Inspiratory Muscle Training and Low Back Pain
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Purpose
Proprioceptive weighting changes may explain differences in postural control performance. In addition, the respiratory movement has a disturbing effect on postural balance. Postural balance seems to be impaired in individuals with respiratory disorders. Besides the essential role of respiration, the diaphragm may also play an important role in the control of the trunk and postural balance. Deficits in proprioception are found in a subgroup of patients with low back pain. In addition, disorders of respiration have been identified as strongly related to low back pain.
The aim of the study is to clarify whether inspiratory muscle training has a positive effect on proprioceptive postural control in individuals with recurrent low back pain.
| Condition | Intervention |
|---|---|
|
Inspiratory Muscle Training Low Back Pain Respiratory Disorders |
Other: Inspiratory muscle training Other: Sham inspiratory muscle training |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
- Proprioceptive postural control [ Time Frame: 8 weeks ] [ Designated as safety issue: No ]Center of pressure displacement (force plate) in standing in response to local muscle vibration on ankle and back muscles to specifically detect the role of proprioception in postural control.
| Estimated Enrollment: | 40 |
| Study Start Date: | January 2012 |
| Estimated Study Completion Date: | October 2013 |
| Estimated Primary Completion Date: | January 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: Inspiratory muscle training |
Other: Inspiratory muscle training
Three times daily inspiratory muscle training (2x30 breaths) at an intensity of 60% Pi,max
Other Name: Powerbreathe Classic
|
| Sham Comparator: Sham inspiratory muscle training |
Other: Sham inspiratory muscle training
Three times daily inspiratory muscle training (2x30 breaths) at an intensity of 10% Pi,max
Other Name: Powerbreathe Classic
|
Eligibility| Ages Eligible for Study: | 18 Years to 45 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria individuals with low back pain:
- Age: 18-45 years old
- At least 1 year of low back pain with/without referred pain in buttock/thigh
- At least 3 episodes of disabling low back pain
- At least a score of 20% on the Oswestry Disability Index
- Willingness to sign the informed consent
Exclusion Criteria:
- History of major trauma and/or major orthopedic surgery of the spine, the pelvis or the lower quadrant
- One of the following conditions: Parkinson, multiple sclerosis, stroke, history of vestibular disorder, respiratory disease, pregnancy
- Radicular symptoms
- Not Dutch-speaking
- Strong opioids
- Neck pain
- Smoking history
Contacts and Locations| Contact: Lotte Janssens, PhD student | 003216329082 | lotte.janssens@faber.kuleuven.be |
| Contact: Simon Brumange, PhD | 003216329121 | simon.brumagne@faber.kuleuven.be |
| Belgium | |
| Katholieke Universiteit Leuven | Recruiting |
| Leuven, Belgium, 3000 | |
| Contact: Lotte Janssens, PhD student 003216329082 lotte.janssens@faber.kuleuven.be | |
| Contact: Simon Brumagne, PhD 003216329121 simon.brumagne@faber.kuleuven.be | |
| Sub-Investigator: Lotte Janssens, PhD student | |
| Principal Investigator: Simon Brumagne, PhD | |
| Principal Investigator: Thierry Troosters, PhD | |
| Principal Investigator: | Simon Brumagne, PhD | Katholieke Universiteit Leuven |
| Principal Investigator: | Thierry Troosters, PhD | Katholieke Universiteit Leuven |
| Principal Investigator: | Roeland Lysens, MD, PhD | Katholieke Universiteit Leuven |
| Principal Investigator: | Peter Van Wambeke, MD | Universitaire Ziekenhuizen Leuven |
More Information
Publications:
| Responsible Party: | Simon Brumagne, Prof. dr. Simon Brumagne, Katholieke Universiteit Leuven |
| ClinicalTrials.gov Identifier: | NCT01505582 History of Changes |
| Other Study ID Numbers: | 2012_SBrumagne_IMT-LBP, 1.5.104.03, G.0674.09 |
| Study First Received: | January 4, 2012 |
| Last Updated: | January 5, 2012 |
| Health Authority: | Belgium: Ethics Committee |
Additional relevant MeSH terms:
|
Respiratory Aspiration Back Pain Low Back Pain Respiration Disorders Respiratory Tract Diseases |
Signs and Symptoms, Respiratory Signs and Symptoms Pain Neurologic Manifestations Nervous System Diseases |
ClinicalTrials.gov processed this record on May 22, 2013