The purpose of this study is to investigate whether ambulant feedback of measured activity pattern is able to change the daily activity pattern of patients with chronic low back pain.
ID
Source
Brief title
Condition
- Other condition
Synonym
Health condition
ziekten van het bewegingsapparaat en het bindweefsel
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
The main study parameter is physical activity pattern in daily life, expressed
as mean absolute acceleration by means of a triaxial accelerometer.
Secondary outcome
Physical fitness
Self- perceived activity level
Coping strategies
Disability level
Pain-intensity
Depression level
Background summary
Pain in the musculoskeletal system is an important public health problem due to
high impact on disability, sickness absence, work disability and health care
costs. Physical activity level is assumed to be an important determinant pain.
Theoretical models together postulate that psychological aspects are important
and that dependent on the cognitions of the patient, different behavior towards
daily activities exist. Therefore it is important to make these patients aware
of their inconsistent activity pattern by developing individually optimized
treatment programs.
Study objective
The purpose of this study is to investigate whether ambulant feedback of
measured activity pattern is able to change the daily activity pattern of
patients with chronic low back pain.
Study design
A repeated measures design will be used to investigate the research questions.
After the baseline measurement (pretest; T0), the four weeks of intervention
(T1) will take place. After these weeks of intervention a second measurement
period (post-test; T2) will be performed. After a month there will be a
follow-up period (T3) were only questionnaires are taken.
Intervention
Participants receive the accelerometer and PDA for a five-week period. On the
PDA visible feedback is shown and during the intervention also individually
tailored feedback is added. One group receives feedback every hour (group 1)
and one group receives feedback 3 times a day (group 2). During this
intervention both groups receive pop-ups of the VAS-scale three times a day to
define how their pain intensity is at that moment.
Study burden and risks
Patients can get an insight in their own activity pattern. They can become
aware of their behavior and adjust this to their situation if necessary.
Through regular feedback they learn how their complaints are related to his
behavior in certain situations. This way, participants can keep their activity
level balanced and this can influence their health.
As far as known, the participants are not exposed to any risks. The condition
test is adjusted individually to each participant and controlled by heart rate.
The functional test is assessed at normal, comfortable walking speed. During
the intervention, daily activity is monitored with no hindrance of the ambulant
activity device and the feedback is individual-tailored. The feedback tips are
checked by specialists for harmfulness. The patient can ignore the feedback
tips if he doesn*t feel able to follow the tips.
roessinghsbleekweg 33b
7522 AH enschede
Nederland
roessinghsbleekweg 33b
7522 AH enschede
Nederland
Listed location countries
Age
Inclusion criteria
- age between 18 and 65 years
- primary complaint non-specific chronic low back pain
- no structural pathology
Exclusion criteria
- wheelchair-bound patients
- specific causes of chronic pain
- surgery in the last 6 months
- terminal or progressive disease
- insufficient knowledge of Dutch language
- medication influencing daily activities (fatigue, dizzyness)
- first generation non-western patients
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL16462.080.07 |