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Biopsychosocial Exploration of Pain Profiles in Inflammatory and Chronic Non-specific Axial Low Back Pain

19 de octubre de 2016 actualizado por: Lolwah Al-Rashed, University of Dublin, Trinity College

Biopsychosocial Exploration of Pain Profiles in Inflammatory and Chronic Non-specific Axial Low Back Pain: An Exploration of Similarities and Differences

The biopsychosocial model is well established in chronic low back pain (CLBP) research. Nevertheless, researchers to date have overlooked the biopsychosocial aspects of Inflammatory Low Back pain (ILBP). Most health care providers are biologically oriented in their treatment of ILBP, neglecting its possible multidimensional nature. It is true that people with ILBP may present with more complex pain and physical limitations than those with chronic non-specific low back pain (CNSLBP), but it remains unexplored whether or not these limitations are affected by the same pain factors that affect CNSLBP patients. This study aims to explore and compare the biopsychosocial back pain profiles of adults with ILBP and CNSLBP.

Descripción general del estudio

Estado

Terminado

Condiciones

Descripción detallada

This is a multicentre case-control study that will compare back pain in patients with ankylosing spondylitis and CNSLBP. A multidimensional pain assessment will be conducted for patients in both groups. Each patient will be assessed on one occasion by the same experienced physiotherapist.

Tipo de estudio

De observación

Inscripción (Actual)

58

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Ubicaciones de estudio

  • Irlanda
      • Dublin, Irlanda, D24
        • Physiotherapy Department, Adelaide and Meath Incorporating the National Children's Hospital (Tallaght Hospital)
      • Dublin, Irlanda, D8
        • Ankylosing Spondylitis clinic, Rheumatology Department, St. James's Hospital
      • Dublin, Irlanda, D8
        • Physiotherapy Department, St. James's Hospital

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

18 años a 65 años (Adulto, Adulto Mayor)

Acepta Voluntarios Saludables

No

Géneros elegibles para el estudio

Todos

Método de muestreo

Muestra no probabilística

Población de estudio

A convenience sample of adults with Ankylosing Spondylitis (AS) will be consecutively recruited from a pool of patients referred to AS clinic in the Rheumatology and Physiotherapy Departments of St. James's and Tallaght Hospitals in Dublin.

Adults with chronic non-specifi low back pain (CNSLBP) (control group) will be consecutively recruited from a pool of patients referred to the Physiotherapy Department of St. James's and Tallaght Hospitals in Dublin. An invitation to participate in the study and an information leaflet will be extended to the patients who potentially meet the recruitment criteria.

Descripción

Inclusion Criteria:

  • Adult between 18 and 65 years of age
  • Low back pain >3 months
  • On stable medication
  • Ability to walk independently without an assistive device
  • Specific inclusion criteria for AS group: clinical diagnosis of ankylosing spondylitis by a rheumatologist
  • Specific inclusion for CNSLBP group: clinical diagnosis by a physician for CLBP

Exclusion Criteria:

  • Spinal surgery or compression fracture within the last 6 months
  • Cauda equine and conus medullaris syndromes
  • Severe musculoskeletal conditions affecting the upper and/or the lower limbs, such as severe inflammatory arthritis of the peripheral joints
  • Severe osteoporosis
  • Leg-length discrepancy
  • Cancer
  • Morbid obesity, or pregnancy
  • Progressive neurological disease
  • Psychiatric disease and/or cognitive limitations that could affect the ability to complete the study questionnaires
  • Inability to read and/or understand the English language
  • Severe cardiac, respiratory or neurological diseases
  • Uncontrolled epilepsy
  • Specific exclusion criteria for CNSLBP group: Spondyloarthropathy, or any structural abnormalities in the lumbar spine that result in serious neurological dysfunction, such as stage III-IV lumbar disc herniation, and grade III-IV spondylolisthesis

Plan de estudios

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿Cómo está diseñado el estudio?

Detalles de diseño

Cohortes e Intervenciones

Grupo / Cohorte
Espondilitis anquilosante
Chronic non-specific low back pain

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Back pain intensity - total
Periodo de tiempo: Day 1, no follow-up will be required.
The average total back pain intensity in the last week will be measured by the Numeric Rating Scale (NRS)
Day 1, no follow-up will be required.
Back pain-related functional disability
Periodo de tiempo: Day 1, no follow-up will be required.
Oswestry Disability Index (ODI)
Day 1, no follow-up will be required.

Medidas de resultado secundarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Back pain beliefs
Periodo de tiempo: Day 1, no follow-up will be required.
Back Beliefs Questionnaire (BBQ)
Day 1, no follow-up will be required.
Pain-related fear, fear of movement/(re)injury
Periodo de tiempo: Day 1, no follow-up will be required.
Tampa Scale for Kinesiophobia (TSK)
Day 1, no follow-up will be required.
The fear-avoidance behaviours of physical activity
Periodo de tiempo: Day 1, no follow-up will be required.
modified Fear Avoidance Behaviour Questionnaire (mFABQ)
Day 1, no follow-up will be required.
Pain catastrophizing behavior
Periodo de tiempo: Day 1, no follow-up will be required.
Pain catastrophizing scale (PCS)
Day 1, no follow-up will be required.
Self-efficacy for AS patients
Periodo de tiempo: Day 1, no follow-up will be required.
Ankylosing Spondylitis-specific Arthritis Self-Efficacy Scale (ASES-AS)
Day 1, no follow-up will be required.
Pain cognition and coping
Periodo de tiempo: Day 1, no follow-up will be required.
Pain Coping Inventory (PCI)
Day 1, no follow-up will be required.
Psychological distress (depression & anxiety)
Periodo de tiempo: Day 1, no follow-up will be required.
Hospital Anxiety and Depression Scale (HADS)
Day 1, no follow-up will be required.
The extent and location of pain
Periodo de tiempo: Day 1, no follow-up will be required.
Pain drawings will be completed for NSCLBP patients on a digital tablet (iPad 2, Apple Computer, Cupertino, CA, USA) using a commercially available sketching software (SketchBook)
Day 1, no follow-up will be required.
Back pain intensity - nocturnal
Periodo de tiempo: Day 1, no follow-up will be required.
The average nocturnal back pain intensity in the last week will be measured by the Numeric Rating Scale (NRS)
Day 1, no follow-up will be required.
Physical function for AS patients
Periodo de tiempo: Day 1, no follow-up will be required.
Bath Ankylosing Spondylitis Functional Index (BASFI)
Day 1, no follow-up will be required.
Disease activity for AS patients
Periodo de tiempo: Day 1, no follow-up will be required.
Bath Ankylosing Spondylitis Disease Activity Index (BASDAI)
Day 1, no follow-up will be required.
Disease activity for AS patients
Periodo de tiempo: Day 1, no follow-up will be required.
Ankylosing Spondylitis Disease Activity Score (ASDAS)
Day 1, no follow-up will be required.
Global well-being for AS patients
Periodo de tiempo: Day 1, no follow-up will be required.
Bath Ankylosing Spondylitis Global score (BAS-G)
Day 1, no follow-up will be required.
Flexibility and spinal mobility for AS patients
Periodo de tiempo: Day 1, no follow-up will be required.
Bath Ankylosing Spondylitis Metrology Index (BASMI)
Day 1, no follow-up will be required.
Chest expansion
Periodo de tiempo: Day 1, no follow-up will be required.
Chest expansion will be measured circumferentially using a tape measure
Day 1, no follow-up will be required.
Forward bending
Periodo de tiempo: Day 1, no follow-up will be required.
Finger-to-Floor Distance in centimetres (cm) will be measured using a tape measure
Day 1, no follow-up will be required.
Isometric endurance of the trunk extensor muscles
Periodo de tiempo: Day 1, no follow-up will be required.
Ito test
Day 1, no follow-up will be required.
Isometric endurance of the the trunk flexor muscles
Periodo de tiempo: Day 1, no follow-up will be required.
Shirado test
Day 1, no follow-up will be required.
Grip strength
Periodo de tiempo: Day 1, no follow-up will be required.
Hand grip dynamometer (Jamar Hydraulic Hand Dynamometer)
Day 1, no follow-up will be required.
Functional performance
Periodo de tiempo: Day 1, no follow-up will be required.
50-foot walk test
Day 1, no follow-up will be required.
Functional performance and endurance
Periodo de tiempo: Day 1, no follow-up will be required.
6-min walk distance (6MWD) test
Day 1, no follow-up will be required.

Colaboradores e Investigadores

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Patrocinador

University of Dublin, Trinity College

Investigadores

  • Investigador principal: Fiona Wilson, Trinity College Dublin, Ireland
  • Investigador principal: Lolwah A Al-Rashed, Trinity College Dublin, Ireland
  • Investigador principal: Finbar O'Shea, St. James's Hospital, Dublin, Ireland
  • Investigador principal: Deborah Falla, University Medical Center Göttingen, Georg-August University, Göttingen, Germany
  • Investigador principal: Marco Barbero, University of Applied Sciences and Arts of Southern Switzerland (SUPSI), Manno, Switzerland
  • Investigador principal: Aisling Brenan, Adelaide and Meath Hospital Dublin incorporating the National Children's Hospital (Tallaght Hospital), Dublin, Ireland

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados ​​por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio

1 de septiembre de 2015

Finalización primaria (Actual)

1 de agosto de 2016

Finalización del estudio (Actual)

1 de agosto de 2016

Fechas de registro del estudio

Enviado por primera vez

27 de febrero de 2016

Primero enviado que cumplió con los criterios de control de calidad

4 de marzo de 2016

Publicado por primera vez (Estimar)

10 de marzo de 2016

Actualizaciones de registros de estudio

Última actualización publicada (Estimar)

21 de octubre de 2016

Última actualización enviada que cumplió con los criterios de control de calidad

19 de octubre de 2016

Última verificación

1 de octubre de 2016

Más información

Términos relacionados con este estudio

Palabras clave

Términos MeSH relevantes adicionales

Otros números de identificación del estudio

  • UDublinTC 12

Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .

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