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Multiplanar Lumbopelvic Control in Patients With Low Back Pain

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT02089321
Recruitment Status : Completed
First Posted : March 17, 2014
Last Update Posted : March 17, 2014
Sponsor:
Information provided by (Responsible Party):
Erika Nelson-Wong, Regis University

Brief Summary:
The purpose of this study was to investigate whether combined assessment of lumbopelvic control during sagittal and frontal plane motion (using two common clinical observational assessments) discriminates between people with and without LBP than single plane assessment alone. It was hypothesized that the two tests used in combination (multiplanar) would perform better than each test used independently (single planar) in accurately discriminating patient cases from healthy controls.

Condition or disease
Low Back Pain

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Study Type : Observational
Actual Enrollment : 38 participants
Observational Model: Case-Control
Time Perspective: Cross-Sectional
Study Start Date : November 2011
Actual Primary Completion Date : August 2012
Actual Study Completion Date : August 2012

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Back Pain

Group/Cohort
Patients with Low Back Pain

n= 19

Inclusion Criteria:

Between the ages of 18 and 70 years Currently seeking, but not yet initiated, treatment from a health care professional (PT, MD, DO, DC) for a chief complaint of pain between the level of the twelfth thoracic vertebrae and the coccyx Able to transition between standing, sitting, supine, prone and sidelying independently

Exclusion Criteria:

Signs of neurological impairment including diminished myotatic reflex, sensory impairment or strength deficits in a myotomal pattern No previous spine or hip surgery Serious spinal or systemic pathology Pregnancy within previous 12 months Inability to understand and follow verbal instructions in English

Healthy Controls

n= 19

Inclusion Criteria:

Between the ages of 18 and 70 years No LBP episodes requiring clinical care by a health professional and/or greater than 3 days absence from work/school/recreation within the previous 5 years Able to transition between standing, sitting, supine, prone and sidelying independently

Exclusion Criteria:

No previous spine or hip surgery Serious spinal or systemic pathology Pregnancy within previous 12 months Inability to understand and follow verbal instructions in English




Primary Outcome Measures :
  1. Performance on Active Hip Abduction Test [ Time Frame: Assessed on data collection day ]
    Examiner scores movement pattern (ability to retain lumbopelvic neutral) during performance of active hip abduction in sidelying using an ordinal scale (0-3) with 0-1 considered a negative test and 2-3 considered a positive test.

  2. Performance on Active Straight Leg Raise Test [ Time Frame: Assessed on data collection day ]
    Participant self-rates degree of difficulty (0-5) to perform active straight leg raise in supine with any non-zero score considered a positive test result.



Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 70 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population
Participants with low back pain were recruited from the physical therapy clinic located at Regis University as well as clinical practices from the surrounding area. Control subjects were a community sample.
Criteria

Inclusion Criteria:

  • Patients with LBP

Inclusion Criteria:

  • Age 18-70 years old
  • Ability to understand and follow written and verbal instruction in English
  • Seeking treatment from a physical therapist for LBP (pain below T12-L1 vertebral segment), prior to initial evaluation (no treatment provided)

Matched Controls: Control subjects will be matched for age, gender, and BMI category to patients with LBP.

Inclusion Criteria:

  • Ability to understand and follow written and verbal instruction in English
  • No history of LBP during the past 5 years requiring:

    • > 3 day absence from work/school/recreation
    • Clinical Care (MD, DC, DPT, MT) for LBP

Exclusion Criteria:

Patients with LBP

  • Pregnancy within past 12 months
  • Previous spine or hip surgery
  • Serious spinal or systemic pathology
  • Inability to transfer from standing to supine to sidelying to prone
  • Inability to stand > 20 minutes

Matched Controls

Exclusion Criteria:

  • Pregnancy within the past 12 months
  • Previous spine or hip surgery
  • Inability to transfer from standing to supine to side-lying to prone
  • Inability to stand > 20 minutes

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02089321


Locations
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United States, Colorado
Regis University
Denver, Colorado, United States, 80221
Sponsors and Collaborators
Regis University
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Responsible Party: Erika Nelson-Wong, Associate Professor, Regis University
ClinicalTrials.gov Identifier: NCT02089321    
Other Study ID Numbers: NelsonWong_LBP2013
First Posted: March 17, 2014    Key Record Dates
Last Update Posted: March 17, 2014
Last Verified: March 2014
Keywords provided by Erika Nelson-Wong, Regis University:
low back pain
lumbopelvic assessment
active straight leg raise
active hip abduction
Additional relevant MeSH terms:
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Back Pain
Low Back Pain
Pain
Neurologic Manifestations