Using technology for improving diagnostics of non-specific lower back pain by physiotherapists.
ID
Source
Brief title
Condition
- Muscle disorders
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
The primary study parameter are the amount of EMG, with parameters relative
rEMG, amplitude (mV), frequency amount(Fmed) in Hz. Range of motion of the
trunk by using 3D kinematics and cross-sections and fatty degeneration of the
multifidus by using ultrasound.
Secondary outcome
Questionnaires and personal characteristics.
Background summary
Non-specific lower back pain is a pain syndrome, however the exactly cause is
not known. Probably there are several factors that contribute to this pain
syndrom. The last several years, people are interest to divide non-specific
lower back pain patients in different subgroups. Because these different
subgroups need probably different specific
treatments. In physiotherapy treatment the most attention focused on disbalans
between back and belly muscles. This project will focus on validation of
technology to improve the diagnosis of non-specific lower back pain by
physiotherapists. Ultrasound, surface electromyography and 3D accelerometry
will be validated to improve distinguishing of subgroups of non-specific lower
back pain patients by physiotherapists.
Study objective
Using technology for improving diagnostics of non-specific lower back pain by
physiotherapists.
Study design
cross sectional study design
Study burden and risks
The burden of the subjects is very limited. Subjects will be measured once at
one of the participating physiotherapy centers. Time expense will be maximally
1.5 hour. All the technology measurements are used as care as usual at
physiotherapist centers, and there will not be measured invasive. There will
be no risks associated with participation.
The advanced of participating in this study for the subjects is, they will
contribute to create more knowledge about to diagnostic non-specific lower back
pain patients in the physiotherapy. The subjects will get traveling expenses
and a cheque of 15 euros for participation in this study.
M.H. Tromplaan 28
Enschede 7513AB
NL
M.H. Tromplaan 28
Enschede 7513AB
NL
Listed location countries
Age
Inclusion criteria
Patients
* Between 18 and 65 years old
* Acute (<6 weeks), subacute (6-12 weeks), chronic non-specific lower back pain (> 12 weeks)
* Score > 30% points at the Oswestry Disability Index (ODI)
* Signed the informed consent form;Healthy subjects
* Between 18 and 65 years old
* Signed the informed consent form
Exclusion criteria
Patients
* Presence of red flags* and lumbarsacral radicular syndrom
* Previous backsurgery
* Pregnancy or < 6 months after childbirth
* Actual psychiatric diagnosis
* Insufficient knowledge of the Dutch language
* Body mass index > 30;Healthy subjects
* non-specific lower back pain
* Presence of red flags* and lumbarsacral radicular syndrom
* Pregnancy or < 6 months after childbirth
* Previous backsurgery
* Actual psychiatric diagnosis
* Insufficient knowledge of the Dutch language
* Body mass index > 30;*Red flags are:
Cancer
Unexplained weight loss
Immunosuppression
Prolonged use of steroids
Intravenous drug use
Urinary tract infection
Pain that is increased or unrelieved by rest
Fever
Significant trauma related to age (e.g., fall from a height or motor vehicle accident in a young patient, minor fall or heavy lifting in a potentially osteoporotic or older patient or a person with possible osteoporosis)
Bladder or bowel incontinence
Urinary retention (with overflow incontinence)
Physical examination
Saddle anesthesia
Loss of anal sphincter tone
Major motor weakness in lower extremities
Fever
Vertebral tenderness
Limited spinal range of motion
Neurologic findings persisting beyond one month
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 | NL60064.044.16 |
| Other | NTR-nummer nog niet beschikbaar |