4 days); Pre-Test (0 days); Post-Test (+25 days) and follow-up (+45 days)
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Uncontrolled Manifold Index (UCM)
Zeitfenster: Baseline (-4 days); Pre-Test (0 days); Post-Test (+25 days) and follow-up (+45 days)
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Segmental joint configuration.
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Baseline (-4 days); Pre-Test (0 days); Post-Test (+25 days) and follow-up (+45 days)
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Mitarbeiter und Ermittler
Sponsor
Sponsor
Mitarbeiter
Mitarbeiter
Ermittler
Ermittler
- Hauptermittler: Michael A McCaskey, MSc, Reha Rheinfelden
- Studienstuhl: Eling D. de Bruin, PD PhD, ETH Zurich
- Studienstuhl: Corina Schuster-Amft, PT PhD, Reha Rheinfelden
Publikationen und hilfreiche Links
Allgemeine Veröffentlichungen
- Scholz JP, Schoner G. The uncontrolled manifold concept: identifying control variables for a functional task. Exp Brain Res. 1999 Jun;126(3):289-306. doi: 10.1007/s002210050738.
- McCaskey MA, Wirth B, Schuster-Amft C, de Bruin ED. Postural sensorimotor training versus sham exercise in physiotherapy of patients with chronic non-specific low back pain: An exploratory randomised controlled trial. PLoS One. 2018 Mar 9;13(3):e0193358. doi: 10.1371/journal.pone.0193358. eCollection 2018.
- McCaskey MA, Schuster-Amft C, Wirth B, de Bruin ED. Effects of postural specific sensorimotor training in patients with chronic low back pain: study protocol for randomised controlled trial. Trials. 2015 Dec 15;16:571. doi: 10.1186/s13063-015-1104-4.
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn
Studienbeginn
Primärer Abschluss (Tatsächlich)
Primärer Abschluss
Studienabschluss (Tatsächlich)
Studienabschluss
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Schätzen)
Zuerst gepostet
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Schätzen)
Letztes Update gepostet
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Zusätzliche relevante MeSH-Bedingungen
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- 2014-0873
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