Overview

This trial is active, not recruiting.

Condition low back pain
Treatments isostretching, global posture reeducation
Phase phase 0
Sponsor Centro Universitario de Maringa
Start date August 2010
End date October 2011
Trial size 40 participants
Trial identifier NCT01468298, 249/2010

Summary

The aim of this study was to investigate the changes in posture, flexibility, muscle strength, functional capacity, heart rate(HR), peripheral oxygen saturation, systolic blood pressure, diastolic blood pressure and intensity of pain in chronic low back pain underwent to Isostretching and GPR.

United States No locations recruiting
Other Countries No locations recruiting

Study Design

Allocation randomized
Endpoint classification efficacy study
Intervention model parallel assignment
Masking single blind (outcomes assessor)
Primary purpose treatment
Arm
(Active Comparator)
isostretching postural reeducation
All of patients were accompanied by an individual treatment program composed by 12 sessions of 45 minutes, twice a week. The Isostretching method includes therapeutic different postures, lying, sitting or standing, and the positions were selected according to the postural changes of each patient, identified in the assessment. The Isostretching protocol involves nine positions held for a period of nine breaths, and every three cycles, the patient should rest for a period. The physical therapist used verbal commands to emphasize pursed lip breathing, self growth, curvatures correction and isometric of abdominal, paravertebral, quadriceps and gluteal muscles with the aim of optimizing the stretching and discouraging compensatory movements.
(Active Comparator)
global posture reeducation postural reeducation
All patients were accompanied by an individual treatment program composed by 12 sessions of 45 minutes, twice a week, involving a series of active gentle movements and postures aimed at realigning joints, stretching shortened muscles and enhancing the contraction of antagonist muscles, thus avoiding postural asymmetry. The positions were selected according to the postural changes of each patient, identified in the assessment and these therapeutic postures imply an active involvement of the patient. The protocol includes three therapeutic postures, lying, sitting or standing, to be held for 15 minutes each. The physical therapist used verbal commands and manual contact to maintain the alignment and make the necessary postural corrections, with the aim of discouraging compensatory movements.

Primary Outcomes

Measure
functional capacity
time frame: Patients will be followed for the duration of 10 sessions, an expected average of 5 weeks.

Secondary Outcomes

Measure
Posture
time frame: Patients will be followed for the duration of 10 sessions, an expected average of 5 weeks.
flexibility
time frame: Patients will be followed for the duration of 10 sessions, an expected average of 5 weeks.
muscle strength
time frame: Patients will be followed for the duration of 10 sessions, an expected average of 5 weeks.
heart rate(HR)
time frame: Patients will be followed for the duration of 10 sessions, an expected average of 5 weeks.
peripheral oxygen saturation
time frame: Before and after 10 sessions and for every 15 minutes in therapyPatients will be followed for the duration of 10 sessions, an expected average of 5 weeks..
systolic blood pressure
time frame: Patients will be followed for the duration of 10 sessions, an expected average of 5 weeks..
diastolic blood pressure
time frame: Patients will be followed for the duration of 10 sessions, an expected average of 5 weeks.
Intensity of Pain
time frame: Patients will be followed for the duration of 10 sessions, an expected average of 5 weeks.

Eligibility Criteria

Male or female participants from 40 years up to 60 years old.

Inclusion Criteria: - patients with non-specific LBP in its chronic phase (pain lasting more than 12 weeks), from 40 to 60 years old. Exclusion Criteria: - scheduling conflicts - lack of transportation - disease that compromises their health during the treatment - uncontrolled hypertension - fibromyalgia - history of spinal surgery in the last six months - patients with neurological diseases - individuals who demonstrate inability to understand or physical restraint for the exercises.

Additional Information

Official title Comparing the Global Posture Reeducation With Isostretching in Chronic Low Back Pain Patients
Principal investigator Ligia M Facci, doctor
Description It was selected 40 patients, from 40 to 59 years old, with chronic low back pain from CESUMAR Physiotherapy Clinic-Schoo. These were evaluated before and after treatment regarding posture by SAPO computer program; flexibility for lumbar Schober testing, sit and reach; muscle strength by dynamometry for trunk extensors and the maximum repetition test in a minute to abdominal and trunk extensors; functional capacity by Rolland-Morris Questionnaire; pain by visual analog scale; heart rate(HR) by polar frequencymetric; peripheral oxygen saturation by Finger Pulse Oximeter; and systolic and diastolic blood pressure with a Sphygmomanometer. The sample was divided in two groups (1-GPR with 11 patients, 2-Isostretching with 10 patients). All patients were accompanied by an individual treatment program composed by 12 sessions of 45 minutes, twice a week. It was considered statistically significant p values <0.05 obtained from the Student's t test.
Trial information was received from ClinicalTrials.gov and was last updated in November 2011.
Information provided to ClinicalTrials.gov by Centro Universitario de Maringa.