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

Без фазы С лечением Chronic Low-back Pain

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают
В протоколе указаны: motion control fault tests.
Кому может быть актуально
Состояния в реестре: Chronic Low-back Pain. Базовые параметры: 18 лет — 99 лет · Все.
Что важно проверить
Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится
Франция
Следующий шаг
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Обзор

* 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.

Подробное описание

* 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.

Вмешательства

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

Первичные конечные точки

  • Range of compensation motion : "waiters bow" test [Срок оценки: Day 0]
  • Range of compensation motion : "pelvic tilt" test [Срок оценки: Day 0]
  • Range of compensation motion : "One leg stance" test [Срок оценки: Day 0]
  • Range of compensation motion : "sitting knee extension" test [Срок оценки: Day 0]
  • Range of compensation motion : "rocking 4 point kneeling" test [Срок оценки: Day 0]
  • Range of compensation motion : "prone knee bend" test [Срок оценки: Day 0]
Вторичные конечные точки (6)
  • Speed of execution for test 1 [Срок оценки: Day 0]
  • Speed of execution for test 2 [Срок оценки: Day 0]
  • Speed of execution for test 3 [Срок оценки: Day 0]
  • Speed of execution for test 4 [Срок оценки: Day 0]
  • Speed of execution for test 5 [Срок оценки: Day 0]
  • Speed of execution for test 6 [Срок оценки: Day 0]

Критерии участия

Критерии включения

  • 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

Критерии исключения

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

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение
Не применимо
Модель
Одна группа
Маскирование
Открытое
Основная цель
Диагностика

Центры проведения

Франция · 1 центр
  • CHU de Brest — Brest

Идентификаторы

NCT: NCT05511012 · 29BRC22.0128

Первоисточники (государственные реестры)

Открыть это исследование на ClinicalTrials.gov ↗