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Prognostic Factors of Disabling Low Back Pain in Patients With Chronic Low Back Pain

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ClinicalTrials.gov Identifier: NCT02226692
Recruitment Status : Completed
First Posted : August 27, 2014
Last Update Posted : May 27, 2015
Sponsor:
Collaborators:
Fonds de la Recherche en Santé du Québec
Institut de Recherche Robert-Sauvé en Santé et en Sécurité du Travail
Information provided by (Responsible Party):
Martin Descarreaux, Université du Québec à Trois-Rivières

Brief Summary:
The aim of the present study is to quantify the relative contribution of variables obtained during a physical fitness evaluation and a short screening questionnaire in determining the short-term and long term risk of persistent disabling low back pain in patients with chronic low back pain. It has been hypothesized that patients with higher physical fitness will present a lower risk of persistent disabling low back pain and so, a lower score on the questionnaire.

Condition or disease
Chronic Low Back Pain Mechanical Low Back Pain

Study Type : Observational
Actual Enrollment : 53 participants
Observational Model: Cohort
Time Perspective: Prospective
Official Title: Risk of Poor Prognosis in Patients With Chronic Low Back Pain : Can it be Predicted by Physical Tests and Screening Tools ? - An Observational Study
Study Start Date : October 2011
Actual Primary Completion Date : July 2014
Actual Study Completion Date : September 2014

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Back Pain

Group/Cohort
nonspecific chronic low back pain
Physical examination and follow-up assessment by questionnaires at 2, 4, 6, and 12 months



Primary Outcome Measures :
  1. Disability level [ Time Frame: 2 months ]
    Oswestry disability index

  2. Disability level [ Time Frame: 4 months ]
    Oswestry disability index

  3. Disability level [ Time Frame: 6 months ]
    Oswestry disability index

  4. Disability level [ Time Frame: 12 months ]
    Oswestry disability index


Secondary Outcome Measures :
  1. Pain intensity in the past 2 months [ Time Frame: 2 months ]
    101 points numerical rating scale

  2. Fear of movement level [ Time Frame: 2 months ]
    Tampa scale for kinesiophobia

  3. Patient's global impression of change from baseline [ Time Frame: 6 months ]
    Patient's global impression of change scale

  4. Patient's global impression of change from 6 months [ Time Frame: 12 months ]
    Patient's global impression of change scale

  5. Pain intensity in the past 2 months [ Time Frame: 4 months ]
    101 points numerical rating scale

  6. Pain intensity in the past 2 months [ Time Frame: 6 months ]
    101 points numerical rating scale

  7. Pain intensity in the past 6 months [ Time Frame: 12 months ]
    101 points numerical rating scale

  8. Pain intensity in the past week [ Time Frame: 12 months ]
    101 points numerical rating scale

  9. Fear of movement level [ Time Frame: 4 months ]
    Tampa scale for kinesiophobia

  10. Fear of movement level [ Time Frame: 6 months ]
    Tampa scale for kinesiophobia

  11. Fear of movement level [ Time Frame: 12 months ]
    Tampa scale for kinesiophobia



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Ages Eligible for Study:   18 Years to 60 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
volunteer with chronic nonspecific low back pain will be recruited among the university's community, its outpatients' chiropractic clinic and through advertisements in the local newspaper. They will first be screened by clinicians at the outpatients' chiropractic clinic in order to assess for the various inclusion and exclusion criteria.
Criteria

Inclusion Criteria:

  • adults between 18 and 60 years old
  • nonspecific low back pain : pain located between the twelfth rib and the inferior gluteal fold for which no specific source of pain could be identified
  • chronic low back pain : pain present for 12 weeks or more, and included both constant and recurrent patterns of pain
  • able to read and understand French

Exclusion Criteria:

  • History of surgery or major trauma to the spine
  • Current use of medication known to impair physical effort and pain perception
  • Lumbar scoliosis of more than 20°
  • Collagenosis, severe osteoporosis
  • Neuromuscular disease
  • Malignant tumor
  • Non-controlled hypertension
  • Infection
  • Radiculopathy
  • Progressive neurologic defect
  • Myelopathy
  • Lumbar disc hernia
  • Pregnancy
  • Active lower body injury and/or severe and disabling pain limiting the capacity to undergo the evaluation.

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): NCT02226692


Locations
Canada, Quebec
Université du Québec à Trois-Rivières
Trois-Rivières, Quebec, Canada, G9A 5H7
Sponsors and Collaborators
Université du Québec à Trois-Rivières
Fonds de la Recherche en Santé du Québec
Institut de Recherche Robert-Sauvé en Santé et en Sécurité du Travail
Investigators
Principal Investigator: Martin Descarreaux, PhD Université du Québec à Trois-Rivières

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Martin Descarreaux, Dr Martin Descarreaux DC, PhD, Université du Québec à Trois-Rivières
ClinicalTrials.gov Identifier: NCT02226692     History of Changes
Other Study ID Numbers: UQTR-2011-PFAC
First Posted: August 27, 2014    Key Record Dates
Last Update Posted: May 27, 2015
Last Verified: May 2015

Keywords provided by Martin Descarreaux, Université du Québec à Trois-Rivières:
chronic low back pain
prognostic factors
disabling low back pain
lumbar muscle activity
start back screening tool
physical evaluation

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