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Recruiting NCT05511012

Does the Therapist's Assessment of Movement Control in Low Back Pain Patients Correspond to an Objective Kinematic Modification

No phase Interventional Chronic Low-back Pain

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: motion control fault tests.
Who it may be relevant to
Registry conditions: Chronic Low-back Pain. Basic parameters: 18 years — 99 years · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
France
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →

Unsure about the terms? Read our patient guide →

Overview

* Exercise-based treatment is part of the recommendations for good practice in the treatment of low back pain (acute, sub-acute and chronic). * The low back pain population is heterogeneous. This heterogeneity would cause the positive effects of a treatment to be canceled out by the negative effects of another part of the population. * This polymorphism has led several authors to classify low back pain into subgroups. These subgroups constitute more homogeneous clinical pictures and would facilitate the adaptation of treatments. * The recommendations of the American Physical Therapy Association suggest 5 subgroups of low back pain. One of them is "low back pain with movement coordination defect". In this subgroup, Luomajoki studied the reliability of different functional tests used in clinical practice. 6 out of 10 motion control fault tests show good reliability. * The quantified analysis of the movement of low back pain patients would make it possible to determine the sensitivity of detecting an anomaly in the 6 lumbar movement control tests.

Detailed description

* Exercise-based treatment is part of the recommendations for good practice in the treatment of low back pain (acute, sub-acute and chronic). * The low back pain population is heterogeneous. This heterogeneity would cause the positive effects of a treatment to be canceled out by the negative effects of another part of the population. * This polymorphism has led several authors to classify low back pain into subgroups. These subgroups constitute more homogeneous clinical pictures and would facilitate the adaptation of treatments. * The recommendations of the American Physical Therapy Association suggest 5 subgroups of low back pain. One of them is "low back pain with movement control impairment". In this subgroup, Luomajoki studied the reliability of different functional tests used in clinical practice. 6 out of 10 motion control fault tests show good reliability. * The quantified analysis of the movement of low back pain patients would make it possible to determine the sensitivity of detecting an anomaly in the 6 lumbar movement control tests.

LoBaCoM is a monocentric, exploratory prospective study.

The purpose is to define a kinematic (angular) threshold corresponding to an anomaly detected clinically by three therapists for each test.

Interventions

  • Other motion control fault tests
    Patients make 6 motion control fault tests, in the same order. Each test is performed three times

Primary outcome measures

  • Range of compensation motion : "waiters bow" test [Time frame: Day 0]
  • Range of compensation motion : "pelvic tilt" test [Time frame: Day 0]
  • Range of compensation motion : "One leg stance" test [Time frame: Day 0]
  • Range of compensation motion : "sitting knee extension" test [Time frame: Day 0]
  • Range of compensation motion : "rocking 4 point kneeling" test [Time frame: Day 0]
  • Range of compensation motion : "prone knee bend" test [Time frame: Day 0]
Secondary outcome measures (6)
  • Speed of execution for test 1 [Time frame: Day 0]
  • Speed of execution for test 2 [Time frame: Day 0]
  • Speed of execution for test 3 [Time frame: Day 0]
  • Speed of execution for test 4 [Time frame: Day 0]
  • Speed of execution for test 5 [Time frame: Day 0]
  • Speed of execution for test 6 [Time frame: Day 0]

Eligibility criteria

Inclusion criteria

  • Aged more than 18 years
  • Common low back pain with medical prescription for rehabilitation
  • Signed consent
  • Be affiliated to a social security scheme
  • Be able to perform the lumbar motion control failure tests

Exclusion criteria

  • Body Mass Index greater than 30 (obesity)
  • Person who does not understand French
  • Pregnant woman
  • Refusal to participate
  • Volunteer under guardianship or curatorship

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Allocation
N/A
Model
Single group
Masking
Open label
Primary purpose
Diagnostic

Study locations

France · 1 center
  • CHU de Brest — Brest

Identifiers

NCT: NCT05511012 · 29BRC22.0128

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗