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Postural Re-education in Low Back Pain

This study has been completed.
Sponsor:
Information provided by:
University of Bologna
ClinicalTrials.gov Identifier:
NCT00789204
First received: November 10, 2008
Last updated: September 21, 2009
Last verified: September 2009
History of Changes
  Purpose

The Global Postural Re-Education is a global approach for the treatment of musculoskeletal disease. Using specific progressive posture for stretching particular shortened chain muscle the method wants to equilibrate the never-ending war between static and dynamic muscles by guiding the patient in a particular breathing pattern to maintain a correct posture and feeling it.


Condition Intervention Phase
Low Back Pain
 Other: Global Postural Re-education
Other: Standard Exercise Training
 Phase 1

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind (Investigator)
Primary Purpose: Treatment
Official Title: Effectiveness of a "Global Posture Reeducation" Program for Patients With Low Back Pain

Resource links provided by NLM:

U.S. FDA Resources

Further study details as provided by University of Bologna:

Primary Outcome Measures:
  • Roland & Morris Disability Questionnaire [ Time Frame: Baseline, 3 months, 6 months ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Oswestry Disability Index [ Time Frame: Baseline, 3 months, 6 months ] [ Designated as safety issue: No ]
  • Pain Drawing and Visual Analogue Scale (V.A.S.) [ Time Frame: Baseline, 3 mounths, 6 months ] [ Designated as safety issue: No ]
  • Fingertip-to-floor test [ Time Frame: Baseline, 3 mounths, 6 months ] [ Designated as safety issue: No ]

Enrollment: 100
Study Start Date: May 2008
Study Completion Date: September 2009
Primary Completion Date: September 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: GPR
Global Postural Re-Education
 Other: Global Postural Re-education
The treatment in Global Postural Re-education is a global approach that seeks to identify the biomechanical cause of the problem also in other parts of the body and involves actively the patient in the postural change. Using principles like causality, globality and individuality, the treatment consists of the use for one hour of progressive active stretching posture for specific muscular chain that are shortened. Every posture is maintained for 20 minutes with controlled breathing and the use of manual traction
Other Name: GPR
Active Comparator: SEP
Standard Exercise Programm
 Other: Standard Exercise Training
The exercise programme included passive lumbar flexion, pelvic tilt, strengthening of flexor muscles, strengthening of extensor muscles, spine mobilization and stretching exercises.
Other Name: SEP

Detailed Description:

In some countries there is a physical therapy method called "Global Posture Reeducation" (GPR), which was developed by Philippe Emmanuel Souchard based on 20 years of clinical experience.The method consist to balance the miofascial tension probably responsible for an articular overloading. The method stretches the shortened antigravity muscles that are inside a different static muscles chains. GPR is a global approach that search the biomechanics cause in the near areas, and involves actively the patient in the postural and gestural changes.

  Eligibility

Ages Eligible for Study:   18 Years to 80 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Lumbalgia Diagnosis
  • Age 18-80

Exclusion Criteria:

  • Migrated hernia
  • Calcified disc hernia
  • Spondylolisthesis
  • Other physiotherapeutic interventions within 6 months of the baseline assessment.
  • Surgical operation within six months of baseline
  • Cancer syndrome, Neurological and rheumatic diseases
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00789204

Locations
Italy
Ecm Eur Centro Medico
Roma, Lazio, Italy, 00144
Sponsors and Collaborators
University of Bologna
Investigators
Principal Investigator: Francesca Bonetti, Laurea
  More Information

Publications:

Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):

Responsible Party: Paolo Pillastrini, University of Bologna
ClinicalTrials.gov Identifier: NCT00789204     History of Changes
Other Study ID Numbers: FB001022008
Study First Received: November 10, 2008
Last Updated: September 21, 2009
Health Authority: Italy: Ethics Committee

Keywords provided by University of Bologna:
exercise
low back pain
posture
rehabilitation

Additional relevant MeSH terms:
Back Pain
Low Back Pain
Pain
 Neurologic Manifestations
Nervous System Diseases
Signs and Symptoms

ClinicalTrials.gov processed this record on May 23, 2013