Prevention and Treatment of Low Back Pain in Young Female TeamGym Gymnasts
Prevention and Treatment of Low Back Pain in Young Female TeamGym Gymnasts - a Cluster Randomized Controlled Intervention Study
調査の概要
詳細な説明
Objectives: To study if a progressive specific lumbar stabilization program can reduce and prevent low back pain (LBP) in young female TeamGym (TG) gymnasts aged 10-16 years.
Design A cluster randomized controlled intervention study
Participants: All available competitive youth female TG teams including gymnasts aged 10-16 years, in the area of Stockholm, were invited to participate in the present study. A team consists of approximately 16 gymnasts. Fourteen out of 17 teams and a total of 258 gymnasts accepted to participate. Gymnasts and parents were informed about the study and written consent was collected. A cluster randomization process was undertaken as follows: the gymnasts in each team answered questions at inclusion and the teams were matched with respect to age, level of competition, amount of training sessions per week and reports of LBP. LBP in this study was defined as; "pain between the 12th rib and the gluteal fold". Thereafter a cluster randomization took place. This means that all gymnasts in one team were either in the control or in the intervention group. There were no differences with respect to demographic and training data and reports of LBP between the two groups at randomization. Ninety gymnasts did not report LBP at inclusion or during baseline and were included in a subgroup analysis on the preventive effect of the exercise program.
Methods Every week the gymnasts were visited by a registered physical therapist (RPT). The RPT answered questions from the gymnasts concerning injuries and collected a weekly-based questionnaire. The gymnasts in the intervention group were instructed to perform an eight-week progressive specific lumbar stabilization program, implemented in the warm-up at every training session. The gymnasts answered a weekly based questionnaire regarding training and LBP during the intervention period, and thereafter a questionnaire at 3-, 6- and 12 months follow-up. The gymnasts and the coaches were also instructed to continue with the lumbar stabilization program after the intervention period.
研究の種類
入学 (実際)
段階
- 適用できない
連絡先と場所
研究場所
-
-
-
Stockholm、スウェーデン、171 76 Stockholm
- Karolinska Institutet, Department of Molecular Medicine and Surgery, Stockholm Sports Trauma Research Center
-
-
参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
Inclusion Criteria:
- female TeamGym teams, aged 10-16 years, in the Stockholm area
- competing at national or international level
Exclusion Criteria:
- male TeamGym gymnasts
- female TeamGym teams on a regional competitive level
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：他の
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：なし（オープンラベル）
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
|
実験的：Intervention group
progressive, 8 week lumbar stabilizing program
|
The aim of these programs is to optimize the stabilization and control of segmental motion of the lumbar spine.
It is based on the draw-in action, hereafter called the abdominal hollowing, presented by Richardson and Jull (1995).
The training program consists of three levels.
Level 1 introduces the abdominal hollowing exercise in the prone and four-point kneeling position.
Level 2 is a progression of these exercises and the gymnasts are also instructed to perform the abdominal hollowing standing on a balance board with slightly flexed knees while slowly moving the arms.
Level 3 takes the training into sports specificity and the abdominal hollowing are to be held during three different basic trampette jumps with emphasis on good trunk and body control during jumping and landing.
他の名前：
|
|
介入なし：Control group
Continue as usual
|
この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Weekly prevalence of LBP from baseline to end of the intervention program
時間枠：3 months
|
Number of gymnasts reporting LBP/ Total number of gymnasts' reports; comparing the intervention and control group
|
3 months
|
|
Weekly prevalence of SLBP (Substantial LBP) from baseline to end of the intervention program
時間枠：3 months
|
Number of gymnasts reporting LBP 3 days or more or modification of participation (SLBP)/ Total number of gymnasts' reports; comparing the intervention and control group
|
3 months
|
|
Prevalence of LBP at 3-, 6- and 12 months follow up
時間枠：18 months
|
Number of gymnasts reporting LBP/ Total number of gymnasts' reports; comparing the intervention and control group
|
18 months
|
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Change of Intensity and prevalence of LBP in gymnasts that report SLBP at the start of the study - from baseline to end of intervention, and at 3-, 6- and 12 months follow-up
時間枠：18 months
|
Subgroup analysis including gymnasts with SLBP at the start of the study; comparing intervention and control group
|
18 months
|
|
Prevention of LBP evaluated after intervention and at 3-, 6- and 12 months
時間枠：18 months
|
Subgroup analysis including gymnasts with no previous LBP at the start of the study; comparing intervention and control group
|
18 months
|
協力者と研究者
スポンサー
捜査官
- スタディディレクター：Marita L Harringe, PhD,RPT、Karolinska Institutet
研究記録日
主要日程の研究
研究開始
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
その他の研究ID番号
- KI2009/1414-31/3
- Dnr 4646/2011-631 (その他の識別子：PUL, Karolinska Institutet, Sweden)
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。
腰痛の臨床試験
-
Sun Yat-Sen Memorial Hospital of Sun Yat-Sen Universityまだ募集していません
-
Dexa Medica Group完了
-
Daiichi Sankyo募集
-
Daiichi Sankyo完了
-
Université Victor Segalen Bordeaux 2Nanox International Laboratory (Belgique)完了