Sensorimotor Training in Low-back Pain Rehabilitation (SeMoPoP)
5. april 2016 oppdatert av: Michael A. McCaskey
Effects of a Sensorimotor Training on Postural Control and Pain: A Parallel, Single-blinded Randomised Controlled Trial
This study evaluates the effects of additional sensorimotor training (proprioceptive postural training, PPT) to conventional therapy in the treatment of chronic low-back pain.
Half of the participants will receive instructed treadmill training as an active comparator against PPT.
All participants receive conventional physiotherapy as prescribed by their treating medical doctors.
It is expected that the PPT group will improve in postural control, proprioceptive, as well as pain and function outcomes to a significantly greater extent than the active control group.
Studieoversikt
Status
Fullført
Forhold
Intervensjon / Behandling
Studietype
Intervensjonell
Registrering (Faktiske)
60
Fase
- Ikke aktuelt
Kontakter og plasseringer
Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.
Studiesteder
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Aargau
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Rheinfelden, Aargau, Sveits, 4310
- Reha Rheinfelden
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Deltakelseskriterier
Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
18 år og eldre (Voksen, Eldre voksen)
Tar imot friske frivillige
Nei
Kjønn som er kvalifisert for studier
Alle
Beskrivelse
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)
Studieplan
Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Enkelt
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
|---|---|
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Eksperimentell: 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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Andre navn:
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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Aktiv 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.
|
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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Hva måler studien?
Primære resultatmål
Resultatmål |
Tidsramme |
|---|---|
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Change of self-reported pain on 100mm Visual Analogue Scale (VAS)
Tidsramme: 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)
Tidsramme: 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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Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
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Centre of Pressure
Tidsramme: 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)
Tidsramme: 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)
Tidsramme: 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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Samarbeidspartnere og etterforskere
Det er her du vil finne personer og organisasjoner som er involvert i denne studien.
Sponsor
Samarbeidspartnere
Etterforskere
- Hovedetterforsker: Michael A McCaskey, MSc, Reha Rheinfelden
- Studiestol: Eling D. de Bruin, PD PhD, ETH Zurich
- Studiestol: Corina Schuster-Amft, PT PhD, Reha Rheinfelden
Publikasjoner og nyttige lenker
Den som er ansvarlig for å legge inn informasjon om studien leverer frivillig disse publikasjonene. Disse kan handle om alt relatert til studiet.
Generelle publikasjoner
- 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.
Studierekorddatoer
Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.
Studer hoveddatoer
Studiestart
1. desember 2014
Primær fullføring (Faktiske)
1. desember 2015
Studiet fullført (Faktiske)
1. januar 2016
Datoer for studieregistrering
Først innsendt
17. november 2014
Først innsendt som oppfylte QC-kriteriene
25. november 2014
Først lagt ut (Anslag)
1. desember 2014
Oppdateringer av studieposter
Sist oppdatering lagt ut (Anslag)
6. april 2016
Siste oppdatering sendt inn som oppfylte QC-kriteriene
5. april 2016
Sist bekreftet
1. april 2016
Mer informasjon
Begreper knyttet til denne studien
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
- 2014-0873
Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .